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.
If your daily schedule is dictated by frequent and sudden urinary urges that leave you scrambling for the nearest bathroom, and you haven't already been to see your doctor -- it's time to make an appointment to get your overactive bladder treated.
Whether you see a primary care doctor, internal medicine practitioner, urologist, or gynecologist doesn't matter. What does matter is that you get help for symptoms such as urinary urgency, frequent urination, waking up often during the night to urinate,...
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.