Urinary tract infections (UTIs) are a common problem, especially for women. These infections of the bladder, urethra, or kidneys are no fun — and about 40% of women in the U.S. will experience at least one in their lifetime.
Another common issue, vaginal dryness, can make sex painful. This is especially true during menopause or when you’re trying to conceive (TTC). Luckily, there’s lube! In fact, 62% of women in the U.S. have used it during sex.
But you may have heard that lube can cause UTIs. Is that true? And if so, is it true for all types of lube? Specifically, does water-based lube cause UTI? This article will explore the link between water-based lubes and UTIs, identify risk factors, and help you choose a safe lubricant and prevent UTIs.
What is a Urinary Tract Infection (UTI)?
Let’s start with the basics. What exactly is a urinary tract infection, or UTI?
A UTI is an infection in any part of your urinary system. That includes your bladder, urethra, ureters, or kidneys. The most common symptoms are:
- frequent urination
- a burning feeling when you pee
- urine that’s cloudy or has a strong odor
- pelvic pain
Yikes! So, what causes these infections?
Most UTIs happen when bacteria enter your urinary tract. E. coli is the most common culprit.
Some things that raise your risk of getting a UTI include:
- being sexually active
- being female (sorry, ladies!)
- using certain kinds of birth control
- going through menopause
- having a suppressed immune system
How sexual activity and lubricants can impact UTI risk
Let’s talk about how sex and lube play a role in the likelihood of getting a UTI.
The Role of Sexual Activity
During sexual activity, bacteria can be introduced into the urinary tract. The friction and movement can push bacteria toward the urethra, the tube that carries urine out of your body.
That’s why it’s important to pee after sex. Urinating helps flush out any bacteria that may have entered the urinary tract, reducing the risk of a UTI.
Lubricants: Benefits and Potential Drawbacks
Lubricants can be helpful during sex because they reduce friction and prevent tiny tears and abrasions. These small injuries, called micro-trauma, can make you more susceptible to infection.
However, some lubricants can disrupt the delicate balance of bacteria and pH levels in the vagina. A healthy vaginal microbiome is crucial for preventing infections, so it’s important to choose lubricants carefully.
Water-Based Lubricants: Are They a Cause for Concern?
Let’s get one thing straight: water-based lubricants are usually considered a safer bet than oil-based or silicone-based lubes when it comes to preventing UTIs.
Water-based formulas are less likely to be a breeding ground for bacteria or mess with the delicate balance of your vaginal ecosystem.
But, before you stock up, know this: Not all water-based lubes are created equal. You’ve got to be a label detective!
Potential Problematic Ingredients
Even in water-based formulas, some ingredients can crank up your UTI risk.
- Glycerin: In high concentrations, glycerin can make yeast infections (and potentially UTIs) more likely.
- Propylene Glycol: This can cause irritation for some people.
- Parabens: These preservatives can throw off your hormone balance and potentially affect your vaginal microbiome.
- Artificial fragrances and flavors: Common irritants that can trigger inflammation and make you more susceptible to UTIs.
- Spermicides (Nonoxynol-9): These can irritate the vaginal lining and increase your UTI risk.
Osmolality and pH: Key Factors
Two more science-y things to think about:
Osmolality matters because high osmolality can actually damage vaginal cells, which makes you more prone to infection. Aim for lubes with an osmolality below 1200 mOsm/kg.
pH balance is also important. The ideal vaginal pH is somewhere between 3.8 and 4.5. Lubes with a pH close to that range are less likely to mess with your vaginal flora.
Choosing the Right Water-Based Lubricant to Minimize UTI Risk
So, water-based lube can contribute to UTIs, but it doesn’t have to. The key is choosing the right one.
Reading the Label: What to Look For
Become a label detective! Seriously, take a close look at the ingredients list. Steer clear of lubricants that contain:
- Spermicides: These can disrupt your vaginal flora.
- Artificial scents: Irritants, plain and simple.
- Glycerin: Can convert to sugar, potentially feeding bad bacteria.
- Parabens: Some people are sensitive to these preservatives.
Also, look for a lubricant with a pH that’s close to your natural vaginal pH, which is usually between 3.8 and 4.5. This helps maintain a healthy environment “down there.”
