The development of cystitis after an abortion: causes. Is cystitis dangerous? Cystitis after a miscarriage

Women who experience such an unpleasant disorder as cystitis during pregnancy are worried about whether it is dangerous, what complications can occur and how to avoid them. The disease is characterized by very unpleasant manifestations, upon detection of which, the pregnant woman should immediately go to the clinic, undergo a full examination and begin treatment. Cystitis is dangerous not only for a pregnant woman, but also for the fetus.

Cystitis is an inflammatory or infectious disease of the bladder. It is accompanied by violations of the functionality of the body. The main cause of the development of the disease is considered to be the impact of pathogenic microorganisms. Considering that in pregnant women the immune system is weakened due to the fact that all forces go to protect the fetus, they most often suffer from pathology.

Another question that worries the fair sex is whether it is possible to get pregnant with cystitis. It is possible, but doctors do not advise doing this. First of all, you should completely cure the disease, and then plan the conception, otherwise there is a big risk of harming your unborn baby.

In order not to face an unpleasant disease during pregnancy, you should familiarize yourself with the factors that provoke its development. Depending on the cause, the violation is divided into types.
Many women do not know why cystitis is dangerous, so they do not attach any importance to the first manifestations, but go to the doctor when the signs are already very disturbing.

• infectious cystitis. Its occurrence is provoked by pathogenic bacteria, in particular E. coli. Reasons for the development of the disease: non-compliance with personal hygiene;
• Medicinal cystitis develops as a result of taking a woman in the position of various kinds of medicines. Decay substances are excreted in the urine, irritate the mucous membrane;
• Allergic cystitis can develop as a reaction to food, cosmetics;
• Thermal cystitis occurs due to the fact that the patient is supercooled or overheated, so women during pregnancy should give up short skirts and dresses in the cold season.

Pregnant women are especially susceptible to various diseases in the early stages, since their immunity is weakened, the hormonal background is disturbed, pathogenic microorganisms easily penetrate inside, where there are favorable conditions for development and reproduction.

Symptoms

Inflammatory bladder disease should not be started, especially during pregnancy. This can cause the most serious complications. If you find even the slightest malfunction in the urinary tract, you should immediately seek help from your doctor and do not waste time. Cystitis, like any other disease, is easier to cure at an early stage than when the disease is already running.
The main manifestations of cystitis during pregnancy include the following:

• Increased urge, especially at night;
• Urination accompanied by burning;
• Bloody impurities in the urine;
• Urine cloudy and with a strong smell;
• Body temperature is slightly elevated;
• Pain in the pelvic region.

If a woman has chronic cystitis or has already been worried about this disease, it is likely that during pregnancy it will flare up with renewed vigor, so preventive measures should be taken, and when the first signs appear, go to the clinic.

Danger

Of course, mothers are worried about how inflammation can affect the health and development of the fetus. The baby in the womb is in a dense shell that is not exposed to microorganisms, so the disease itself, especially if it is detected and treated early, does not threaten the child. The danger is elsewhere. To be cured, a woman must take medications, antibiotics, and they already have a bad effect on the baby's condition.

Often, with inflammation, a reverse outflow of urine occurs. This affects not only the bladder, but also the kidneys. Inflammation of the urinary tract often provokes:

• Miscarriage;
• premature birth;
• Water leakage;
• intrauterine infections.

Women diagnosed with cystitis should not think about pregnancy. First you need to undergo a full examination, cure all existing disorders, and then think about conceiving a child.

If you failed to prevent and avoid the disease, consult a doctor, let him prescribe a treatment. It is strongly not recommended to take any measures on your own.

Folk remedies that can be effective for cystitis are often contraindicated in pregnant women. Any careless action can provoke a miscarriage.

To determine whether the patient really has cystitis, a series of examinations should be carried out. The first thing the doctor prescribes is a complete blood count. With its help, you can detect if there are pathogenic microorganisms in the urine. For diagnostic purposes, cystoscopy may be prescribed. Tests such as x-rays and ultrasounds are also helpful. They allow you to determine not only cystitis, but also other diseases that can pose a danger to the health of a pregnant woman and her unborn child.

When cystitis is diagnosed, the doctor must first determine what factors provoked its development. The methods and drugs that will be used during treatment will depend on this. If it is an infectious cystitis, a woman is prescribed antibiotics, and they, in turn, do not have a very favorable effect on the condition and development of the fetus. Antibiotics are contraindicated in pregnant women, so you have to approach the treatment of an inflammatory disease differently.
Doctors may prescribe the following drugs to their pregnant patients:

• Pain medications;
• Means that help to relax the muscles of the inflamed organ;
• Anticholinergics.

To cure cystitis faster, you should drink plenty of fluids, in particular still water.

Do not eat spicy foods, fried foods, too fatty. You should completely abandon alcoholic beverages, limit the use of soda.

With cystitis during pregnancy, it is necessary to adhere to bed rest. Positive emotions and good mood have a positive effect on the condition of a pregnant woman.

It is much easier to prevent any disease than to treat it later, especially during pregnancy. Preventive measures are very simple, but effective, they prevent not only cystitis, but also a number of other pathologies.

A prerequisite is compliance with the rules of personal hygiene. It should be washed daily with warm water and soap or using a special personal hygiene product. Taking a bath is better than a shower. During pregnancy, it is strongly recommended to abandon the thong, and replace them with underwear made from natural fibers.

Cystitis develops against the background of reduced immunity, so you should take care of the state of the immune system. You can take special vitamins for pregnant women as prescribed by a doctor, eat a lot of fruits, walk in the fresh air.

For women in position, frequent urination is characteristic, especially in the later stages. This is due to the fact that the fetus presses on the urinary organs. You can’t endure it for a long time, but go to the toilet, even if you don’t really want to. So the microorganisms that are in the urine will not be able to penetrate the mucous membrane and cause inflammation.

Cystitis is a complex disorder, especially for pregnant women. If it is not cured in time, you can face very unpleasant consequences. At the first signs of the disease, immediately contact your doctor, let him prescribe an adequate and safe treatment for the duration of pregnancy. The disease can be prevented by adhering to simple rules.

The female body is unique in its ability to recover after months of gestation and natural childbirth. Interruption of fetal development (abortion) is the strongest stress for the immune and hormonal systems.

It is rarely possible to get out of it without complications, regardless of what kind of abortion the woman had - natural (miscarriage) or extraction of the fetus by curettage. One of the complications of abortion is cystitis.

