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Recurrent Urinary Tract Infections (UTIs): Here’s What You Need to Know

August 12, 2019


If you’ve had a urinary tract infection
(UTI) before, you know they’re annoying! You have to start running to the bathroom
more, it hurts to pee, and somehow you have to get antibiotics. UTIs are usually caused by bacteria, therefore,
antibiotics typically solve the problem. If your UTI symptoms do not go away with antibiotics,
you may actually have something called painful bladder syndrome and it’s worth while to
see your urologist to clarify this. UTIs are most common in women because women
have a short urethra, which is the tube you pee through. It’s only about 2-3 centimeters in length. Therefore, it’s not hard for bacteria to
travel across your urethra and set up shop in your bladder. Common risk factors for a UTI include: 1) Having diabetes. 2) Having kidney stones. 3) Being postmenopausal. 4) Some of you will
have the great fortune of having multiple UTIs in a year and this can really impact
your quality of life. My question for these patients tends to be,
do you notice a pattern of when you get UTIs? Flights, long car rides and dehydration tend
to be very common things that lead to UTIs because they reduce the number of times you’re
going to the bathroom. However, the most common cause is related
to sex. Why? We have a lot of bacteria between our legs,
there’s bacteria around the anus and it’s just not that hard for the mechanics of sex
to push bacteria into the vagina and urethra. What’s really important for a women is to
make sure that you urinate within 5 to 10 minutes after having sex. Why? This washes any bacteria out from where it
shouldn’t be! Unfortunately, there are all sorts of magazines
out there that support all sorts of rituals – there’s really no data to support one
ritual over another. Really, all you need to do is urinate after
sex. Sex can also cause small tears in the vagina
and urethra. This can reduce some of your natural defenses
to fight off infection. This may be from certain positions or lubrication. Regardless, if you’re running into this
problem, you’ll know it quickly since it’ll burn to urinate right after you have sex. General prevention strategies for a UTI include: 1) Staying well hydrated so that you urinate
every 2-3 hours. 2) When you urinate, make sure you wipe from
the vagina back to the anus. 3) Urinate after sex to wash out any unwanted
bacteria. 4) Consider more breathable, cotton underwear. Something I’ve found anecdotally helpful
for my patients, however, there’s no research to really support this. Now, you might be doing all of these things
and STILL be getting UTIs. In scenarios like this, cranberry can come
into play! Cranberry has an active ingredient that reduces
the ability of bacteria to stick to your bladder wall. There are mixed studies on how effective cranberry
is. However, the studies that showed support used
10-12 ounces a day of ocean spray cranberry juice cocktail. There are a lot of cranberry pills or supplements
on the market, of which I don’t tend to recommend since it’s hard to check on the
purity of their ingredients. Also, because it’s an unregulated market,
many of these pills and supplements are very expensive! If you don’t want to use cranberry, consider
using D-Mannose. It works in the same way by reducing the ability
for bacteria to stick to your bladder wall. Studies that were successful with D-Mannose
showed that using 2 grams in 200 ml (i.e. ~ 8 ounces) of water daily. If neither cranberry or D-Mannose end up working,
talk with your doctor about using an antibiotic. See if they recommend using a low dose antibiotic
daily or taking an antibiotic before “high risk” UTI scenarios (i.e. before sex, a
long car ride or flight). Both of these options can reduce your risk
for infections as well. For women who are postmenopausal, the loss
of estrogen reduces the strength of some of your vaginal and urethra tissue. However, a vagina estrogen cream can be really
helpful in giving you some of this tissue balk back for better natural defenses against
an infection. These are an handful of options to prevent
or get ride of UTIs. Please, see your doctor to talk about what
will be the best options for you moving forward!

22 Comments

  • Reply nicole brown November 1, 2017 at 4:34 pm

    You need to take a lot (an unrealistic amount) of pure cranberry juice – not a juice cocktail like suggested – to even be up with a chance of it working as it’s only a tiny chemical component of cranberry juice that can stop the bacteria sticking to the walls of the urinary tract. It’s not a reliable method of preventing UTIs. Avoiding harsh soaps around genitals, wiping front to back, peeing after sex, going to the toilet when you need to pee rather than holding it in and drinking plenty of water are some great ways to prevent a uti. The best advice is if in doubt see a doctor so that they can give you antibiotics if you need them.

  • Reply graham just November 26, 2017 at 7:06 am

    No more antibiotics. Try broad spectrum probiotics daily to keep you safe.

  • Reply Tanmay Fadnis April 19, 2018 at 11:07 am

    I used Piperacillin/Tazobactam to treat severe urinary tract infection.. It was a 5 day course(morning and evening) and I was totally cured after the course.

