All protocols

Do not douche because it can disrupt the vaginal microbiome and pH and increase risk for UTIs or bacterial vaginosis.

For vaginal health, wash the hair-bearing areas that create sweat, and otherwise let soapy water run down; do not aggressively clean inside because the vagina is self-cleaning.

If having difficulty communicating about sex with a partner, get help from a sex therapist; can also be done virtually.

Drink about 2–3 liters of fluid per day, ideally water, to help flush bacteria and reduce UTI risk.

To help prevent recurrent UTIs, make sure the bladder is fully emptied rather than leaving urine sitting in the bladder. Strategies include sitting and relaxing on the toilet, leaning forward, double voiding by standing up and sitting back down to urinate again, and for some men trying to sit to urinate if standing does not fully empty the bladder.

Spermicides, including spermicide-coated condoms, are a known risk factor for UTIs.

Use cranberry with 36 mg of proanthocyanidins (PACs) in a soluble form; not whole-berry formulations using skin/stem. Taken as a capsule once per day for recurrent UTI prevention. For women who tend to get post-coital UTIs, an option is two capsules on the day of sex and two the day after; noted as lower-data but low-risk.

Take about 2 grams per day of D-mannose, mixed as a drink, to help reduce UTI risk.

Probiotics are used by some people for UTI prevention, though the guest notes heterogeneity and uncertainty about which are effective vaginally.

Drink 2–3 liters of fluid per day to help prevent kidney stones.

Reduce dietary oxalates to help prevent kidney stones; examples given include spinach, rhubarb, and many nuts. If prone to stones, avoid eating spinach daily and switch to a different green.

Increase citrate intake because citrate inhibits kidney stone formation; fruits and vegetables were suggested sources. Crystal Light was mentioned as an easily accessible high-citrate option that can be consumed along with 2 to 3 liters of fluid.

Reduce high protein intake, especially purine-rich meats such as red meat, to lower kidney stone risk.

If a kidney stone is not accompanied by infection symptoms, conservative treatment can include pain medication while waiting for passage.

Used both for kidney stone passage and enlarged prostate/BPH symptoms. It relaxes ureteral smooth muscle to allow a stone to pass more easily and, as an alpha blocker, helps enlarged prostate symptoms by relaxing the area and allowing urine to pass more easily.

If a kidney stone is accompanied by infection signs such as fevers or chills, get treated right away because people can become very sick quickly.

If oral contraceptives seem to be contributing to sexual dysfunction or pelvic pain, stop them and consider a long-acting contraceptive method instead.

If SSRIs are causing sexual dysfunction and the person is otherwise doing well, consider reducing the dose.

Consider switching to another antidepressant such as Wellbutrin if SSRIs are causing sexual dysfunction.

Can be added if medication changes are not possible and SSRIs are contributing to erectile dysfunction.

If coffee or other caffeine sources make you urinate frequently, reduce intake because caffeine is a bladder irritant.

Alcohol is a bladder irritant; reduce intake if it worsens urinary symptoms.

Carbonated beverages can irritate the bladder lining; limit if they worsen symptoms.

Spicy foods can irritate the bladder lining; limit if they worsen symptoms.

Acidic foods can irritate the bladder lining; limit if they worsen symptoms.

Use good posture while cycling to reduce pressure on the perineum and support pelvic floor health.

Leaning far forward in an aero position increases pressure on the bike seat beak and is associated with more issues; avoid if symptomatic.

Use a wider bike seat without a nose to reduce genital numbness and possible pelvic floor or sexual issues from cycling; avoid seats with cutouts because mechanics data suggest they increase pressure around the opening.

Use a condom during anal sex because sexually transmitted infections are more likely due to thin, friable anal tissue and easier bleeding/trauma.

Always use lubricant for anal sex because the anus does not produce endogenous lubrication. Choose lubricants that are isoosmolar to the anus; specifically look up anal-pH-compatible lubricants. Oil-based lubricants last longer but should not be used with condoms.