Prerequisites for the occurrence of cystitis:

1. External factors. On the skin of the thighs, labia, anus of a woman peacefully "live" companion bacteria, given to us by nature from the moment of birth. The number of such microorganisms (staphylococci, fungi, Escherichia coli, streptococci) is controlled by general and local immunity. Hypothermia, insufficient toilet of the genital organs before and after manipulation (curettage, miscarriage) can become provocateurs of cystitis.
2. The presence of chronic inflammatory diseases of the appendages and uterus often leads to the development of cystitis, as a complication of a general disease. Exacerbation of gynecological "problems" after curettage can lead to inflammation of the urethra and bladder.
3. For “dormant” STIs, the extraction of an embryo, both by curettage and by the pharmacological method, becomes the moment that allows the manifest form of the disease to manifest itself and be complicated by cystitis.
4. Cystitis after artificial miscarriage often develops against the background of exacerbation of kidney pathologies (chronic pyelonephritis, wandering kidney, urolithiasis). Bacteria that are in the upper parts of the system with the urine flow enter the bladder, causing cystitis.
5. Chronic stagnation of blood in the tissues of the bladder due to constipation, rare emptying of the bladder itself reduces regenerative processes and contributes to the development of cystitis against the background of a provoking factor - curettage.
6. Individual features of the structure of the bladder - a deep location of the urethra, weakness of the sphincter muscles.

Symptoms of cystitis

Any discomfort that occurs in the pubic area, perineum, lower abdominal cavity, which manifests itself soon after an abortion, requires a consultation with a gynecologist. It is difficult for a woman to assess the degree of "importance" of the symptoms herself, the more dangerous it is to self-medicate, given the possibility of the development of formidable complications in the field of reproduction.

Symptoms to suspect cystitis:

• Pain during urination, worse in the morning.
• The nature of the pain: burning, soreness, cramps, less often - spastic pains.
• The frequency of urination is high, with a lack of satisfaction (feeling of a full bladder).

• The general condition of the woman does not change, sometimes there is an increase in body temperature within subfebrile condition (37.0 - 37.5).
• Change in color and odor of urine.

Diagnostics

An appeal to any of the specialists: a gynecologist, a therapist, a urologist will allow for accurate laboratory and hardware diagnostics in the shortest possible time:

• Urine analysis general or according to Nechiporenko will allow you to assess the stage of the process. The most reliable is the analysis of morning urine. Patients with suspected cystitis cannot empty their bladder for a long time, so urine collected at any time, but delivered as soon as possible to the laboratory, is suitable for analysis.
• A general blood test reveals laboratory signs of inflammation in the body as a whole, including the consequences of an abortion. It is recommended to all women who have undergone curettage.
• Urine analysis for bacterial culture is indicated for diseases: diabetes mellitus, tuberculosis, other chronic diseases, if cystitis is poorly amenable to ongoing treatment.

• Ultrasound of the lower abdomen (pelvic organs) and kidneys will reveal pathologies in any part of the system.
• In rare cases, cystoscopy is indicated, which allows diagnosing an ulcerative process, a tumor.

Treatment

The treatment of cystitis in aborted women has its own characteristics. What you need to know a woman who has signs of cystitis after terminating an unwanted pregnancy:

1. After an abortion, both in the early stages of its implementation, and in the late period, the risk of bleeding remains. There is a risk of abnormal bleeding from the genital tract against the background of incomplete regeneration of the endometrium and hormonal instability in the body. Therefore, it is strictly forbidden to warm the pubic and abdominal area with dry heat (heater), take hot baths, and soar your legs.
2. Rarely occurring complications of medical intervention (inferior abortion, acute inflammation of the uterus, perforation of uterine tissues) may be accompanied by symptoms similar to cystitis, so the entire period of examination and treatment should be under the supervision of a specialist.

Otherwise, the treatment of cystitis, which manifested itself after an abortion, has a certain scheme:

• Individual selection of antibacterial agent.
• Prescribing an anesthetic.

• Treatment of a chronic disease complicated by cystitis.
• Appointment of plentiful drinking (mineral water, milk drinks, compotes).
• Sparing diet (exclude irritating substances: pepper, spices, alcohol, marinades, for a short period - raw fruits and vegetables).
• Abstinence from sexual relations for a period specified by the doctor.

Reminder for a woman:

The curettage procedure should be performed by a doctor who has the necessary licenses to carry out this type of termination of pregnancy, which will minimize possible threats to the woman's health.

Unauthorized (early) termination of medical therapy, when the symptoms subsided, but the pathogen "lurked", can lead to chronic inflammation of the bladder and make you suffer from frequent pain, discomfort, the need to be near the toilet (frequent urination), repeated courses of antibiotic therapy.

What are the features of the development of cystitis during pregnancy - you will learn this from the provided video:

From the moment of conception, restructuring begins in the female body. It is aimed at the maximum adaptation of the body to the presence and growth of the fetus in it. Among other things, there is some suppression of immunity, due to which the embryo is not perceived by the body as a foreign object, and all kinds of infections get a good opportunity for development. Often, women have cystitis and early pregnancy at the same time. This phenomenon is so common that many do not worry about the presence of the disease at all. But is such carelessness acceptable? Is bladder inflammation dangerous for an unborn child?

Is cystitis dangerous during pregnancy

Treatment of the inflammatory process in the bladder is mandatory, regardless of whether the patient is pregnant or not. Even if the symptoms of cystitis are mild, the doctor will never advise you to wait for childbirth and only then start therapy. Usually, effective antibiotics, antimycotics or antiviral agents are immediately prescribed.

Such haste is associated not only with the discomfort experienced by the woman, but also with the potential danger of infection for the baby and mother. What is it?

1. Complication on the kidneys. The inflammatory process in the bladder, remaining untreated, develops rapidly. Often it affects the kidneys, causing pyelonephritis, which in some cases can cause miscarriage.
2. Accompanying illnesses. Often, due to cystitis, a pregnant woman begins to suffer from high blood pressure and anemia. These conditions require correction, since they have a bad effect on the condition of a woman. In the later stages, toxicosis may increase in her, sometimes premature birth occurs.
3. Underweight in a child. According to some reports, inflammation of the bladder negatively affects the general condition of the fetus. If a woman manages to avoid a miscarriage, then the baby born may suffer from insufficient weight.
4. Improper development of the child. It is believed that cystitis in a woman in position increases the risk of cerebral palsy and contributes to a delay in psychomotor development in adolescence.

