Cystitis is a disease that requires attention, especially during menstruation.


Cystitis is an inflammation of the mucous membrane of the bladder of various etiologies, most often infectious-mediated.

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This disease is widespread, more common among women of all age groups and with adequate therapy, in most cases, it is completely cured.

When asked about the connection of exacerbations of cystitis and regular menstruation, most women will respond negatively. However, in some women, inflammation can have a chronic recurrent nature and a clear connection with the fluctuations of the menstrual cycle, aggravating with the onset of menstruation or immediately after their end.

Such exacerbations psycho-emotionally exhaust a woman and significantly reduce the quality of her life.

1. The main causative agents of cystitis

Urinary infections, including cystitis, are caused by microorganisms that, under normal physiological conditions, live in areas adjacent to the urethra and around the anus. The main pathogens of bacterial cystitis are presented in table 1.

Table 1 - The main causative agents of cystitis in women

As can be seen from the table, most representatives of normal intestinal microflora are uropathogens most often. They inhabit the nearurethral and perianal areas and are completely harmless to the intestinal wall. However, getting into the urinary system can cause inflammation in the mucous membrane of the urinary tract.

Uropathogen penetration into the bladder occurs most often in the ascending way (through the urethra), but cases of lymphogenous and hematogenous transfer are not excluded.

Even at the time of the normal emptying of the bladder, specific turbulence occurs in the urethra, facilitating the discharge of microorganisms into the bladder.

2. Protective mechanisms

The female urinary system has some anatomical features that increase the likelihood of bladder colonization by pathogenic flora, and therefore increase the risk of developing the disease.

These features include the short wide urethra and its close location to the vagina and anus zone (the habitat of the intestinal flora).

The proximity of the urethral opening to the entrance to the vagina (in some women, the entrance to the urethra may be directly on the vaginal wall) determines the relationship between the state of the vagina and the well-being of the urinary system.

The normal state of the vaginal microbiocenosis is the first level of protection that prevents the migration of intestinal microflora from the anus to the periurethral zone.

The main protective mechanisms of the vaginal microflora, preventing the introduction of intestinal flora in the urinary tract:

  1. 1 Production of uropathogen inhibitors - the production of substances that inhibit the growth and reproduction of E. coli.
  2. 2 Competition for adhesion areas - the normal microflora of the vagina creates its own local microbiocenosis, in other words, “occupies a free niche”, which prevents uropathogens from attaching to this niche.
  3. 3 Low pH of the vagina (less than 5) - with a sufficient amount of lactobacilli of the vagina create an acid reaction of the vaginal contents by splitting glycogen to lactic acid. When the pH of the vaginal content is 3.8-4.3, the toxins are neutralized and E.Coli growth is inhibited.

As can be seen from the above, a balanced work of the mucous membrane, a sufficient amount of lactobacilli, optimal acidity and the absence of inflammation in the vagina are powerful inhibiting factors that prevent the penetration of Escherichia coli into the urethra and bladder.

3. Hormonal background and its influence

The low acidity of the mucous membrane, the level of lactobacilli, and hence the contamination with Escherichia coli, found in the vagina, directly depend on the phase of the menstrual cycle, which indicates the indisputable role of hormonal regulation of vaginal microbiocenosis.

Hormonal effects on the urinary system in women are carried out both centrally and at the local level. So, estrogen receptors are found not only in the preoptic region of the hypothalamus and forebrain, but also
on the surface of cells of the vaginal mucosa and urinary tract, as well as in the pelvic floor muscles.

Estrogen affects the mood, cognitive function, function of the urethra, the intensity of local blood flow, collagen synthesis and the condition of the mucous membranes of the female urogenital organs. Estrogen deficiency in the body of a woman increases the risk of developing cystitis during menstruation.

As for the progesterone receptors located in the lower parts of the urethra, their excessive stimulation can have a negative effect on the function of the urethra and the bladder.

Although an excess of progesterone does not affect the level of urethral pressure, it can cause instability of the detrusor (the muscular membrane of the bladder), which can be clearly seen during pregnancy. The precise mechanism of the effect of progesterone on the urinary system is not currently known.

