Can Menstrual Hygiene Practices Lead to Urinary Tract Infections? - Urology

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Indirect infection


Hello doctor, I am currently on my menstrual period.
While using the restroom, menstrual blood dripped onto the edge of the toilet seat, so I wiped the toilet before taking care of myself.
However, after wiping the toilet, I was unable to wash my hands and directly attended to myself.
Could this lead to an infection? Thank you!

KK, 20~29 year old female. Ask Date: 2022/10/26

Dr. Du Shixi reply Urology


Hello: It shouldn't be a problem.
Wishing you good health.

Reply Date: 2022/10/26

More Info


Menstrual hygiene practices can indeed play a role in the risk of urinary tract infections (UTIs), although the relationship is not straightforward. During menstruation, the risk of UTIs may increase due to several factors, including hormonal changes, the presence of blood, and potential exposure to bacteria.
When menstruating, the vagina and surrounding areas can be more susceptible to bacterial colonization. If proper hygiene practices are not followed, bacteria from the rectal area or the external genitalia can be introduced into the urinary tract, leading to infections. In your case, the concern arises from the act of cleaning the toilet and then touching your genital area without washing your hands. While it is not guaranteed that this will lead to a UTI, it does increase the risk, especially if bacteria were present on your hands after cleaning.

To minimize the risk of UTIs during menstruation, consider the following hygiene practices:
1. Hand Hygiene: Always wash your hands thoroughly with soap and water before and after handling menstrual products or using the restroom. If soap and water are not available, use hand sanitizer.

2. Wiping Technique: When wiping after using the toilet, always wipe from front to back. This helps prevent the transfer of bacteria from the rectal area to the urethra.

3. Change Menstrual Products Regularly: Whether using pads, tampons, or menstrual cups, ensure that you change them regularly to reduce the risk of bacterial growth.

4. Stay Hydrated: Drinking plenty of water can help flush out bacteria from the urinary tract.

5. Urinate After Intercourse: If you are sexually active, urinating after intercourse can help reduce the risk of UTIs.

6. Avoid Irritants: During menstruation, avoid using scented products or douches, as these can irritate the vaginal area and disrupt the natural flora.

If you experience symptoms of a UTI, such as a burning sensation during urination, frequent urge to urinate, cloudy or strong-smelling urine, or pelvic pain, it is important to consult a healthcare provider. They may recommend a urine test to check for the presence of bacteria or other indicators of infection.

In summary, while your current practice of cleaning the toilet and then handling your menstrual hygiene products without washing your hands does pose a risk, it is just one of many factors that can contribute to the development of a UTI. Maintaining good hygiene practices, especially during menstruation, can significantly reduce this risk. If you have ongoing concerns or symptoms, seeking medical advice is always a prudent step.

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