In every issue of WebMD the Magazine, we ask experts to answer readers' questions about a wide range of topics, including some of the most common beliefs about medicine. In our September 2011 issue, we asked Jane Miller, MD, an associate professor of urology at Washington University's School of Medicine, about the link between diaphragms and painful bladder infections.
Q: My friend says I'm getting urinary tract infections because I use a diaphragm. Is she right?
Overactive bladder treatment has come a long way. Now you don't have to live with the worry that you'll have to rush to find a bathroom, or have an accident, when there are so many different options available to control the condition. Lifestyle interventions such as bladder retraining and pelvic floor exercises and medications are just a few of the methods your doctor might recommend to relieve the urge to go.
Even with so many treatment choices for overactive bladder, you might be curious about...
A: It's TRUE. Diaphragm use can contribute to urinary tract infections.
The reason is that urinary tract infections (common symptoms include burning pain and a constant need to pee), get triggered by bacteria, most often E. coli, which lives in the colon and rectum. And diaphragms are used with spermicides, "which can kill off the protective bacteria in the vagina, as well as change the pH balance of the vagina," Miller says. "This can increase growth of the kinds of bacteria that cause UTIs and bring it closer to the urethra and ultimately the bladder."
If you have recurring infections, you may be better off using alternative birth control methods, such as an IUD or the Pill. General tips for avoiding bladder infections include: Drinking plenty of water, peeing when you need to (instead of "holding" it), and wiping from front to back after urinating and bowel movements.