Thus, the fluctuations of hormones in different phases of the cycle can lead to a weakening of the protective properties of the mucous membranes (reduced blood flow, detrusor dysfunction, decrease in the number of lactobacilli, alkalization, etc.), and hence the development of the inflammatory process.

The minimum amount of estrogen is observed at the very beginning of the cycle, which coincides with the period of menstruation or the time immediately after it. The peak of estrogen is reached at about the 14-18 day of the cycle (the period of ovulation), after which they gradually decline.

At the same time, after ovulation, progesterone activity begins to increase with a simultaneous decrease in estrogen levels.

That is why the exacerbation of bacterial cystitis may occur simultaneously with the next menstruation.

4. Predisposing factors

In addition to reducing the natural defense mechanisms due to hormonal fluctuations, there are a number of additional factors predisposing to relapse of infection during menstruation.

Causes of colonization of the bladder mucosa by bacteria are also:

  1. 1 Local injuries: wearing traumatic pads and cramped underwear, abuse of tampons, traumatic washing (brushes, disinfectants).
  2. 2 Prior antibiotics, leading to a violation of vaginal microbiocenosis and a decrease in the number of lactobacilli.
  3. 3 Concomitant gynecological diseases (vaginitis, cervicitis, bacvaginosis, thrush), which the woman did not have time to cure before the onset of menstruation.
  4. 4 Use soap for bathing and intimate hygiene (changes the pH in the direction of alkalization).
  5. 5 Rare strip change - bleeding is an excellent breeding ground for pathogens.
  6. 6 Neglect of hygiene methods - rare washing, washing away from the anus to the vagina.
  7. 7 Abuse during menstruation with caffeine, sweet or fat. Many women can hardly control their appetite and abuse chocolate, sweets, and also indulge themselves with other “goodies” that can irritate mucous membranes. The most dangerous sweets (increase the risk of recurrence of candidiasis) and spices (have a direct damaging effect).
  8. 8 Sex for menstruation. Women often use the so-called “safe period” for unprotected sex. This leads to irritation of the urethra and increase its susceptibility to bacterial infections.

5. Unprotected sex during menstruation.

Sexual contacts during this period are extremely undesirable, however many women in our country use this practice as a peculiar method of “contraception”. People believe that it is impossible to get pregnant during menstruation, which is a common myth.

During this period of the cycle, the probability of infection with sexual transmission is highest, especially during unprotected sexual contact.

If symptoms of cystitis appear after unprotected sexual contact (especially with a new sexual partner), infection with sexually transmitted infections (STIs) should be excluded and chlamydia, gonorrhea, trichomoniasis, mycoplasmosis, ureaplasmosis, etc. should be excluded.

6. Infection or not?

Often, for the exacerbation of infection during menstruation, women take this condition as interstitial cystitis. This disease is a serious problem of modern urology, which is associated with its low level of knowledge and complex diagnostics.

To confirm the diagnosis sometimes takes many years. All this time, a woman may suffer from constant pain and dysuric disorders associated with fluctuations of the menstrual cycle.

The basis of interstitial cystitis is the violation of the integrity of the outer protective layer of the cystic mucosa, as well as deep damage to the bladder wall and irritation of the endings of the nerve fibers.

The symptoms of this disease are similar to the symptoms of a normal urinary infection, but it differs in that it is based on deeper damage, and the bacteria in this case do not play any role.

The main differences of interstitial cystitis from bacterial:

  1. 1 Convulsive, cramping pains in the projection of the bladder, aggravated as it overflows. After emptying, the painful sensations subside for a while.
  2. 2 Characterized by frequent urination to urinate during the day, may develop false urinary incontinence.
  3. 3 Symptoms recur and are most pronounced shortly before the onset of the next menstruation, coincide with signs of PMS. With the onset of menstruation, the pain subsides.
  4. 4 Laboratory signs of bacteriuria are NOT DETERMINED in the urine (bacteria are not detected in the urine or their quantity is insignificant).

Patients with interstitial cystitis have higher rates of pain intensity throughout the entire menstrual cycle. Their pain score according to the diaries (Powell-Boone, Ness TJ, Cannon R, Lloyd LK, Weigent DA, Fillingim RB) was the maximum before the monthly.