  • Reply OMG I’M 40 May 20, 2018 at 6:31 pm

    Every time I have sex I get an UTI. smh. No more antibiotics for me it doesn’t work. I gotta try to something else

  • Reply Paul Edobor June 6, 2018 at 5:43 am

    Why is e.coli the leading cause of uti

  • Reply Camille Ladisla June 11, 2018 at 5:14 pm

    Im having uti now😓😣 unfortunate not to have medicine with me. Its 3am and im still up 😭

  • Reply megs June 16, 2018 at 2:21 pm

    I get 4 every week

  • Reply Thank you next vids Respect the theory July 22, 2018 at 12:32 am

    Ahhh I caught my uti from having sex with my boyfriend. I held in my pea for the whole day after having sex because we had an argument and a big fight the following morning. We spent the whole day fighting.. he gave me this crap 😐

  • Reply Anne Sawanda July 26, 2018 at 9:00 pm

    Am just 19 had a UTI treated it and a week later it came back😥😥😥😥

  • Reply MujjØ Harmonica August 1, 2018 at 6:16 am

    I get UTI from 7 years i dont know what to do ? Any suggestion

  • Reply Daniélín NicG August 24, 2018 at 4:56 pm

    😦think l have tears

  • Reply Daniélín NicG August 24, 2018 at 4:56 pm

    😦think l have tears

  • Reply Wandering Unicorn August 31, 2018 at 6:32 pm

    Cranberry juice can lead to kidney stones. If you don't have a history of problems with the urinary system, it will be fine to use during a UTI. The cranberry juice should also contain the minimum amount of sugar possible. D-Mannose seems to work well for prevention.

  • Reply Angel Lampley September 3, 2018 at 8:19 am

    I’ve been getting them senses I was five. I had to have surgery at that age to help with it but I still get them.

  • Reply Aida Mohd October 3, 2018 at 3:43 pm

    Oh god… i’m watching this video coz am having uti NOW! Almost midnite here in Singapore, btw… that dr is kinda of cute, huh…

  • Reply Ursula Eissner November 17, 2018 at 1:10 am

    Excellent prevention with D Mannose . I haven’t had one in ages .

  • Reply Angela Jerram December 1, 2018 at 8:52 am

    oestrigan cream to take if you havewoom taken away if not it can cause blood clots. i ended up in hospital from eostrogen only

  • Reply Lynzee Lai December 17, 2018 at 4:56 am

    Hello,

    I am in dire need of your help!

    Here is my story:

    I have had frequent UTIs for the past 4-5 years. I get them EVERY time I have sex.

    I do all the things that the majority of websites tell you to do. I wash frequently, I wipe front to back, I use lubrication, I do not have any anal sex or play, I do not use a diaphragm or spermicide, and I urinate before and after sex.

    Cranberry juice does not help.

    I do not get UTIs from any other activity but sex.

    I have found that d-mannose works well, but it freaks me out because I have to take so much of it. From my online research, it sounds like d-mannose used in large quantities or over a long period of time could have negative effects on your liver.

    I find that I have to take d-mannose before sex, after sex, and pretty much all the next day. The dosage that I take, if I am in a relationship and I’m having sex once a day or every other day, is basically 4 -500mg pills every 4 hours… that’s 20 pills a day!

    I’m so discouraged and I don’t know who to reach out to about this. Every single doctor just prescribes me antibiotics. I found that I was getting sick a lot and that was probably because of all the antibiotics that I was being prescribed. I was prescribed a low dose of antibiotics to take before and after sex… meaning that I was taking 2 antibiotics daily! The main issue with the low

    dose

    antibiotics is that they didn't work and I still got a UTI 🙁

    I’ve talked to four or five doctors about d-mannose, and none of them seem to know about it! I’ve even talked to my OBGYN who is supposed to specialize in this area…She says that she does not know about d-mannose, but if it works for me then great….

    I had to find out about d-mannose from Online Shopping for Electronics, Apparel, Computers, Books, DVDs & more reviews. I feel like because doctors don’t make tons of money from selling this product they don’t educate themselves about it or recommend it.

    I’m so overwhelmed with sadness. I just turned 30. I’m afraid that my recurring and chronic UTIs will prevent me from getting into a serious long-term relationship. Sex is supposed to be something that is enjoyed by both partners. Who wants to be with someone who can’t have sex with you? Or ends up suffering and taking lots of d-mannose which becomes expensive over time, every time you do have sex.

    It really sucks because it makes me feel bad about having sex, but I know that I shouldn't be feeling bad about it.

    I really hope you can help.

    Any advice at all is greatly appreciated!

    Warmest Regards,

    Lynzee

  • Reply Chloe Renee March 18, 2019 at 2:52 pm

    I have to miss my extra credit quiz today over a damn uti. I peed after intercourse and everything ugh 🙄

  • Reply Camille Warren March 29, 2019 at 10:40 pm

    I had a problem also. I've been doing Alot of antibiotics and taking canberries.. still.. is it normal that my Pee Is Coming Clear. I went to the bathroom my pee is coming out clear .. it's because I am drinking Alot of water also..?? I just need to know what is going on I'v been feeling some pain in between my private area ??

  • Reply sadia saleem April 30, 2019 at 2:11 pm

    hi please make a video about ic bladder's condition also

  • Reply Ivebeenkindablue June 24, 2019 at 3:15 am

    I have almost died of UTI’s 2 times! I’m only 20 and have constant UTI’s. They have spread to my kidneys and blood which has caused me to become septic. I do everything I’m supposed to do but nothing helps 🙁

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