Women’s Health Magazine Gets It Wrong about Women & UTIs

4693614248_97a6977e6d_bIt’s not fair to women to put out an article about women’s health that mixes correct and incorrect information. Let me set the record straight about what they got right and what they got disastrously wrong and what they just don’t understand.

True: UTI’s are common in women and often related to sexual intercourse.

To start with, it’s important to understand that there’s a difference between irritation from too much friction and an infection caused by bad bacteria.

If irritation is the issue then applying frequent and generous lubricant will help reduce friction. Especially if you’re using condoms, and going at it a lot, than lubricants are your friend.

Even more important: make sure the woman is totally and thoroughly aroused prior to penetration. Most people are confused about what constitutes full female arousal and readiness for penetration. For most women that can take 30 – 45 minutes of getting turned on. Without having all of your erogenous tissue fully engorged, you are prone to irritation and significantly less pleasure. Ladies, don’t allow “premature penetration!”

Back to the mistakes in the article. Here’s another place they’re completely wrong: “When you have sex, bacteria from the vagina can get rubbed into the urethra, where it travels up to the bladder.” Nope, it’s not vaginal bacteria that are the problem. It’s almost always bacteria from the anus that cause urinary infections.

Since it’s anal invaders that are the source of urinary infections, the best prevention is excellent sexual hygiene, meaning that nothing that touches in or around the butt should go in or around the vulva and vagina. (At least not until it’s been thoroughly washed with soap and water.)

While the frequency of the sex is an factor in UTI’s it’s not the amount of sex per se that’s the problem. It’s friction, inflammation and un-friendly bacteria. More sexual activity provides more chances for butt bacteria will get tracked into the vaginal and urethral areas. In addition, irritated and inflamed tissue is more susceptible to infection. That’s a bad combination.

They got this right: “taking cranberry extract on a regular basis can help. Cranberry actually keeps the bacteria from sticking to the wall of the bladder.” That is true! Using cranberry extract capsules is a great strategy for prevention and can also nip an impending infection in the bud (if you catch it super early.)

This is totally wrong: “Your doctor may also prescribe an antibiotic that you can take each time you have sex, which will deliver a high level of antibodies to the urine (though not to your blood stream, so you won’t get a yeast infection).” So very wrong. When you take antibiotics, you deliver antibiotics to your whole body via your blood stream. While antibiotics will kill the bad bacteria in your urinary system, they can also kill the good bacteria in your vagina and lead to yeast infections.

The take-away: Make sure that the women’s body is really ready for penetration by taking as much time as she needs to be completely ready. And ready doesn’t just mean wet—that’s an sign of early arousal. For a woman to be totally turned on means that she’s deeply into her state of arousal and that her whole erectile network (her circuit of connected erectile tissue structures) is engorged.

Use extra lube.

Practice careful sexual hygiene.

Have as much sex as you want.

photo CC-BY Graham

Breastfeeding Is The Better Choice

I love that Huff Post is showing  “22 Candid Photos That Show How Beautiful Breastfeeding Really Is.” I love it because breastfeeding is beautiful and normal, natural and super-healthy. Looking at these lovely loving pictures is a great way to end World Breastfeeding week. These photos  are a wonderful way to help normalize something that is so foundational that an entire class of animals is named after it. We are, after all mammals, identified by our ability to provide perfect food for infants via our mammaries.

It’s a bummer, though, that HuffPost also felt the need to put Kim Simon’s article30 Ways Breastfeeding and Formula-Feeding Are Exactly the Same” on the same page. Because, while all parents may share concerns and challenges, breastfeeding and formula feeding are not exactly the same—and their differences matter.

Yes, I understand that many women choose not to breastfeed, but articles like this won’t help future moms make an informed choice to breastfeed. And it is the better choice—no two ways about it. The evidence is clear—breastfed children have lifelong advantages in health and intelligence.

The author wrote this in anticipatory defense against the possible shaming of formula-feeding parents. I’m not writing this commentary to shame mothers who don’t breastfeed. I felt compelled to write it because I want to co-create a world where breastfeeding is understood for what it is—a huge benefit for baby (and mom, too.) Babies that are fed ‘mama milk’ are healthier not just while they’re nursing, but for the rest of their life. Every disease known to humans has a lower lifetime incidence if the person was breastfed.

I love that Kim Simon is a co-founder of the I Support You project, which aims to foster understanding and connection between formula-feeding and breastfeeding moms.  I also want all moms to be connected, supported and supportive of each other whatever their choices.

At the same time, I want mothers to understand that breastfeeding is the healthier choice. Not only that—it also makes life super easy. Here are just a few of the many ways this is true:

  •  Nursing makes it easy to feed your baby anytime. The milk is always ready. It’s the perfect food at the perfect temperature, and there’s an endless supply.
  • If you sleep with your baby (and I strongly recommend that you do), night feedings are simple—roll over and pop a nipple in their mouth! You can actually get lots more sleep if you breastfeed.
  • Since breastfed babies get sick less often, you have fewer cranky sick baby days and nights.
  • Wear your baby in a sling and you can be nursing while you answer the door, deal with your other kids, eat your own meal and so on.

No one should be shamed for their choices. At the same time, breastfeeding is far and away the better option. I want people to know this, and I want breastfeeding to be the norm.

Everyone has an equal right to choose. But not all choices are created equal.