During menstruation, dysuric disorders (increased urination, burning and cramping during urination) are increasing. This indirectly indicates the role of female sex hormones and their fluctuations in the processing of information from the receptors of the bladder and its perception by the cerebral cortex.

Diagnosis of interstitial cystitis is complex and is performed exclusively by the urologist and the urogynecologist.

7. Main symptoms

The symptoms of cystitis during menstruation are no different from those on ordinary days, these are:

  1. 1 Burning and pain in the process of urination, aggravated at the end of the act of emptying the bladder.
  2. 2 False urination and a feeling of constant fullness of the bladder.
  3. 3 Pain or burning over the pubis. In menstruation, this symptom may be more pronounced, since the imposition of menstrual pain on the urinary. Menstruation with cystitis can be more painful than usual.

Diagnosis of pathology is based mainly on the symptoms and their dynamics. Laboratory diagnosis is complicated by the presence of bleeding, making it difficult to assess the indicators of the general analysis of urine.

However, with special recommendations, urine can be collected for analysis.

For infectious cystitis is characteristic:

  1. 1 Increased level of leukocytes in the urine (leukocyturia, pyuria), the appearance of bacteria in the urine (bacteriuria), an increase in the relative density of urine.
  2. 2 Growth of pathogenic microflora with bacposev.

Instrumental disease can be confirmed by ultrasound, where you can see a thickening of the inflamed cystic wall, the presence of suspension in the cavity of the bladder.

8. Recommendations for urine collection

The presence of menstrual flow has a significant impact on the indicators of general and bacteriological examination of urine. However, compliance with the rules of collection allows you to bring the result of the study as close to reliable as possible.

  1. 1 Before collecting urine, thoroughly wash the genitals under running water without using soap.
  2. 2 After genital hygiene, a vaginal tampon should be installed and the urethral zone should be washed again under running water.
  3. 3 Blot the external genital area with a clean, soft towel.
  4. 4 Prepare a clean, sterile urine collection container, open the lid, without touching the inner edges of the container.
  5. 5 Use your fingers to separate the labia to the side and, while holding them in this position, begin to urinate.
  6. 6 Average amount of urine collected in a prepared container (50-100 ml).
  7. 7 Complete urination.
  8. 8 Remove the tampon, install a sanitary pad.
  9. 9 Close the container, mark and deliver the material to the laboratory within 2 hours.

9. How to avoid bladder inflammation?

In some women, cystitis can worsen every menstrual cycle. In this case, at the end of the next menstruation, you must:

  1. 1 Examined for STIs.
  2. 2 Pass a smear on the flora and GN at the gynecologist.
  3. 3 Exclude chronic low-intensity inflammation of the female genital organs: vaginitis, vulvitis, cervicitis, bacterial vaginosis, thrush.

To avoid another exacerbation, a woman can take a number of preventive measures:

  1. 1 As much as possible to use the liquid and as often as possible emptying the bladder, this leads to mechanical washing of bacteria from the walls of the urethra. You can make a urination diary and record all trips to the toilet every 2 hours.
  2. 2 Preference should be given to cranberry or lingonberry fruit drinks. Their effectiveness is confirmed not only by national experience, but also by foreign experts.
  3. 3 In case of intolerance, cranberry juice can be replaced by taking drugs on the same basis (Cystivit, Monurel Previcist, Cistorenal). Other effective herbal uroseptics used for the treatment of cystitis include Canephron H, Fitolysin.
  4. 4 It is necessary to adhere to the recommended hygiene during menstruation: use pads without fragrances and additives, moist toilet paper without fragrances, wash them at least twice a day with running water from front to back, discard tampons, change pads every 2-3 hours fullness.
  5. 5 If there is a tendency to relapse of cystitis, sexual intercourse should be abandoned during this period.

Treatment of the disease is the same as with other forms of cystitis. You can read about this in detail in our other article (follow the link).

The most effective drugs include Monural (fosfomycin), Furadonin (nitrofurantoin), Ofloxacin (Zanotsin), Tavanic (levofloxacin), Supraks (cefixime). To them, there is still a sufficient sensitivity of Escherichia coli and other uropathogens. The duration of the course and dosing regimens, see the link above.