All these consequences are possible only if the pregnant woman does not undergo any treatment at all or is saved by homemade decoctions and infusions. Often, alternative methods of therapy contribute to the degeneration of cystitis into a chronic form, which remains with the woman after childbirth.

Cystitis in early pregnancy as the cause of its failure

Sometimes inflammation of the bladder can disrupt a pregnancy at the very beginning of its development. This is due to the following factors:

1. endometrial defect. Cystitis during early pregnancy, when the fetal egg is just trying to attach to the uterine wall, can negatively affect the uterine mucosa. As a result, a miscarriage will occur, as the egg will be rejected. Since this happens in the first weeks after conception, a woman may not know that she had a chance to become a mother. Self-abortion ends with bleeding, which is usually mistaken for menstruation.
2. Ectopic pregnancy. One of the main dangers of cystitis for a pregnant woman is adhesions formed as a result of an inflammatory process that affects not only the bladder and urethra, but also the fallopian tubes and ovaries. A fertilized egg due to interference in the form of adhesions does not penetrate into the uterus, but "settles" outside it.

It happens that cystitis in pregnant women in the early stages is sometimes mistaken for a symptom of a successful conception. This is facilitated by signs of the disease, similar to those that appear in the first weeks after fertilization:

• pain in the lower abdomen;
• bloody issues;
• a slight increase in temperature;
• frequent urination.

In this case, the woman may not "recognize" the inflammation, considering it just a signal of the onset of pregnancy. True, this rarely happens: almost always cystitis is accompanied by severe pain and burning during urination, which are unusual for the state after conception.

How is cystitis treated during pregnancy

Therapy for inflammation of the bladder in a woman in position is aimed at stopping the infection and preventing it from affecting other organs, as well as preventing a recurrence of cystitis. For this, a pregnant woman must undergo examinations and pass urine and blood tests. Based on the results, the doctor prescribes a safe and effective treatment. It includes:

1. Taking drugs designed to stop the development of pathogenic microorganisms. If cystitis is of a bacterial nature (and this happens most often), antibiotics are prescribed (Monural, Suprax Solutab, Amoxiclav, etc.) Sometimes the inflammatory process is associated with the activity of viruses, then special antiviral agents (Kipferon, Viferon) will be relevant. The disease provoked by the fungus is amenable to antimycotic therapy (Terzhinan, Natamycin).
2. The use of drugs that promote pain relief, relieve inflammation. Often, NSAIDs are used for these purposes, but their use during pregnancy in some cases provokes a miscarriage. Therefore, only a doctor should prescribe drugs after studying the patient's history.
3. The use of herbal medicines. Phytopreparations help strengthen immunity, relieve spasms and soreness, and reduce inflammation.

Pregnant women are usually shown Fitolizin, Cyston, Kanefron, Urolesan. Taking them for a long time minimizes the risk of a recurrence of cystitis.

Inflammation of the bladder must be treated as soon as the diagnosis was made. For a pregnant woman, this is especially important. Although cystitis occurs in almost every woman who is expecting a child, the disease is not at all harmless. If it is treated, the problem will go away quickly, but if the doctor's requirements are ignored, the inflammatory process can adversely affect the condition of the fetus and the expectant mother.

Content:

The period of pregnancy is fraught with many difficulties for a woman. One of them is susceptibility to various kinds of infections that cause inflammation of the organs of the genitourinary system. The resulting pathologies not only lead to discomfort, but are also able to influence the formation of the unborn child.

The danger of cystitis during pregnancy is that, with an unfavorable development, the disease can provoke a miscarriage, lead to fetal fading. Drug therapy affects the development of the child after childbirth.

Can cystitis lead to infertility?

Anatomically, the urea is not associated with the female reproductive system. Cystitis, localized and not extending beyond the walls of the bladder, does not affect a woman's ability to give birth in any way. Problems arise due to the following deviations:

• urinary tract infections pass to the female reproductive and reproductive system, spreading to the appendages and ovaries;
• chronic inflammatory process provokes the appearance of scars and adhesions that prevent normal fertilization;
• with the development of pyelitis and pyelonephritis, prerequisites for premature birth arise, pathologies can provoke a miscarriage.

Inflammation of the bladder is not directly related to infertility. Violations are caused by a chronic process that has moved towards the uterus and genital tract of a woman. To provoke infertility in the state of adhesions and scars that appeared as a result of prolonged inflammation, or trauma, as a result of an unsuccessful pregnancy, which ended early in a miscarriage.

Is cystitis dangerous in the early stages

In initial pregnancy, any inflammatory process carries a risk. Infectious and hemorrhagic (accompanied by blood) cystitis are especially dangerous. In the first trimester, the fetus is sensitive to what happens to the mother. Incorrectly selected antibiotics, the development of inflammation in a chronic form, the appearance of severe pathologies of the genitourinary system can provoke a miscarriage.

According to one handbook, the effects of early cystitis often go undetected. A woman often refers the condition to a false pregnancy. About 40% of all women in labor who faced spontaneous abortion did not believe that the process of conception had occurred and attributed the absence of menstruation to hormonal disorders.

Another consequence of cystitis during early pregnancy is that the reproductive system is injured due to a miscarriage. Under adverse circumstances, the condition turns into chronic infertility. To prevent such consequences, it is important to inform the gynecologist and urologist about disturbing signs: urinary retention, pain, discharge from the urethra, fever, and other symptoms that indicate the development of cystitis.

Can cystitis cause a miscarriage?

The main danger of cystitis for the fetus is the likelihood of miscarriage. Although, as already mentioned in the article, the risk is not the inflammation of the bladder itself, but the complications that have appeared against its background. During this period, the main formation of the fetus occurs. By the end of the third month, the embryo already has the rudiments of all organs.

In the 1st trimester, inflammation that has passed to the appendages and improper drug therapy can lead to a miscarriage. For this reason, self-treatment of the disease is dangerous. No folk methods and grandmother's recipes will be effective without official therapy.

Can a frozen pregnancy be from cystitis

Inflammation of the bladder in the early and late stages does not directly affect the development and formation of the fetus. But cystitis catalysts: fungi, including Candida and herpes, are quite capable of provoking a missed pregnancy. A few more pathogenic microorganisms pose a threat to the fetus.

