Urinary tract infections

Urinary tract infections……sooooo not fun…..

Say What

Urinary Tract Infection?

We all know the signs:

Feeling like we have “to go” all the time, yet “going” only a small amount

Pain with urination……

Occasionally blood in the urine…

Risk factors for Urinary tract infections:

Premenopausal:

  • Hx of urinary tract infections
  • Frequent/Recent sexual activity
  • Diaphragm Use/Spermicidal agents
  • Obesity
  • Kidney stones
  • Sickle Cell Trait

Postmenopausal:

  • Vaginal Atrophy
  • Poor Hygiene
  • Prolapse
  • Diabetes
  • Incomplete Voiding

Diagnosing a urinary tract infection is easy…..

Most clinicians will treat based on symptoms alone….otherwise, a simple urine analysis will do.

While a urine culture is not necessary, I typically obtain one  to ensure that the causative bacteria is sensitive to whatever antibiotic therapy I have prescribed.

Typical antibiotic regimens for treating urinary tract infections usually are 7-10 days in length.

To eliminate issues with compliance, I tend to prescribe a 3 day course of one of the approved regimens.

Three day treatment regimens are as effective as 7-10 day courses with cure rates noted to be >90%.

We’ve all heard the recommendations:

Increase your p.o hydration

Urinate after intercourse

Watch that wiping technique….you know the one, “wipe from front to back”.

Well, there isn’t a substantial amount of literature proving any of the aforementioned to be effective……

Cranberry juice…..on the other hand, Does Work!

Hoping this blog adds value to your day!

Until next time,

Look Better. Feel Better. Be Better.

Dr. Angela

About Dr. Angela

Mother, Midwesterner, and award-winning OB/GYN, Dr. Angela is equal parts best girlfriend and bold professional, supporting women’s health with innovative approaches to care and heavy doses of humor. Dr. Angela has done more than launch a successful practice, she has defined herself as a voice for a new generation of womanhood, established her ASK DR. ANGELA brand committed to authenticity, and built a community rooted in trust, candor, and compassion.

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