Urinary Tract Infection - Other Treatments

Lifestyle Changes

Although there is no evidence that good hygiene makes a real difference in preventing UTIs, it is always a wise practice. The following are some hygiene tips for women:

• Clean the genital and urinary areas from front to back with soap and water after each bowel movement.
• Keep the genital and anal areas clean before and after sex. Urinate before and after intercourse to empty the bladder and cleanse the urethra of bacteria.
• Avoid tight-fitting pants.
• Wear cotton-crotch underwear and panty hose, changing both at least once a day. (Mild detergents are best for washing underwear.)
• Take showers rather than baths.
• Avoid bath oils, feminine hygiene sprays, douches, and powders. As a general rule, do not use any product containing perfumes or other possible allergens near the genital area. Douching is never recommended as it may irritate the vagina and urethra and increase the risk of sexually transmitted diseases.
• Choose sanitary napkins instead of tampons (which some doctors believe encourage infection). Napkins and tampons, in any case, should be changed after each urination.
• Drink plenty of fluids and urinate frequently.

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Sexual Precautions

The following recommendations may reduce the risks from sexual activity:

• In women using contraceptives, consider alternatives, particularly if exposed to spermicides from condoms or diaphragms. Discuss the best contraceptive choice with a doctor.
• Avoid sex with multiple partners. This can cause many health problems, including sexually transmitted diseases.

Cranberries, Blueberries, and Lignonberries

Cranberries, blueberries, and lignonberry, a European relative of the cranberry, are three fruits that may have protective properties against urinary tract infections. These fruits contain compounds called tannins (or proanthocyanadins). Tannins may prevent E. coli bacteria from adhering to cells in the urinary tract, thereby inhibiting infection. Cranberry juice is the best-studied home remedy for UTIs. Some studies have indicated that cranberry juice may help decrease the number of symptomatic UTIs, especially for women with recurrent urinary tract infections.

It is not clear what the optimum dosage is for cranberries, or whether it is best to use juice or tablet form. Some research recommends drinking at least 1- 2 cups of cranberry juice daily, or taking at least 300 - 400 mg in tablet form twice daily.