The cause of a missed pregnancy is chlamydia, infection with a pale spirochete (syphilis). In case of infection, there is a high probability of penetration of bacteria through the placental barrier.

The consequences of cystitis during pregnancy for a child

The health of the mother and her nutrition are directly reflected in the formation of the fetus. During the development of the fetus, there is a risk for the child to be exposed to the prescribed medications. Strong antibiotics can lead to the appearance of autoimmune reactions and provoke a miscarriage or cause a frozen fetus.

A child may be born with developmental defects. During pregnancy, taking pills is also dangerous because some steroid drugs, which are necessary for severe inflammation, provoke a hormonal disorder that leads to premature birth. A premature baby requires intensive care, connection to artificial life support devices.

Subsequently, the child may be sickly and immunocompromised. When breastfeeding, taking medications by the mother leads to the appearance of allergic reactions in the child, gastrointestinal disorders and other pathologies.

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What is cystitis?

Cystitis is a disease in which the inflammatory process of the bladder wall occurs. As a rule, with cystitis, its mucous membrane becomes inflamed.

Statistics show that every second woman suffers from this disease during her life. Among men, the disease is much less common, although they are not immune from the appearance of its symptoms.

Cystitis is an infectious disease. That's just the causative agents of it live in our own body. In 85-95% of cases, E. coli, a common inhabitant of the intestine, becomes the cause of urinary tract infections. Another typical pathogen is Staphylococcus saprophyticus, a representative of the skin microflora. And they enter the bladder in an ascending way: from the skin or from the rectum through the urethra.

Classification

The classification of cystitis is based on different features. Depending on the pathogenesis, inflammation of the bladder can be:

• primary - if there are no diseases of other urinary organs;
• secondary - accompanies chronic infections in the urinary tract (urethritis, pyelonephritis), develops against the background of urolithiasis, hydronephrosis, congenital anomalies, tumor growth, prostate adenoma, contributing to stagnation of urine.

Depending on the capture and area of ​​​​distribution, the following types of cystitis are distinguished:

• total - the entire inner surface of the bladder is inflamed;
• trigonitis - the process covers only the area of ​​the anatomical triangle;
• cervical - local inflammation in the lower part.

In addition, there is a classification of cystitis according to their origin:

1. Cystitis, which is of an infectious origin, is predominantly diagnosed. But sometimes there are inflammations of the bladder, which develop as a consequence of chemical influence (as a result of treatment with certain medications), thermal influence (a consequence of washing the bladder with too hot liquid).
2. Burns, as well as injury to the bladder mucosa, can lead to cystitis. However, even with such phenomena, infections play a decisive role in the development of the disease, which quickly joins.

Based on this, cystitis happens:

The occurrence of cystitis in an acute form is characterized by suddenness, as well as the appearance of pronounced pain during urination, itching and burning, and in some cases, temperature.

Chronic form

Chronic cystitis is detected more by laboratory parameters. Outwardly or subjectively, the patient may not present any complaints. However, laboratory blood and urine tests indicate the presence of an infection in the lower urinary tract. At any time, chronic cystitis can worsen, and all the signs of acute cystitis will appear.

Causes

Cystitis is a disease common to all ages. It is mainly caused by the following reasons:

• hypothermia of the pelvic areas;
• injuries of the bladder mucosa;
• passive lifestyle;
• spicy and fatty foods;
• the presence of chronic gynecological or venereal diseases;
• the presence of foci of infection in the body;
• unprotected sex;
• lack of hygiene.

Pathogenic pathogens are the direct cause of inflammation in the bladder. Most often it is caused by Escherichia coli (in 90% of patients). Other infectious agents are:

• staphylococcus;
• klebsiella;
• Proteus.

Inflammation can be provoked by infection during certain therapeutic measures (including instrumental diagnostics), and mechanical damage is also considered as a method of infection. Symptoms of cystitis can be caused not only by exposure to infections, but also by fungi, mycoplasma, trichomonas, chlamydia, viruses, etc.

The inner surface of the bladder is equipped with powerful protective mechanisms that prevent the introduction of microorganisms into the wall of the organ. However, local immunity decreases and the pathogenicity of microbes increases, causing the disease, when provoking factors appear:

• hypothermia;
• hypovitaminosis;
• exhaustion;
• existing comorbidities;
• hormonal disorders;
• transferred operations;
• immunodeficiency.

Symptoms of cystitis in adults

The symptoms of this disease depend on its form. If in acute cases there is a vivid clinical picture with severe pains with frequent urination up to several times per hour, then in a chronic course during the period of remission, signs may be completely absent.

The most characteristic symptom of cystitis is:

• painful urination, accompanied by residual burning sensations and cramps.
• In addition, patients with cystitis are concerned about pain in the lower abdomen and a feeling of incomplete emptying of the bladder.
• Sometimes with cystitis, urinary incontinence develops, appearing with a strong desire to urinate.
• Urine may become cloudy or take on a reddish tint due to the admixture of red blood cells.

Symptoms of acute cystitis

Acute phenomena last 2-3 days and may disappear on their own. The duration of the disease is due to the body's defenses. On average, it lasts up to two weeks. In this case, the general condition does not suffer. Rarely, patients complain of weakness, a slight rise in temperature.

Acute symptoms:

• frequent urination. In severe cases, a person urinates every fifteen to twenty minutes, around the clock. Urine comes out very little. In this case, the patient has a burning sensation in the urethra.
• Sharp pain in the perineum and bladder. It often occurs after urination. The stronger the inflammation, the more severe the pain.
• Blood at the end of the act of urination indicates hemorrhagic cystitis.
• Turbid urine with a strong unpleasant odor.
• Chills and fever.
• Nausea and vomiting.

Signs of a chronic form

At this stage, the disease resembles acute cystitis: the symptoms are the same, but they are less intense. With the catarrhal nature of the chronic form, the following signs of inflammation of the bladder are recorded:

• frequent urination;
• sharp pain;
• pain in the lower abdomen;
• the presence of impurities in the urine (blood, flakes);
• feeling of incomplete emptying of the bladder.

In addition to these forms, sluggish cystitis is sometimes diagnosed, which is not characterized by pronounced exacerbations. However, patients still constantly complain of frequent urination, in which there is a slight soreness. In addition, signs of cystitis of this form are periodic jumps in body temperature to subfebrile, as well as a general feeling of weakness and weakness.

An exacerbation of chronic cystitis manifests itself in the same way as in an acute process - pain during urination, which becomes very frequent, pain, clouding of urine, hematuria, mild fever.

