There’s a lot of stigma around how we wipe.
UTIs are caused when bacteria from the bowel, which tend to live on the skin near the anus or in the vagina, spread to the area around the urethra, ACOG explains. If that bacteria moves up the urethra, it can cause infections of the bladder and other areas of the urinary tract.
Winter says you definitely shouldn’t wipe from back to front in some situations, like when you’re changing a baby’s poopy diaper. But for most adult women, wiping from back to front is not an issue because they wipe from the general area of their urethra forward—not their anus forward. Winter says it’s “stigmatizing” and “unhelpful” for a woman who is struggling with a UTI to have an encounter with a doctor where she’s counseled on her hygiene and the way she wipes. “That won’t be focused on actually preventing a urinary tract infection,” Winter says.
Instead, she says, a major risk factor for developing UTIs is anatomy and being in a low-estrogen state, like during perimenopause or menopause. “In a typical, young female, UTIs may be the nature of the beast,” Winter says. “We don’t always know why they happen.”
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