Exploring Natural and pH-Balanced Options
If you’re sensitive to chemicals, consider natural lubricants. Some people like aloe vera gel or coconut oil. But a word of caution: oil-based lubricants can degrade latex condoms, so if you’re relying on condoms for protection, stick with water-based options. Also, make sure any natural lubricant you use is pure and suitable for internal use.
There are also pH-balanced water-based lubricants designed to support vaginal health. These are often a great choice.
Consulting with a Healthcare Professional
The best advice? Talk to your doctor or gynecologist, especially if you’re experiencing sexual side effects from medication such as Sertraline (Zoloft). They can give you personalized recommendations based on your individual needs and health history. This is especially important if you’re prone to UTIs or have any underlying health conditions. They can help you find a lubricant that’s right for you.
Additional Tips for Preventing UTIs
While using water-based lube is unlikely to cause a UTI, there are plenty of other things you can do to help prevent one. These tips focus on general hygiene, lifestyle changes, and good habits.
General Hygiene Practices
- Always wipe from front to back after using the toilet.
- Avoid douching. Douching can disrupt the delicate balance of bacteria in the vagina, which can make you more prone to infections.
- Wash the vulva and vagina with mild soap and water.
- Clean sex toys thoroughly after each use, and be mindful of other potential sources of infection like HPV.
Lifestyle and Dietary Modifications
- Stay hydrated by drinking plenty of water. The U.S. National Academies of Sciences, Engineering, and Medicine recommends about 11.5 cups of water per day for women.
- Consider dietary modifications to reduce bladder irritation. Some people find that acidic, alcoholic, caffeinated, fatty, and spicy foods can worsen UTI symptoms or make them more likely to occur.
- Wear cotton underwear to promote breathability.
Urination and Probiotics
- Urinate after sexual activity.
- Consider probiotic supplementation. Probiotics may help support a healthy balance of bacteria in the vagina.
Frequently Asked Questions
What is the safest feminine lubricant?
The “safest” lubricant really depends on your individual needs and sensitivities. However, many experts recommend water-based or silicone-based lubricants as generally safe options. It’s always a good idea to choose a lubricant that’s free of fragrances, parabens, and other potentially irritating additives. And remember, what works well for one person might not work as well for another, so a little experimentation might be necessary.
Is water-based lube antibacterial?
Generally, no, water-based lubricants are not antibacterial. They don’t typically contain ingredients designed to kill bacteria. If you’re concerned about bacterial infections, it’s best to consult with a healthcare professional for specific advice.
What is the best lubricant to avoid infection?
To minimize the risk of infection, look for lubricants with a pH that closely matches the natural pH of the vagina (around 3.5 to 4.5). Avoid lubricants with high osmolality, as these can potentially damage vaginal cells and increase the risk of infection. Again, fragrance-free and paraben-free options are usually a good choice.
Can water-based lube make you dry?
While water-based lubricants are generally hydrating, they can sometimes dry out relatively quickly, especially compared to silicone-based options. This is because the water can be absorbed by the body. Reapplication might be necessary during longer sexual activity.
What’s better, silicone or water-based lubricant?
There’s no single “better” option – it depends on your preferences! Water-based lubes are easy to clean up and compatible with all types of toys and condoms. Silicone lubes last longer, are great for water play, but can’t be used with silicone toys. Consider your needs and experiment to see which type you prefer!
Key Takeaways
Water-based lubes are generally considered safe, but they can be a factor in UTIs if they have ingredients that irritate your skin or throw off your natural pH balance. Some of the ingredients in these lubes can lead to UTIs.
The key is to be informed when you’re choosing a lubricant. Look at the ingredient list. Consider the osmolality and pH. Make sure it’s a product you feel good about putting on or in your body.
In addition to choosing the right lube, remember that good hygiene practices, staying hydrated, and making healthy lifestyle choices can make a big difference in preventing UTIs.
If you’re prone to UTIs or have any concerns about choosing a lubricant, don’t hesitate to talk with a healthcare professional. They can offer personalized advice and help you find the best solutions for your body and your lifestyle.