Consequences for the body

With proper therapy, the symptoms disappear in 5-10 days. But often, after home or hastily performed treatment, the signs of the disease disappear only for a while. At the same time, the true cause of the disease remains in the body and makes itself felt immediately at the slightest hypothermia. In this case, they say that cystitis has become chronic.

Complications of cystitis include:

• Interstitial cystitis. With this dangerous type of disease, inflammation captures not only the mucous membrane of the bladder, but also its muscle layer. Which over time leads to wrinkling of this important organ. In the end, the shrunken bladder can no longer perform its functions and it becomes necessary to transplant it.
• Hematuria or blood in the urine - this problem can occur as a complication of cystitis. Severe bleeding may require a blood transfusion.
• Pyelonephritis. In untreated cystitis, the infection can travel up the ureters and cause inflammation of the kidneys.

Diagnostics

At the first episode of cystitis, you can contact a therapist. If the disease takes a recurrent or chronic course, you should consult a urologist and be sure to undergo a cystoscopy.

Confirmation of the diagnosis of "acute cystitis" is made on the basis of two main criteria:

• typical manifestations of symptoms characteristic of cystitis
• rapid improvement in the general condition of the patient when using antibiotics.

In the absence of effectiveness in the treatment of the disease, it passes into a chronic form, that is, it becomes protracted over time. In this case, it is very important to determine why this happens, it is equally important to differentiate chronic cystitis from a different type of pathological conditions.

When making a diagnosis, it should also be taken into account that cystitis is not characterized by an increase in temperature above 37.5 degrees. If the patient has such a symptom, he needs to consult a urologist to rule out kidney disease.

Diagnostics includes:

1. A general clinical analysis of urine during an inflammatory process is usually characterized by an increase in the level of leukocytes up to 8-10 (at a rate of up to 5 in the field of view).
2. An analysis according to Nechiporenko allows you to determine the presence in the urine of not only uniform blood cells (leukocytes, erythrocytes), but also cells lining the urinary tract (epithelial cells and their remnants - cylinders).
3. Bacterial culture of urine (performed within 2 days) plays a key role in the choice of antibiotic therapy, as it helps to identify the specific type of bacteria that caused the inflammatory process.
4. If necessary, the doctor may prescribe cystoscopy - an examination of the inner surface of the bladder using a special optical device - a cystoscope, which allows you to examine all its departments and make the correct diagnosis.

How to treat cystitis?

The main task facing the doctor who treats cystitis is the destruction of pathogens that have entered the bladder and caused inflammation of the mucosa. The choice of drugs for antibiotic therapy of cystitis is determined by such parameters as the duration of the disease and the severity of symptoms. In addition, the selection of medicines takes into account:

• possible side effects
• drug absorption,
• method and speed of its removal,
• the presence of concomitant diseases, etc.

The standard of care for cystitis, regardless of whether it is acute or whether it is an exacerbation of a chronic one, is rational antibiotic therapy. Medicines from the following groups are used:

• nitrofurans (furadonin),
• fluoroquinolones (levofloxacin, norfloxacin, ofloxacin, pefloxacin),
• macrolides (monural),
• cephalosporins (cefixime).

Antispasmodic drugs (No-shpa, papaverine, baralgin) reduce muscle tension, which reduces pain in the bladder.

1. Taking medications for oral use (tablets, decoctions, suspensions, drops, and others);
2. Compliance with standard treatment regimens for cystitis, preferably recommended by a doctor after a detailed objective, laboratory and instrumental examination;
3. Compliance with the regime of the day, nutrition, drinking plenty of water, personal hygiene;
4. Combination of drug therapy with traditional medicine methods;
5. The use of thermal procedures in the bladder area, prevention of hypothermia, wearing warm clothes, drinking warm drinks.

Medications can significantly improve the condition after 3-4 days. Treatment of cystitis lasts up to 10 days. After another 2-3 weeks, it is recommended to limit spicy dishes, take infusions of medicinal herbs.

Diet

To achieve the maximum therapeutic effect, it is important when drawing up dietary nutrition, be guided by the following principles:

1. Foods and drinks should have a diuretic effect;
2. Salt should be removed from the diet to the maximum;
3. Any spicy food will be banned;
4. The content of protein products should be minimized;
5. Fats should be excluded;
6. Sugar and any substitutes for it must be removed from the menu;
7. Diet should not cause constipation;
8. Processing of all products should be minimal, frying, smoking, canning is prohibited.

Allowed products for cystitis:

• A variety of fresh vegetables in large quantities.
• Boiled beets.
• Fruits that grow in the area.
• Fermented milk products - kefir, fermented baked milk, curdled milk, natural yogurt.
• Kashi.
• Vegetable soups not prepared with broths.
• Boiled meat and fish.

The following foods should be excluded from the diet of patients:

• Smoked, pickled and salted foods.
• Spicy dishes and seasonings, sharp spices, including onions, parsley, garlic, horseradish.
• Cakes, pastries and other pastries.
• Sweets, including chocolate and candy.
• Fatty and salty cheeses.
• Coffee, cocoa and strong tea.

Drink at least 2 liters of plain water during the day (you can use mineral water without gas), drink berry fruit drinks, non-concentrated juices, herbal teas (with bearberry, corn stigmas, kidney tea), rosehip broth.

• In the morning it is allowed to eat any cereal porridge.
• For lunch, vegetable soups, salads with vegetable oil dressing and steamed meat dishes are prepared.
• Dinner should be light and consist mainly of vegetables allowed for consumption.

Folk remedies for the treatment of cystitis

Before using folk remedies, be sure to consult your doctor, because. individual contraindications are possible.

1. Rose hips will cope with cystitis, but not berries, but its roots. Grind dry rosehip roots and pour two full spoons into five hundred ml of hot water. Bring to a boil, boil for a quarter of an hour. Remove and strain after complete cooling. Drink a decoction of the roots should be one hundred and twenty-five ml four times a day before meals.
2. Brew 2 s. l. yarrow leaves with a glass of boiling water, simmer over low heat for 20 minutes, leave for half an hour, strain. Take 1 s. l. 3 times a day after meals.
3. Oak bark helps to cope with frequent urge to urinate: brew 1 g of bark in a glass of boiling water, simmer for 15 minutes over low heat, leave for half an hour, strain. Take 1 s. l. 3 times a day.
4. Bearberry and lingonberry are recognized plants for the treatment of urological diseases. Rub a spoonful of dry lingonberry and bearberry leaves, pour two glasses of water and heat in a steam bath for forty minutes. Remove, cool, strain and drink a quarter cup of healing broth before meals.
5. Drink a decoction of rowan bark like tea, adding honey to the drink. Boil ten minutes in a liter of water one hundred and fifty grams of fresh rowan bark.
6. Sea buckthorn and strawberry leaves are taken in equal proportions and mixed. 1 st. l. mixture is poured 1 tbsp. boiling water, infused for half an hour, and then filtered. Take an infusion of one glass 30 minutes before meals two to three times a day. The course of treatment is one to two months.

