Post-Coital Bladder Pains and Dysuria may not be an Infection!

At the time of penile penetration in the " missionary position" , most of the pressure (and trauma) is delivered to the lower part of the bladder (the so called neck of the bladder) and the upper portion of the urethra (which is about half way between the urethral orifice and the uterine cervix).

At the time of sexual arousal, the mucose membrane of the urethra and bladder become engorged,  as will the entire vulvar-vaginal mucosa. At the time of intercourse, the engorged mucose membrane may pop and break up. Urine that leaks under the ruptured mucose membrane into highly sensetive sub-mucouse layer will produce an intense burning sensation, urgency and lasting pain at the end of urination - so called terminal dysuria - that is always diagnosed and treated as a bacterial infection. By the way, that is why in many cases you may discover a few drops of blood coming from the urethra or even bloody urine  shortly after intercourse!  This is known as " Honeymoon" cystitis, which is actually better defined as post-coital traumatic dysuria.  It is not an infectious disease; it must instead be viewed as trauma.  Using antibiotics in these cases is no better than using a placebo. That is why the treatment should be different...!

Please contact my office to schedule an appointment if you have these symptoms and would like the correct answer. 

The information contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.


Leon Nitkin, M.D. I offer a full range of GYN services and limited obstetric care. I specialize in the provision of services for gynecological plastic, including narrowing of vagina and labia reduction; Cervical Cancer Immunizations (HPV Immunizations - GARDASIL) and have extensive experience in treatment of Uterine Fibroids - therapeutic and surgical. Our primary focus is your comfort with a female physician assistant on staff and a Board Certified Anesthesiologist for procedures.

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