If the inflammation of the bladder is combined with the inflammatory process of the female genital organs, then the woman is additionally prescribed local medications - vaginal suppositories, pills or ovules.

10. Urinary infection and delayed menstruation.

Often, the aggravation of cystitis in women is combined with menstrual disorders. Many women mistakenly associate delayed menstruation with a previous illness. However, incontrovertible evidence of the connection of bladder inflammation with the length of the menstrual cycle is currently not available.

The reason for the delay may be pregnancy and inflammation of the female genital organs (vaginitis, cervicitis, adnexitis, endometritis). Be sure to do a two-fold test, exclude the possibility of conception and the inflammatory process at the gynecologist, if menstruation does not begin.

Thus, in case of recurrences of the disease associated with menstruation, a comprehensive examination is necessary, which includes not only an assessment of the urinary system, but also an assessment of the patient's reproductive function.

It must be remembered that behind the mask of frequent exacerbations interstitial cystitis may be hidden, self-treatment of which leads to the progression of symptoms and the development of irreversible changes in the cystic mucosa.

Features of the female body during menstruation

Even if a woman is completely healthy, the menstrual period makes her more vulnerable to many pathological conditions.

This is due, primarily, to the fact that fluctuation in the level of hormones affects the entire body, including the urinary system, and not just the genitals.

Reducing the overall level of hormones before menstruation affects the intensity of the immune mechanisms, weakening them.

By itself, menstruation is stress, because at this time the woman is experiencing discomfort, she may have cramps and other painful manifestations.

An increased amount of blood rushes to the pelvic organs, a large amount of biologically active substances accumulates in the tissues.

The mucous membranes of the genitalia, urethra, bladder loosened, become more sensitive to any effects, including the penetration of infection.

Есть и еще одна особенность, из-за которой цистит развивается чаще во время месячных, чем в межменструальный период. Кровь, оттекающая из половых путей, является питательной средой для размножения бактерий.

In addition, in the menstrual flow may contain various microorganisms that are pathogens of chronic infections of the genital organs.

Therefore, bacterial contamination of the skin and mucous membranes in the genital area during menstruation can be high, and the discharge itself, accumulating, contribute to the spread of infection to the urethra and further into the bladder.

The main cause of cystitis is infection.

Cystitis is usually caused by an infection, a disease of a bacterial nature. Sometimes viruses, yeast-like fungi, allergens, toxins and other factors become the cause of the disease, but this happens much less often.

The most common pathogen is Escherichia coli, which spreads from the anal area.

Cystitis is sometimes caused by microflora, which causes inflammatory diseases of the genital area (adnexitis, endometritis, colpitis). It is specific (chlamydia, gonococcus, toxoplasma) and non-specific (streptococcus, staphylococcus).

It is possible to suspect that the cystitis that arose during menstruation is associated with chronic infection of the genital organs, according to the following criteria:

  • the disease occurs during several menstrual cycles,
  • menstruation with cystitis comes with a delay, they are more scarce or, on the contrary, abundant, they are preceded by purulent or cheesy (with candidiasis) discharge from the genital tract,
  • at the same time there are signs of exacerbation of inflammation of the appendages (pulling pain in the lower abdomen, extending into the perineum or rectum)
  • pains are not only disturbed when urinating, they are of a spastic nature and are associated with the separation of blood clots,
  • menstrual flow mixed with pus or have an unpleasant odor
  • the temperature rises significantly.

If cystitis is a consequence of chronic adnexitis, endometritis or other diseases of the genital area, a gynecologist should treat it.

This is due to the fact that antibiotics used during the treatment of banal cystitis may be ineffective in this case. In addition, additional examination and prescription of other, specific drugs are sometimes required.

Other causes of cystitis

Chronic genital infections are the most common, but not the only cause of cystitis during menstruation. Sometimes a complete examination of a woman does not reveal any changes, and the disease recurs again and again.

In such cases, you need to think about other factors that act during menstruation and can provoke cystitis. These may be the following reasons:

  • insufficient hygiene of the external genital organs, rare change of gaskets,
  • poor-quality linen (too tight, made of synthetic fabrics, poorly absorbing or not allowing air),
  • intolerance of tampons, their incorrectly chosen size, improper use or their frequent change,
  • allergic to the components that make up the pads and tampons that a woman uses during menstruation,
  • intolerance or improper use of detergents used for intimate hygiene (they can cause dryness, irritation, disrupt the pH of the skin, cause allergies),
  • sex during menstruation - they contribute to the ingress of infected blood into the urethra.