Phytotherapy is most effective in the form of fees, the pharmacy will always offer ready-made ones. You can brew herbs yourself, or you can use tablets (Cyston, Kanefron), drops (Urolesan, Spazmotsistenal) or paste (Phytolysin) - this is also nothing more than herbal preparations, only “compactly packaged”.

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Why is the disease dangerous?

Many women have a question whether cystitis is dangerous during pregnancy. We can say with confidence that, like any disease of an infectious nature, cystitis poses a real danger to the health, and sometimes to the life of a pregnant woman. In addition, the disease can pose a threat to the life of the fetus. The disease can provoke complications when trying to self-treat, as well as in case of postponing a visit to the doctor, if you wait for the disease to recede without treatment.

This behavior of a woman can turn into serious problems for her, because the infection can get into the kidneys and subsequently lead to their inflammation - pyelonephritis. With such a disease, a person has a high body temperature, as well as pain in the lumbar region, which often occurs on one side.

What is dangerous about cystitis during pregnancy is the development of bilateral pyelonephritis, which threatens the health of a pregnant woman and her baby. If a woman has symptoms of pyelonephritis during pregnancy, hospitalization is needed in a medical institution for the treatment of the disease.

Can cystitis be a sign of pregnancy?

Cystitis during pregnancy should not be confused with repeated urination, which is common to many pregnant women. Cystitis is an inflammatory disease, and not a manifestation of pregnancy. However, some women mistake frequent visits to the toilet in the early stages of pregnancy for cystitis.

Women begin to experience repeated urge to go to the toilet due to the fact that after conception, blood flow in their genitals increases significantly, and the uterus reacts to the appearance of the embryo with increased excitability.

Since the uterus and bladder have a common innervation, even the appearance of a small amount of urine in the bladder is manifested by the urge to urinate. In addition, the enlarged uterus begins to put pressure on the bladder.

However, in such a situation, the woman does not have the discomfort or pain that is characteristic of cystitis. At the end of the first trimester of pregnancy, the woman's hormonal balance returns to normal, and the uterus rises higher and its pressure on the bladder stops, after which the repeated urge to go to the toilet disappears.

Cystitis as a sign of pregnancy should not be taken seriously, but repeated urination and other symptoms of the disease should worry a woman. For example, when, in addition to repeated urge to urinate, pain appears, body temperature rises, the woman's condition worsens, the occurrence of cystitis should be suspected. In such a situation, you need to visit a doctor to diagnose and determine the method of treatment.

Symptoms of the disease

Cystitis during pregnancy is expressed by such signs:

1. Frequent urination (often there are false urges to urinate) with the release of urine in small quantities, in which there is a feeling of incomplete emptying of the bladder.
2. Burning and pain when urinating.
3. Cloudy urine and its pungent odor.
4. The presence of pus and blood.
5. Feeling of tightness in the lower abdomen, pain and discomfort in the pelvic area.
6. An increase in temperature.

The main cause of cystitis is a violation of the vaginal microflora or colpitis - inflammation of the vaginal mucosa.

Symptoms of cystitis may worsen due to weakened immunity in a pregnant woman.

Such an exacerbation can occur with hypothermia of the pelvic region, after which the infection begins to progress in the genitals, which subsequently penetrates into the bladder.

In such a situation, the main symptom of acute cystitis is manifested - severe pain during urination. The urge to go to the toilet becomes frequent, and blood or pus may appear in the urine, which indicates a dangerous course of the disease, especially for a pregnant woman.

Cystitis in pregnant women can occur with a rise in body temperature, which most likely indicates the development of complications, manifested by inflammation of the kidneys. If the disease is not cured to the end or the wrong treatment is prescribed, then the disease can become chronic. With a chronic course, the disease can occur at certain points throughout life.

For chronic cystitis, the same symptoms are characteristic as for acute, but less pronounced. Of particular danger is such a type of pathology as interstitial cystitis, in which inflammation covers not only the mucous membrane of the bladder, but also its muscle walls.

This type of disease is difficult to treat, and if it persists, surgery may be required to remove the bladder. That is why at the first manifestations of cystitis, you should visit a doctor.

It is forbidden to engage in treatment on your own or let the disease take its course. Such behavior of the expectant mother can affect not only her health, but also the health of the baby.

It should be remembered that many pills are contraindicated for pregnant women. This is also the basis for visiting a specialist who will prescribe the required medications if necessary.

Treatment of the disease

Treatment of cystitis during pregnancy primarily involves taking antibiotics that affect the pathogenic microflora that caused the disease. For example, drugs such as Amoxiclav or Monural are antibacterial drugs and are used by many specialists to treat cystitis during pregnancy.

Monural is harmless and easy to use. For treatment with this drug, you just need to take the contents of the sachet. Many reviews testify to its effectiveness, as well as safety for pregnant women.

In the process of treatment, a woman should adhere to bed rest. In addition, spicy, fried and salty foods are excluded from the diet of a pregnant woman. You should also drink plenty of fluids. If there are no edema and there are no contraindications, a woman should consume about 2 liters of fluid during the day. Water can be replaced with cranberry juice, decoction or infusion of lingonberry leaves, as well as tea.

In addition to the antibiotics prescribed by the doctor, other tablets, as well as infusions and herbal preparations, can be used to treat the disease. However, all treatments must be prescribed by a specialist.

Treatment of cystitis during pregnancy can be carried out using an alternative method - instillation. The essence of this method is that through a catheter, a composition of drugs with an antibacterial effect is introduced into the cavity of the bladder. This procedure is carried out only under the supervision of a doctor in a hospital.

This method is effective and makes it possible to completely cure cystitis in a short time. It only takes a few treatments to heal. However, instillation has one drawback. It consists in discomfort during the introduction of the catheter, as well as repeated urge to urinate after the procedure is completed.

