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[CLKD]

There's no such thing as a 'slight urine infection'.  It's either an infection or not!  Dip sticks in the surgery can give a false idea of positive/negative, so GPs still prescribe ABs.  Which is why all samples should be sent to a Lab to be grown.

Is there a worse time for symptoms to flare?

[Brownie]

No just past few months has been happening every few days then it gets better then few days later flares up again.  I just wish I could get to root cause so I can start living some kind of normal life again Xx

[CLKD]

there can be embedded infections

Have U thought to try VA treatment to keep the whole vulval area less dry?

[Brownie]

Yeah I'm on the generic estriol +use it most nights now.

[CLKD]

U probably said that already  .  Sometimes 1 needs two insertions a day.  With 'ovestin' I put 1 up mid afternoon and again in the evening when symptoms niggle.  Then every evening for at least 5 nights.

[CLKD]

Can any1 give this poster advice?  Tnx.

[Brownie]

Thanks CLKD
Will + try keep this as short as poss 🤞
Been on 0.01 estriol 3ish years now (just started everol conti to see if that will help with dryness too, I know several ladies on here use both)
I've had several antibiotics/antifungals over the past 5 months so unsure if my vaginal ph is just totally off whack + causing me probs or do I need a change of estrogen? I took some cranberry juice to see if it would help the flare which it did seem to do initially but not sure if I overdone it + that's now causing me pain/discomfort (I read somewhere that cranberry can cause pain if you are estrogen deficient)
Just don't know what to do to make the pain go away. This past 6 months or so have been hellish, stuck in my house/bed, I just want some relief to start living my life again. Any help would be so appreciated Xx

[Joaniepat]

Brownie, sorry to hear about your recurring urinary issues. I'd advise you to look into embedded UTI and to join the Embedded/Chronic UTI Support Group on FB. There is a lot of useful information in their files.
JP x

[Brownie]

I had a specialist urine sample taken in Nov. Said I had a small growth of bacteria that could only be treated will Ciprofloxacin. I've had 2 rounds of that now (12 days in total 500mg x 2 per day ) + I was given fluconazole to prevent thrush. I think my whole vaginal ph is totally messed up. Has anyone used multi gyn to restore vaginal ph. I don't think I could use it just now anyway as feels too sore down there + don't want to add anything else into the mix.

 I seen GP thru the week + she said see if things settle. Another urine sample was taken (but my pee was really clear) will see if I can get swabs done too. Im just glugging down water today to see if that helps.
Xx
.

[Wrensong]

Has anyone used multi gyn to restore vaginal ph

Yes, I have used it on occasion in the past but currently use Boots BV gel intermittently to increase acidity.  Part of a multipronged approach though - I also use Vagifem, with Estriol 0.01% externally, plus systemic HRT.  I'm also careful to follow a low irritant diet for bladder comfort, having been diagnosed with IC on cystoscopy many years ago.  Probably said some (or all!) of this before but no time to reread thread today.
Wx

[Brownie]

Thanks for reply. Do you use the gel a lot ? I'm having a bladder flare today + think its from drinking cranberry juice (although I never really thought food was my issue) I have weak/tight pelvic floor + think my IC is due to lack of estrogen. Do you take any meds for the IC? I was on Elmiron/amitriptyline but stopped both as think Elmiron stopped working after a while + think using amitriptyline more to help get a sleep. Was going to try a antihistamine to see if that has any effect.
I'm on the same estriol as you + just started on everol conti to see if it will help regards the VA but anxiety issues also. I never really liked vagifem but not sure if I should try ovestin

[Wrensong]

Brownie, no I don't use a lot of the BV gel, just when I'm not sure whether something is brewing & I want to nip it in the bud.   I've found that with the decline in natural lubrication postmenopause, sex seems to upset vaginal pH so I tend to use a vial for a day or so afterwards as a preventive measure.


Yes, cranberry juice is very acidic so you'll feel that on an inflamed bladder unfortunately.  I don't take meds for the IC, no, but have an open referral for instillations should I find it becomes unmanageable.  I'm very keen to avoid that, so do all I can to try to maintain bladder health.  Did you find the Amitriptyline worsened dryness?  I can't take it for that reason.  May be worth trying an antihistamine yes & this was suggested to me by my very good gynae who's knowledgeable on IC & GSM.  He also recommends D-Mannose.

Have you seen a women's physio for pelvic floor assessment & guidance?

Can I ask how often you use the 0.01% Estriol & do you use it both internally (with the full applicator dose) & externally?  What was it about Vagifem that you found unsuitable?


There is some thought in the medical literature that the deterioration in GU & pelvic floor health may be partly due to the decline in testosterone & not just oestrogen.  The progestogen in Evorel Conti is testosterone derived & considered to be the most androgenic used in HRT & as such may help your GU symptoms, though we all respond differently so you can only try it & see.  I hope you find EC helps your anxiety & that you feel better on it in general.  If not, there are various other types of systemic HRT you can try if you haven't already, so please don't lose hope.
Wx

[Brownie]

I tried d mannose but felt it flared me. I took amitriptyline originally for pain but by the end was taking it mainly for sleep +I wanted to get off it +I have managed to do so but think that's because the patch seemed to be helping me sleep better. Do you think a generic/over the counter antihistamine would be ok ? I'm using the estriol cream nightly at the moment. I felt vagifem was quite drying. If I can get out of this flare I can certainly try it again. Yeah I've seen a pelvic physio, I've got a tight/weak pelvic floor + also a mild bladder prolapse (along with the va +IC)!!!!
Thanks for that post very informative and helpful Xx

[Wrensong]

Good that you are using the Estriol cream nightly at present. 

The Interstitial Cystitis Association website has a page on Antihistamines you may like to look at.  I can't paste in a link as there is commercial content on the page, but this is an extract:-

"Though the most widely used antihistamine to treat IC/BPS is hydroxyzine, some people with IC/BPS find relieve from Claritin, Benadryl, and Singulair."

My Gynae didn't specify antihistamine type.  I tried Fexofenadine last year for other reasons (sleep) but it was post-gynae surgery when my GU tract was completely messed up following numerous courses of heavy duty antibiotics & consequently antifungals + 8 weeks without any vaginal HRT  - a nightmare scenario for GSM!  I don't recall any improvement in the GSM while taking Fexofenadine, though was not on it for long at all.

I've got a tight/weak pelvic floor + also a mild bladder prolapse (along with the va +IC)!!!

Ouch, that's a shedload of GU/PF issues for you to manage, but sadly not uncommon at this stage of our lives.  The HRT, vaginal & systemic, should help over time, taken at the right doses but if anything like me, you may also need to be vigilant with diet to keep your bladder comfy.  I don't need to follow a strict IC diet most of the time, but I do avoid those triggers I know from long experience spell trouble for me & then tighten up some more if a flare strikes.

Joaniepat is very knowledgeable on bladder health & though I don't do Facebook personally, I think her suggestion is well worth following as you're suffering so much.
Wx

[Brownie]

Yeah I've also had 3 lots of antibiotics last year (2 courses were high dosage Ciprofloxacin) + A LOT of fluconazole/canesten pessary so think at the moment everything in that area is pretty much messed up. I have just started in the past week Optibac (as recommended by a lot of ladies on here ) I got the one for vaginal health to see how that helps.
🙏🤞