Spasms of cystitis

If a woman noticed that cystitis and menstruation often coincide in time, but the examination did not reveal any diseases, then she needs to watch herself in order to identify the cause of this coincidence.

In this case, you can try to change the means for intimate hygiene, refuse tampons, use other pads or switch to using gauze.

Prevention of cystitis during menstruation

Compliance with the rules of personal hygiene is important at any time, but during menstruation, when a woman's genital tract is open to allow outflow of secretions, it is especially important.

Of course, poor hygiene is not the only cause of inflammatory diseases, but far from the last. To avoid cystitis during menstruation, you must adhere to the following recommendations:

  • gaskets must be changed at least 4–6 hours later, even if the discharge is scarce, and if they are abundant, more often,
  • tampons, if a woman is susceptible to cystitis during menstruation, it is better to refuse, as a swollen tampon can contribute to impaired microcirculation, provoke stagnation of urine, slow the outflow of secretions, and simply cause mechanical irritation of tissues
  • underwear should be comfortable, made of cotton knitwear, not tight and not very dense,
  • it is necessary to dress warmly, to protect legs and a waist from overcooling,
  • you should not take baths, go to the pool, swim in the ponds,
  • detergents are better to use special - neutral composition, intended for intimate hygiene,
  • sex during menstruation should also be abandoned,
  • do not eat pickled, spicy, irritating foods, alcohol,
  • physical activity also needs to be limited.

Particular attention should be paid to the issues of toilet external genital organs. It must be made with each change of gasket. Rinse should be warm running water movements, directed from front to back.

If the shower is not available, it is allowed to use antibacterial wipes, but we must remember that the composition with which they are soaked sometimes also causes irritation. Then you can try to use baby wipes.

Relieving symptoms of cystitis

If, despite preventive measures, cystitis has developed, the recommendations used in traditional medicine, as well as various plants and medicines based on them, will help to cope with it quickly.

Of course, if symptoms are pronounced, severe pains, fever, or urine changes occur, time should not be wasted. It is necessary to consult a doctor so that he prescribes a special treatment.

If the discomfort is not strong, the general state of health does not suffer, then abundant drinking of acidified water (with lemon), lingonberry, cranberry juice or infusions of herbs with therapeutic effect (horsetail, bearberry, cowberry leaf, birch buds) can help.

Healing herbs are part of some drugs (Canephron, Fitolysin, Monurel and others).

It should be noted that sometimes the phenomena of cystitis accompany a woman during menstruation, despite all sorts of precautions.

This may not be cystitis per se, but simply discomfort, a feeling of heaviness in the lower abdomen, increased urge to urinate and other, not very pronounced manifestations.

The reason for these phenomena is that during menstruation the blood supply of the pelvic organs increases. This leads to the development of these symptoms.

Contractions of the uterus, designed to expel blood, may be felt as painful cramps.

These manifestations are quite physiological, but women with a labile psyche can perceive them painfully. In such cases, mild sedatives of plant origin, used to treat premenstrual syndrome, help well.

Cystitis: clinical manifestations, etiology

Cystitis is an inflammation of the bladder, accompanied by symptoms such as pain in the lower abdomen, pain when urinating, the presence in the urine of blood or other impurities, frequent desires with a small amount of urine. In women, cystitis is most often caused by various bacteria (E. coli, staphylococcus), which can enter the urethra from the anus or vagina and rise to the bladder, as these organs are located close to each other. This type of cystitis is called infectious or bacterial. Cystitis can also occur against the background of existing diseases of the bladder, genital organs, diabetes, allergic reactions to various medications or contraceptives, injuries of the bladder, the use of a catheter. This indicates the secondary nature of the disease (men’s cystitis is most often secondary).

Acute cystitis is accompanied by pronounced symptoms, in addition, the body temperature may rise (up to 37-38 ° C). If untreated or improperly treated, acute cystitis can become chronic. It is much more difficult to treat, besides it is dangerous in that it can cause such complications as pyelonephritis (inflammation of the kidneys) or interstitial cystitis. Therefore, having found the disturbing symptoms, it is necessary to consult a doctor.

