Dear Dr Mitchell,
Why is it that after my fiancé and I indulge in petting during intercourse, I am sure to get either a yeast infection or UTI afterwards? He is a clean guy, a germophobe in fact, so it is really frustrating that each time he touches me with his hands, I can be sure that one of these conditions will follow.
The discomfort that you experience from foreplay may be due to overvigorous stimulation and subsequent irritation of the skin and tissues at the entrance to the bladder and vagina. The soreness or burning that follows may be due to a bacterial infection that goes up into the bladder from the damaged tissues. Irritation of the tissues to the entrance of the vagina may cause intense soreness, and this might not necessarily be a yeast infection.
It is important to reduce the intensity of the stimulation before penetrative sexual activity to limit the amount of tissue damage and subsequent infection. The use of a water-based lubricant also helps to reduce the extent of tissue damage. You should get a urine culture done, to actually confirm the presence of a bacterial infection in the urine before concluding that there is a urinary tract infection. The overdosing with antibiotics might be unnecessary treatment which could lead to a serious drug resistance. You should also get a blood sugar and an HIV test done to ensure that your immune system is good and that you do not have diabetes mellitus which can actually predispose you to recurrent infections. Your spouse should also be tested.
Consult your doctor who will advise you further and do the appropriate investigations.
Dr Sharmaine Mitchell is an obstetrician and gynaecologist. Send questions via e-mail to firstname.lastname@example.org; write to All Woman, 40-42 1/2 Beechwood Ave, Kingston 5; or fax to 968-2025. All responses are published. Dr Mitchell cannot provide personal responses.
The contents of this article are for informational purposes only, and must not be relied upon as an alternative to medical advice or treatment from your own doctor.