{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:51:59Z","timestamp":1791305519825,"version":"4.3.1"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"abstract":"<jats:p>Objective: To characterize the clinical, behavioral, and treatment profiles of women with recurrent urinary tract infections (rUTIs) who identify sexual intercourse as a trigger, and to compare them with women whose rUTIs occur independently of sexual activity. This cross-sectional study utilized an anonymous, internet-based survey distributed via social media and women's health forums between May 2025 and March 2026. Participants were stratified into post-coital (PC) and non-post-coital (NPC) groups based on self-reported perception of a temporal relationship between intercourse and symptom onset, without clinical or microbiological confirmation. Comparative analysis was performed using chi-squared and Fisher's exact tests; because the two groups differed significantly in age, a pre-specified age-restricted subgroup analysis (18\u201335 years) was performed as an alternative to multivariable regression, which was not considered statistically robust given the sample size. Results: Of 82 respondents, 42 (51.2%) identified sexual intercourse as a UTI trigger. Comparison of PC and NPC women revealed that the post-coital phenotype was significantly more likely to avoid sexual intercourse (73.8% vs. 50.0%, p=0.046) and to report damage to their intimate relationships (59.5% vs. 35.0%, p=0.045). These differences persisted within the 18\u201335 age subgroup. Despite this additional burden, overall quality of life (QoL) impairment was high and statistically comparable across both groups (73.8% vs. 80.0%, p=0.69). Significant management gaps were identified specifically in the PC group: consistent pre-treatment urine culture performance was substantially lower (45.2% vs. 75.0%, p=0.012), and vaginal estrogen use was less frequent in eligible women (14.3% vs. 37.5%, p=0.031). Post-coital rUTI is associated with disproportionate sexual avoidance and relationship damage, independent of age and overall disease burden; given the cross-sectional design and self-reported group classification, these findings are best regarded as hypothesis-generating rather than as establishing a definitive clinical phenotype. Targeted clinical enquiry, consistent microbiological documentation, and proactive post-coital prophylaxis may help address the relational harm this condition appears to impose, pending confirmation in prospective studies.<\/jats:p>","DOI":"10.1159\/uin\/aewag034","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T11:36:33Z","timestamp":1791027393000},"source":"Crossref","is-referenced-by-count":0,"title":["Sex as a Trigger, Avoidance as the Consequence: Characterizing Post-Coital Recurrent UTI in Women"],"prefix":"10.1159","author":[{"given":"Dor","family":"Golomb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orit","family":"Raz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,10,5]]},"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/uin\/aewag034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:01:59Z","timestamp":1791302519000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/uin\/aewag034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/uin\/aewag034","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]}}}