Cystitis during menstruation

As mentioned above, inflammation of the urethra bothers women more often. Exacerbation of the disease may occur during menstruation. Why is this happening? How are cystitis and menses related?

During this period, a natural cleansing process takes place in the woman’s body, and together with the menstrual blood, bacteria present in the body can enter the urethra and the bladder.

Causes of exacerbation of cystitis during menstruation:

  • the presence of an inflammatory process in the pelvic organs,
  • hormonal changes,
  • genital infections, vaginal candidiasis (thrush is the most common cause of exacerbation of cystitis before menstruation),
  • venereal diseases,
  • reduced immunity
  • violation of hygiene rules
  • allergic reactions to intimate hygiene products.

With cystitis, there may be a delay in menstruation.

Cystitis in menstruation is manifested by severe pain in the lower abdomen, pain when urinating, frequent urging, fever. With cystitis, there may be a delayed menstruation. This is due to the presence of an inflammatory process or due to infectious diseases that cause cystitis, which also affect the menstrual cycle. If you find these symptoms should not immediately engage in self-treatment. It must be remembered that sometimes frequent urination during menstruation is not a sign of the disease, but a physiological feature, and occurs because the uterus increases in volume during menstruation and may put pressure on the bladder. A delay in menstruation, along with the above symptoms may not be due to illness, but because of pregnancy. Therefore, if you are worried about certain symptoms, seek medical attention.

Diagnosis of cystitis

Cystitis is a disease of the bladder, so diagnosis and treatment is carried out under the supervision of a urologist. But since in women the cause of cystitis is often a disease or pathology of the genital organs, as well as pregnancy, the patient must also be visited by a gynecologist. If the cause is hormonal imbalance, an endocrinologist’s consultation will be required.

To establish the diagnosis of cystitis, it is necessary to pass a complete blood and urine test.

To establish the diagnosis of cystitis, you must:

  • complete blood count,
  • pass a urine test,
  • do an ultrasound of the kidneys and bladder.

To obtain reliable results and accurate diagnosis, blood and urine tests are taken after menstruation.

To exclude infections or inflammations of the genital organs, as well as pregnancy, the gynecologist may conduct the following studies:

  • examination of the genital organs with a gynecological mirror,
  • Ultrasound of the uterus and appendages,
  • smear analysis
  • bacteriological examination (bacposev) of a smear to determine the sensitivity of bacteria to drugs.

By making an accurate diagnosis, the doctor will prescribe a course of treatment.

After the diagnosis, the doctor prescribes treatment.

Which doctor should be treated with cystitis, read here.

Cystitis Treatment Methods

Cystitis treatment is prescribed by a doctor and usually includes:

  • treatment of the primary disease, against which cystitis has developed,
  • antibiotics,
  • with severe pain - taking antispasmodics and painkillers,
  • anti-inflammatory medication,
  • taking medications that reinforce the action of antibiotics and prevent relapse,
  • in some cases, prescribe physiotherapy,
  • drink plenty of water
  • diet (excludes spicy, salty foods, it is recommended to eat more fruit),
  • exclusion of sexual contacts,
  • hygiene, especially during menstruation.

Compliance with preventive measures during menstruation will reduce the risk of recurrence of the disease.

The mechanism of the occurrence of the disease

Often in women, the disease manifests itself during menstruation. Menstruation contributes to the natural cleansing of the body and at the same time the bacteria leave their places of existence and with blood they move to the exit from the body and enter the urethra, and then they pass through the urethra into the bladder.

When menstruation increases the likelihood of infection, the blood helps the bacteria to get into the urinary system faster. In this case, the infection works faster. Cystitis often manifests itself in non-treated gynecological diseases.

The main causes of cystitis:

  • weakened immunity
  • hypothermia
  • lack of vitamins in the body
  • frequent colds,
  • pregnancy,
  • lack of personal hygiene,
  • poor nutrition,
  • stresses
  • chronic infections
  • hormonal disruptions
  • gynecological diseases
  • childbirth
  • abortions,
  • intestinal infections
  • physiological features of the body in women.