Prevention

Manifestations of cystitis during pregnancy are much easier to prevent than to be treated later. Therefore, experts recommend that women take preventive measures during pregnancy.

First of all, a woman planning a pregnancy should undergo an examination that will help identify the presence of diseases of an infectious nature and cure them before pregnancy occurs.

For example, caries or tonsillitis in an advanced stage can cause inflammation in various organs, as well as in the bladder. In addition, you should get rid of bacterial vaginosis, as well as STIs when they are detected.

Prevention of cystitis during pregnancy mainly consists in observing the rules of personal hygiene. A woman should wash every day with warm water using detergents with a neutral pH. It is undesirable for pregnant women to take a bath; a shower is suitable for bathing. This helps prevent detergents from entering the genitals.

Among other things, pregnant women should carefully approach the choice of underwear. Many experts argue that wearing thongs and similar panties can lead to inflammatory diseases, including cystitis. The first few months of pregnancy are especially dangerous. Pregnant women are advised to wear linen or cotton underwear.

Often, cystitis begins to develop due to weakened immunity and hypothermia of the body. Therefore, during pregnancy, you need to monitor your health, avoid hypothermia and wear clothes that are appropriate for the season.

In addition, pregnant women are advised to spend more time outdoors, walk, and perform sets of exercises designed specifically for pregnant women. It is also required to take vitamin complexes prescribed by a gynecologist, taking into account the needs and condition of the expectant mother.

During pregnancy, you should go to the toilet every 2-3 hours, even in the case when such a desire does not arise. This behavior helps eliminate bacteria that enter the bladder. In the case of stagnant urine, such bacteria begin to multiply and can cause inflammation. You also need to watch the chair. It should be regular, because constipation can cause a violation of the circulatory process in the pelvic organs, which increases the risk of cystitis.

Prevention of the disease also involves maintaining a proper diet and diet. The menu of the future mother should contain vegetables and fruits, as well as water in sufficient quantities. It is required to remove spicy, fried, salty, pickled dishes, smoked meats and so on from the diet. It is forbidden to drink alcohol, citrus juices, coffee and other drinks that contain caffeine.

You should use fruit drinks from cranberries and lingonberries, infusions and decoctions of chamomile, wild rose and other herbs. All these drinks have a diuretic effect and help expel pathogenic bacteria from the bladder.

Cystitis can occur due to a sedentary lifestyle. To prevent its occurrence, you need to move more. When sedentary, you need to get up every half hour and do a little warm-up.

The appearance of cystitis during pregnancy can be avoided if you follow all the recommendations for the prevention of the disease. You should also be attentive to your health, especially during pregnancy. After all, the expectant mother is responsible not only for her health, but also for the health of her baby.

medik.expert

How to organize the fight against cystitis correctly and with the greatest effect, if you had to deal with it for the first time?
Candidate of Medical Sciences, urologist at the Center for Surgery "New Clinic" in Tver, Igor G. Akopyan advises.
The cold season is a test for the whole organism. Viruses, infections and hypothermia often lead to various health problems. Cystitis in this case is no exception. If the attack took you by surprise, then you can help yourself by following our advice.
Get rid of the infection
The cause of cystitis is an infection. Most often, Escherichia coli is to blame for its appearance. She lives in the large intestine and for the time being does not interfere with anyone. If a favorable situation develops, for example, weakened immunity after an illness or banal hypothermia, then it begins to act. It goes on a journey and gets from the intestines to the bladder. There she puts her order, namely, it causes inflammation of the mucosa. And that cystitis begins.
Recently, in addition to E. coli, two more troublemakers have been exposed - chlamydia and ureaplasma. They are much rarer, but cause no less problems.
Therefore, the first step in the fight against cystitis is the destruction of its pathogens. The most reliable and fastest way today are antibiotics. At the first symptoms of cystitis, it is important to visit a urologist as soon as possible, who will prescribe the drugs that are suitable for you. They should be taken for as long as prescribed by the doctor. A common mistake of patients is to stop treatment after the first discomfort has disappeared. The inflammatory process can go unnoticed, and if you do not fight it, then not far from chronic cystitis. And it is much more difficult to deal with it. Therefore, do not rush things and give up medicines ahead of time.
There are many antibacterial drugs on the market now that do an excellent job. Among them, Nolitsin has proven itself well. It should be taken one tablet 3 times a day for 3-5 days.
For those who do not have these 3-5 days for treatment, another effective medicine can be advised - Monural. This drug is used once at a dosage of 3 g 2 hours before or after meals. It is well tolerated, allowed for pregnant women and practically does not cause side effects. Of the herbal remedies, it should be noted the complex herbal preparation Cyston, which has the property of a good herbal uroseptic and saves busy people from having to spend time preparing various kidney teas. It has anti-inflammatory, antispasmodic and diuretic effects and eliminates most of the symptoms, helping the main treatment.
Drink more liquid

Sometimes expectant mothers feel a change in their condition long before the onset of obvious symptoms. But most people are unaware of the life changes that await them until they miss their period. And feeling unwell, they attribute it to a cold or infection, they begin to diligently treat themselves, which is very undesirable in an “interesting position”. Cystitis as a sign of pregnancy before a delay occurs in most women. And he sometimes does not need antibiotic therapy.

Read in this article

About cystitis without details

This refers to inflammation of the bladder wall caused by an infection, a cold. In women, cystitis is often combined with other ailments affecting the kidneys and genitals. The disease manifests itself:

• Cutting in the abdomen at the level of the pubis and a little higher, which is aggravated by urination, but may not go away for a long time after;
• with a small amount of fluid from the urethra, the appearance of impurities in it, including blood;
• Rise in body temperature;
• Cloudy and darker colored urine.
• Lack of relief after going to the toilet, as the sensation of a full bladder persists;
• Inability to hold urine sometimes.

In the acute form of the disease, these symptoms are obvious. The chronic course makes them smoother, but still noticeable.

And here is the pregnancy

When thinking about whether cystitis can be a sign of pregnancy, you need to imagine what changes in the body are associated with it. First of all, this is an increase in the amount of progesterone, estrogens, the appearance of a new hormone hCG in the blood. Outside of pregnancy, the volume of the first two substances experiences a cyclic increase and decrease, which is customary, and does not cause unusual external manifestations. HCG is generally produced only by the embryo, that is, its appearance is initially perceived by the body as something alien.

