Urinary tract infections (UTIs) are the most common type of infection in the U.S. The condition is often associated with myths and misconceptions. David Chaikin, MD, a urologist at Atlantic Health, shares the facts about UTIs to help you make the best choices to stay healthy.
Myth 1: Only women get UTIs
Both men and women get UTIs. Men often get UTIs at a later age. “It’s related to how their bladder empties, perhaps because of a prostate problem,” Dr. Chaikin says.
Women can get UTIs throughout their lives. The risk increases in the postmenopausal years due to estrogen deficiencies.
Myth 2: All UTIs cause symptoms
Symptoms of a UTI are urinary urgency, frequency, burning, blood in the urine, generalized fatigue and kidney pain. Symptoms are the same for men and women.
“You can have the symptoms of a UTI without a UTI infection,” Dr. Chaikin says. “You can also have a UTI with no symptoms.”
Myth 3: Irritation during urination automatically means you have a UTI
Many things can cause irritation with urination, including a UTI. If you experience urgency, frequency, burning, fever or unexplained blood in the urine, you should see your doctor.
Myth 4: A UTI is a sexually transmitted infection
Sexually transmitted infections (STIs) are something different than a UTI. While a UTI cannot be passed to a partner, the bacteria that cause STIs can infect partners. Some STIs cause symptoms that are the same as UTI symptoms.
Myth 5: Sexual intercourse causes UTIs
UTIs often are associated with sex. For women, sex increases the risk of bacteria entering the urethra. Dr. Chaikin says you can take steps to prevent a UTI, such as:
- Urinating before and after sex.
- Washing the genital area before and after sex.
- Fully emptying the bladder during urination.
Supplements or antibiotics offer additional preventive options.
- Cranberry supplements can slow bacteria growth.
- D-mannose, a sugar found in fruits, prevents E. coli bacteria from staying in the bladder, flushing it out with the urine.
- Methanamine, if taken alone with vitamin C.
- Your doctor may prescribe prophylactic antibiotics if you frequently get UTIs after sex.
Myth 6: All UTIs are mild
A UTI can affect the bladder, ureters and kidneys. Mild UTIs involve just the bladder. A complicated UTI causes fever and kidney pain. These symptoms may mean the infection is in the bloodstream, Dr. Chaikin says.
Myth 7: UTIs go away on their own
A true UTI does not go away on its own.
“Some people develop UTI symptoms that go away,” Dr. Chaikin says. “Odds are it wasn’t a true UTI.”
Bacterial infections must be treated with antibiotics. UTIs are usually diagnosed with a conventional urine culture. Up to a third of bacteria that cause UTIs won’t grow in that medium. This means you could have a UTI, but it might not be detected by this test.
Myth 8: Cranberry juice is a cure
Cranberry can stop bacteria from multiplying. Cranberry can prevent bacteria attaching to the bladder wall. This prevents bacteria from growing, but it is not a cure, Dr. Chaikin says.