It is not rare that the fungus Candida, which is part of the microflora of the vagina, is the source of infection, and when immunity is weakened, it can also be felt and can cause cystitis in addition to thrush. If it appears before menstruation, it is often a problem with appendages.

To prevent all diseases at an early stage, it is necessary to do preventive examinations in the clinic.


The main symptoms of cystitis:

  • sharp pain when urinating and very frequent urging to the toilet,
  • discoloration of urine and its structure (you can see blood and lumps of mucus ...),
  • deterioration of health (headaches, weakness, abdominal pain, irritation, nervousness, fever),
  • discomfort in the groin area.

When cystitis is found during menstruation, you should definitely go to the hospital, you need to consult a gynecologist, a urologist and an endocrinologist.

Cystitis may be the first signal of a serious illness. The main thing is not to try to cure yourself, as self-treatment often leads to complications.

It is necessary to be treated in the hospital and only after having passed all the necessary tests and having received the results, the doctor will be able to paint the correct treatment - antibacterial therapy, herbal medicine, painkillers. Only an experienced doctor can select the right antibiotic for the treatment of cystitis.

It is imperative to undergo a course of treatment, otherwise there is a danger that the illness can turn into a chronic stage which will be very difficult to cure. In order to get rid completely of this disease, you should follow all the recommendations of the doctor.

Cystitis is an inflammation of the bladder walls.

Cystitis is a disease of the bladder, but this does not mean that it is localized only in this organ, this disease can rise higher, touch the kidneys or descend into the uterus and appendages. This may provoke incorrect functioning of the body and the emergence of new health problems. With cystitis, there can also often be a delay in menstruation or a failure of the menstrual cycle. With such symptoms, a woman is obliged to undergo an ultrasound, to be tested for hormones.

Folk methods are also available as a treatment option, many are self-medicating and starting to drink tinctures and all kinds of teas according to grandmother's advice. It is possible to use this method in treatment, but as if accompanying with the main drug treatment and only after consulting with your doctor. It is not advisable to stop taking the medication if the symptoms of the disease have suddenly disappeared. Be sure to undergo treatment, otherwise there is a risk that the cystitis declares itself again.

Inflammation delivers a lot of trouble and hassle, so you need to get rid of it quickly.

When very severe pains in cystitis are prescribed antispasmodics. In the treatment of the disease it is important to stick to a diet, do not eat very salty, sour and spicy, eliminate alcohol.

With cystitis, it is possible to relieve pain symptoms by warming up. For menstruation, you need to carefully use this method, so as not to provoke bleeding.

If the treatment did not give any positive results, you need to look for another cause of the disease. First of all, consider the brand of gaskets and tampons, the reason may be precisely in the manufacturer of the product. Try using personal care products from another manufacturer for a while.

Treatment should be carried out only under the supervision of qualified doctors. Because any drug has contraindications and can be taken only for its intended purpose.

Disease prevention

The most basic prevention, both before menstruation and after them, is personal hygiene.

Cystitis is a very unpleasant disease, especially during menstruation, when immunity is reduced. The main thing is not to allow this disease to develop in the body.

It is advisable not to have sex during menstruation or be sure to use condoms. Wear only comfortable underwear with soft and natural fabrics, so that the body breathes.

Особое внимание уделите гигиеническим прокладкам, некоторые производители их делают ароматизированными, что часто приводит к аллергическим воспалениям.

Gaskets should be changed every 3-4 hours. Otherwise, if the gaskets are not timely replaced, there is a threat that bacteria will multiply faster and lead to infection of the urinary system.
Try not to use or even refuse from tampons at all, as they contribute to the delay of infection in the body and the multiplication of pathogenic microbes and aggravate the general condition of inflammation.

Be sure to take a shower at least 2 times a day, for washing it is desirable to use special hygiene products that do not irritate delicate skin.

To conduct a washing-out, to try correctly from the vagina to the anus, so that different bacteria do not get into the urethra and vagina.

To prevent infection of the urogenital system, it is necessary to timely treat any infection that appears in the body, it is desirable to strengthen the immune system, observe the daily regimen and maintain proper nutrition. If you find the first signs of the disease, you should immediately see a doctor.

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