DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
42. A 26 year-old woman comes to the physician because of 2-year history of recurrent episodes of cystitis that are associated with sexual intercourse. Her symptoms began after she married her husband. Vital signs are normal. Physical examination and urinalysis show no abnormalities. Which of the following practices is most likely to decrease the frequency of these infections?
A) Douching on a weekly basis
B) Drinking 8 ounces of fluids immediately prior to intercourse
C) Having her husband use a condom
D) Using a diaphragm for contraception
E) Voiding soon after intercourse
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| endocrine
Forum Senior
Topics: 7
Posts: 55
|
c
|
| druas
Forum Elite
Topics: 47
Posts: 331
|
E??
|
| guangyu
Forum Elite
Topics: 29
Posts: 308
|
i think it is e, but i dont know why
|
| nadiabarati
|
C
|
| druas
Forum Elite
Topics: 47
Posts: 331
|
why C?its not an STD..i think she is having cystitis due to repeted trauma to the urethra resulting in an ascending infection (if she had an STD like chalymydia or gonoococcus inf..she would not have a normal physical and urinalysis).......thats my thought...
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
C
___________________
The Key to Succeed is Patience.
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
I stand by DRUAS' choice wth the same expln/.
|
| nadiabarati
|
ok druas, even if it's cystitis, so voiding after intercourse is a kind of therapy! I've never heard of such a thing
|
| mazinger
Forum Guru
Topics: 46
Posts: 918
|
Main cause of lower UTIS in women is staph saprophyticus.. probably if the husband wears a condom is going to prevent infection..
___________________
original mazinger z
|
| mazinger
Forum Guru
Topics: 46
Posts: 918
|
I mean sexually active women
___________________
original mazinger z
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
I saw this q somewhere ans the answer is C
___________________
The Key to Succeed is Patience.
|
| kleila
Forum Junior
Topics: 5
Posts: 51
|
hmmm good q
the honey moon cystitis is caused by faecal germs ascending the uretra , and the most common pathogen is E . Coli (feces).
i would go with E. emptying the bladder as soon as possible after having sex is indicated in females predisposed to this type of cystitis and not only , because of mechanical ridden of germs.
if the husband uses or not a condom doesn't seem to affect this a lot because if e coli is there , with or without condom goes up in the urethra anyway.
so , robin r u sure the answer is C? dr virgo??
|
| sunshine77
Forum Newbie
Topics: 0
Posts: 24
|
E.Voiding after intercourse.
The case of E coli infection would apply only in cases where multiple sex partners are involved.- the case is not a description of honeymoon cystitis.
The catch ( I think ) here is Only husband -which is emphasized/occurring after sex-again emphasized.
Like Druas said, it is repeated trauma encouraging bacterial growth. Wearing a condom will not solve the problem therefore.
Two measures documented to reduce cystitis related to sex are
1.voiding after intercourse
2.using lubrication to reduce injury due to dryness (and therefore injury)
|
| prader-willi
Forum Elite
Topics: 28
Posts: 364
|
i agree with sunshine...it wont go away by wearing a condom
___________________
hang on in there......u will survive....
|
| docarchana
Forum Guru
Topics: 70
Posts: 515
|
yup, E is right due to reasons given by 179, sunshine.
|
|
| |
| | | | | | | | | | | | | | | | |