Hormones have a great influence on the female genital area. First of all, it affects its microflora. The composition and number of bacteria can change markedly, which is expressed by increased vaginal secretion. A clear, watery discharge appears. Bacteria easily travel through the urethra to the bladder.

But most often, for cystitis, a woman takes signs similar to his symptoms, which in fact are manifestations not of a bladder infection, but of pregnancy.

Frequent urination

Many people think that the first role in this is played by an increase in the uterus, which allegedly begins to put pressure on neighboring organs, provoking frequent trips to the toilet. In fact, it begins to grow much later. Before the delay, the embryo is too small, immediately after implantation it will have enough space in the uterus as it is at this stage.

In fact, the blood supply to the genital organs first increases. This is necessary for the development of pregnancy, and therefore natural. Hence the frequent urge to urinate, which for many is the main symptom of cystitis. But they, as a rule, are not accompanied by sharp pain, they give a feeling of relief immediately after.

The density of the tissues of the uterus also changes. They become softer, swollen. An experienced specialist can draw a conclusion about the onset of pregnancy and on this basis after a gynecological examination. Some swelling of the internal genital organs can also contribute to the need to visit the toilet often, but not significantly.

Pain

The first signs of pregnancy, cystitis also shows pain, cramps in the lower back and abdomen. The sensations are not strong, rather aching, but can be dangerous for the existence of the fetus. The very beginning of pregnancy is a rather difficult period when the probability of miscarriage is high. If a woman does not yet know about her, does not protect herself from physical activity, other provoking factors, it is likely that pain is a signal that the fetal egg can exfoliate from the uterine wall. Sensations are intensified during urination, that is, though insignificant, but attempts. This is perceived by a woman as a sign of cystitis, although in fact it is not.

Another cause of pain in the genital area is the implantation of the fetal egg. This happens 5-7 days after conception, that is, before the delay. The whole process takes up to 40 hours. At the same time, the uterine mucosa cannot remain intact, since the fetal egg is screwed deep into the wall. Near the place where it is fixed, areas of hemorrhage appear. That is, during all this time a woman can feel pain in her stomach, blaming her chronic cystitis.

Bloody issues

Cystitis, as one of the signs of pregnancy before a delay, is marked by small impurities of blood that a woman can detect after urinating on toilet paper. In fact, this is also a symptom of implantation of the fetal egg. It occurs next to the large spiral artery, that is, in the upper part of the uterus on its back wall. It was not in vain that nature planned just such a placement of the embryo, because it is here that there are a large number of blood vessels that will nourish it. The back wall of the uterus undergoes less transformation with the growth of the embryo, that is, the fetus is more protected.

During implantation, the shell of the mucous membrane of the organ disintegrates and close capillaries burst, splashing out blood. If there is enough of it, it is brought out of the vagina. Not surprisingly, if this occurs during urination, some of the effort that has to be applied contributes to the release of drops.

Temperature

An early sign of pregnancy, cystitis can also be manifested by an increase in body temperature. If its value is slightly higher than 37 degrees, but there are no other manifestations of a cold, the woman attributes the symptom to inflammation of the bladder. Its role is also played by the fact that many people can hardly endure just a slight rise in temperature, they feel tired and overwhelmed.

In fact, the cause of this phenomenon is an increase in the amount of progesterone. The body produces a hormone in previously unprecedented volumes to maintain pregnancy. It prevents the uterus from contracting excessively, regulates the viscosity of the woman's blood, and prepares the mammary glands for the future feeding of the newborn. With multiple pregnancy and kidney disease, the amount of progesterone exceeds the norm, which is why the temperature can rise above the usual 37.2 degrees. In combination with the other signs of cystitis mentioned, this symptom is perceived as the most reliable confirmation of the diagnosis.

An increase in temperature is easy to cause if you stay in a hot, unventilated room for a long time. The lack of fresh air can worsen your general well-being so much that it seems as if it has risen to high values.

What to do if you suspect cystitis

Many women do not attach much importance to cystitis, despite the severe symptoms, in the sense that they do not rush to the doctor. They consider it sufficient to arbitrarily choose and take antibiotics to get rid of the disease. But if it is not cystitis, but pregnancy, such drugs can harm the developing embryo, provoke an interruption.

Among the signs listed in detail, characteristic of the earliest period, there is not one - cloudy urine, which occurs with inflammation of the bladder. During pregnancy, her appearance normally does not change, but it is difficult to correctly assess it without being a specialist. Therefore, if you suspect cystitis in yourself, it is better to consult a doctor and get tested. It will accurately detect a high concentration of leukocytes in the urine if the suspected diagnosis is correct. But many women, having consulted a doctor about cystitis, found pregnancy and the absence of inflammation.

What if you still have cystitis?

Women are not always mistaken in regarding the symptoms of cystitis as a sign of pregnancy, because the disease sometimes really manifests itself in this position. Especially often this disease recurs, but its first occurrence after conception is not excluded.

During pregnancy, all the forces of the body are aimed at preserving and developing the fetus, even if it is very tiny. The woman's immunity is reduced due to the effects of hormones. It becomes more prone to hypothermia, the bacteria inherent in any organism become more active. The causative agents of infections from the vagina easily move to the bladder. The existing kidney disease can play a role, pregnancy exacerbates it. And if cystitis was diagnosed earlier, it may manifest itself soon after conception and without additional factors. Its signs, regardless of whether it arose for the first time or recurred, are unchanged.

Is it possible to get rid of it

Cystitis, as a possible sign of pregnancy before a delay, cannot be ignored, but it will also not be possible to eliminate it on your own. Not only does it cause discomfort to the expectant mother, it provokes, it also creates an infectious threat to the child. The uncontrolled use of antibiotics, warming up, folk remedies can cause no less harm to the baby. Therefore, drugs for the treatment of cystitis during pregnancy will be prescribed by a doctor, and a woman can contribute to recovery if she comes to the appointment as soon as possible and fulfills the following conditions:

• Do not overcool;
• Monitor the timely emptying of the bladder;
• Do not eat spicy foods that exacerbate pain.

Cystitis as the first sign of pregnancy, despite the apparent evidence, cannot be considered as unconditional. To confirm it, other, more reliable manifestations are needed. In frequent cases, symptoms similar to the disease are not related to it at all. But if cystitis really appeared during pregnancy, this does not put an end to it. The disease is cured, and with the attentive attitude of the woman, it does not return to itself even after childbirth.