How did you cure your cystitis

Cystitis - burning sensation when urinating

The illness

The experts differentiate between uncomplicated and complicated urinary tract infections. This information is about uncomplicated urinary tract infections or cystitis in women. That means:

  • Your symptoms come on suddenly and only affect the bladder and
  • there are no risk factors that could worsen the course of the disease. These include diseases or changes in the kidneys, ureters, bladder or urethra and circumstances that weaken the immune system, for example diabetes, HIV or certain medications.

Cystitis can make you feel weak and sick. Blood can also appear in the urine. However, there is no high fever or pain in the central side of the back (flank). These symptoms suggest more of an inflammation of the kidney pelvis. This should be treated quickly so that no consequential damage remains.


Usually bacteria cause the inflammation. They usually enter from the outside via the short urethra in women. In addition, there are circumstances that can make a cystitis more likely, for example:

  • timely intercourse
  • certain contraceptives: diaphragm, spermicidal agents (Spermicides)
  • History or family history of urinary tract infections
  • Age under 15 at first urinary tract infection
  • Hormonal changes during menopause


Your doctor will ask you about your symptoms and previous illnesses. In most cases it can then be said whether there is an uncomplicated cystitis. Other signs, such as itching or discharge from the vagina or urethra, may indicate other causes.

Under certain conditions, experts recommend further examinations, for example in the case of frequent bladder infections or risk factors that can worsen the course of the disease. This includes a detailed physical exam, a urine test in the laboratory, and sometimes a urinary tract image exam.

The treatment

An uncomplicated cystitis usually heals on its own. There is also no consequential damage. Therefore, you do not have to do anything at first if you can bear the discomfort well.

The treatment serves to relieve severe symptoms and shorten the duration of the illness. There are two options here: You should be offered an anti-bacterial agent called an antibiotic. In milder cases, a pain reliever and anti-inflammatory drug, such as ibuprofen, can also help. Discuss the advantages and disadvantages of the treatment with your doctor. If the symptoms do not improve after 2 weeks of treatment, you should visit the practice again.

Frequent bladder infections

About 3 out of 100 women experience repeated bladder infections, that is more than three per year. Even if these are uncomfortable, they usually have no consequences. Your doctor should look for causes that could promote or worsen bladder infections.

You can do many things yourself: see right column. Your doctor should also talk to you about this in detail. Only if these measures do not help do experts recommend the following options:

  • Means that stimulate the immune system (Immunostimulants)
  • Mannose (a sugar that binds bacteria in the bladder and is then excreted)
  • Herbal remedies that have a germicidal effect in the bladder
  • Antibiotic for prevention (continuous treatment for about 3 to 6 months)

Discuss the pros and cons of each treatment and which one is right for you.

No benefit proven

Reliable studies have shown no benefit for the following agents:

  • Preparations made from cranberries or cranberries (juices, capsules, dried berries, tablets)
  • diuretic herbal remedies such as birch leaves, horsetail or nettle
  • traditional Chinese medicine

Sometimes these measures can even be harmful.

What you can do yourself

  • Take medication as directed. Above all, you should take an antibiotic at the prescribed intervals, in sufficient doses and for the recommended period.
  • Drink 1.5 to 2 liters per day so that the bacteria are flushed out of the bladder.
  • Empty your bladder regularly and completely, especially after intercourse. This can reduce the number of bladder infections.
  • Many sufferers find warmth in pain as pleasant.
  • Avoid special care in the intimate area with rinses or special washing lotions. This damages the mucous membranes and allows bacteria to penetrate. Normal cleaning with water is sufficient.
  • If you are using a diaphragm or sperm-killing contraceptive creams, changing the method of contraception may help.

  • Put on warm clothes and shoes. Hypothermia is suspected of causing bladder infections.

December 2018, published by the German Medical Association and the National Association of Statutory Health Insurance Physicians