ASK THE DOCTOR - Sexual Intercourse After a Long Gap

We are married for eight months. Whenever we have sexual intercourse after a long gap, my wife suffers from urine infection. We both keep good health and are quite particular about cleanliness. Why is this happening?
- Palat

Mechanical rubbing during intercourse can cause urethral inflammation in females. In spite of all the so-called hygienic precautions, infection can enter the inflamed urethra and bladder causing urinary infection. This is a common complaint known as ‘honeymoon urethritis’. Whenever there is a ‘gap’, excitement levels are high. This causes aggressive movements and harder rubbing of organs. An aggressive mechanical rubbing during intercourse causes this problem. Try to be gentle during intercourse. Women enjoy it better that way. Also engage in prolonged (20-25 minutes) and mutually satisfying foreplay. This will produce adequate lubrication in her vagina for an enjoyable intercourse. Lack of lubrication (which is likely to be either due to a lack of interest, lack of relaxation during the act or lack of adequate foreplay) can also be the cause of urethral (or even vaginal) injury and inflammation.