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[CLKD]

Apparently there is more recent research into whether cranberry juice might work and reading this morning it is suggested that drinking pure cranberry juice - not anything with additives or watered down - may help.  I can't find the actual papers but have read about a study which took place in 2022.  Subject arose due to a friend having the suggestion made by a pharmacist. 

[CLKD]

Dr Oghenekome Gbinigie; MA (Cantab), MB BChir, MRCGP, DRCOG, DfSRH, PG Cert (Health Research), DPhil (Oxon). Academic GP, Nuffield Department for Primary Care Health Sciences, University of Oxford.

[Emma]

Cranberry for acute Urinary Tract Infection

"at present, there is insufficient evidence for or against this practice" (using cranberry extract to treat an acute (current) UTI)

[CLKD]

 

[Nellf]

I get recurrent UTIs all the time.  My current plan is when having sex use lots of lube plus taking an antibiotic after.  I have has a bucket load of antibiotics and was becoming afraid that I would get to the stage I would become resistant to everything.  i always have a prescription of antibiotics in the house in case of emergencies.  I too was prescribe Vagifem, unfortunately it cause more irritation than good so stopped using it.  D mannose has also been recommended but the tablets are huge.  Ive found that the lube and antibiotic works for me.  Not that we have sex that often.  Low libido and the thought of cystitis kinda puts you off.  Hope you find a plan that suits you xx

[Jules]

I use a profalactic antibiotic after sex as I had a UTI every time. Also now using vagifem. I don't have a live in partner though. If I was having to use the antibiotic more regularly the GP wouldn't prescribe it.

[CLKD]

How does an anti-biotic after sex help  .  Have either of you asked to B referred to the appropriate specialist for in depth investigations?  ABs are to treat infections - if irritation is caused by penetration then a GP should look into the reasons why the vulval area becomes irritated.  Do regular urine samples be sent away to a Lab to be grown? 

Lack of oestrogen causes the vaginal walls to become thin = irritation which feels like a urine infection.  Hence many GPs continuing to prescribe ABs .......... VA mimics urine type infections really really well.  Who ever designed that area wasn't a woman!

[Jules]

How does an anti-biotic after sex help  .  Have either of you asked to B referred to the appropriate specialist for in depth investigations?  ABs are to treat infections - if irritation is caused by penetration then a GP should look into the reasons why the vulval area becomes irritated.  Do regular urine samples be sent away to a Lab to be grown? 

Lack of oestrogen causes the vaginal walls to become thin = irritation which feels like a urine infection.  Hence many GPs continuing to prescribe ABs .......... VA mimics urine type infections really really well.  Who ever designed that area wasn't a woman!

Yes, I saw a gyny urology consultant. He recommended vaginal estrogen and was ok with me using a profalactic antibiotic if it wasn't frequently.  My GP had prescribed them and the UTIs immediately stopped. I use Trimethoprim. One within 2 hours after sex. It just gets any infection before it gets hold. In theory, the consultant said I should try nit to use them once the estrogen has done its work, but I'm so anxious about the UTIs that I daren't not use them. Thankfully my GP surgery has some appreciation of it because I regularly remind them if how I was ill on a transatlantic flight and taken to hospital from JFK airport because their lead GP failed to diagnose a UTI and told me I was fit to travel!!  I ended up with a kidney infection too.  Anxiety of getting UTIs isn't good, they are very unpleasant aren't they.

[CLKD]

Yep.  Razor blades  up there. 

More penetration of course will ease the problem too, along with regular VA treatment  . Or that's what DH tells me. 

[Ayesha]

Off topic slightly but a friend had to have a course of antibiotics before a visit to the dentist as she always developed a severe infection.
Although it's not what any of us would want but sometimes the treatment is necessary.

[CLKD]

B4 I underwent my first couple of implant surgeries [out of 3 over 4 years] the Dentist gave me ABs on an 'in case basis'.  Yuk. Better than having to halt procedure though due to infection.

[pepperminty]

 This site may be of interest:

https://www.chronicutiaustralia.org.au/


Copied from NHS site -Treatment for UTIs that keep coming back
If your UTI comes back after treatment, or you have 2 UTIs in 6 months, a GP may:

prescribe a different antibiotic or prescribe a low-dose antibiotic to take for up to 6 months
prescribe a vaginal cream containing oestrogen, if you have gone through the menopause
refer you to a specialist for further tests and treatments

Chronic UTIs
In some people, short-term antibiotics for a UTI do not work and urine tests do not show an infection, even though you have UTI symptoms.

This might mean you have a chronic (long-term) UTI. This can be caused by bacteria entering the lining of the bladder.

Because urine tests do not always pick up the infection and the symptoms can be similar to other conditions, chronic UTIs can be hard to diagnose.

Chronic UTIs are also treated with antibiotics, which you may have to take for a long time.

Chronic UTIs can have a big impact on your quality of life. If you have been treated for a UTI but it keeps coming back, speak to your GP about chronic UTIs and ask to be referred to a specialist.

PMx

[CLKD]

prescribe a vaginal cream containing oestrogen, if you have gone through the menopause -   


refer you to a specialist for further tests and treatments - should be sooner rather than later!