What to Wear When You Have a UTI

A urinary tract infection (UTI) is a common bacterial infection that affects the urinary system, often causing discomfort and a frequent, painful urge to urinate. While medical treatment is required, adjusting your wardrobe can significantly support recovery. Choosing the right clothing helps manage symptoms, reduce irritation, and prevent the moist, warm environment where bacteria thrive, making a difference in your overall comfort.

Material Matters: Prioritizing Breathability

The fabric touching your skin, particularly your underwear, plays an important role in controlling the localized moisture and heat that can exacerbate a UTI. Bacteria, such as E. coli, flourish in damp, warm conditions, making maximizing airflow a primary goal.

For underwear, select garments made from 100% cotton, or at least those with a full cotton crotch lining. Cotton is a natural fiber that excels at breathability, allowing air to circulate freely. This absorbent quality pulls moisture away from the skin, creating an environment less hospitable for bacterial growth.

In contrast, synthetic materials like nylon, polyester, and silk should be avoided entirely. These fabrics are not breathable and trap heat and moisture against the skin. This creates humid conditions that encourage bacteria to multiply, potentially prolonging the infection or increasing irritation.

Fit and Style: Avoiding Pressure

Beyond the fabric, the cut and tightness of your clothing can intensify UTI symptoms by causing physical pressure and friction around the urethra and bladder. Tight garments restrict airflow, contributing to the buildup of heat and moisture. This constant rubbing and pressure on the irritated urinary tract can heighten the painful and burning sensations associated with the infection.

It is best to set aside tight-fitting bottoms, such as skinny jeans, compression leggings, shapewear, and tight belts. Instead, opt for loose-fitting clothing that allows for maximum circulation, such as flowing dresses, skirts, or loose-cut trousers. This switch minimizes friction and allows the sensitive genital area to remain cool and dry, reducing inflammatory irritation.

Thong underwear also warrants specific avoidance during an infection. The minimal strip of fabric can potentially facilitate the movement of bacteria from the rectal area toward the urethra. While studies on a direct causative link are mixed, avoiding this style eliminates a potential pathway for bacterial transfer and reduces friction on an already sensitive area.

Essential Hygiene Practices

Clothing-related hygiene practices are an important component of managing a UTI and preventing recurrence. Changing underwear at least once a day is important, and more frequently if you experience noticeable moisture or discharge. This ensures that absorbed moisture and bacteria are removed promptly.

When laundering, use unscented, hypoallergenic laundry detergents and avoid fabric softeners and dryer sheets. The chemical residues and perfumes can remain on the fabric and potentially irritate sensitive genital skin. Washing underwear in hot water may also help to sanitize them thoroughly.

Maximizing ventilation overnight is another beneficial practice for recovery. Sleeping without underwear, or wearing loose-fitting cotton pajamas or a nightgown, helps keep the area cool and dry while you rest. This period of increased air exposure supports a dry environment, which is unfavorable to bacterial growth.