@drmaryclaire: Recurrent UTIs that never resolve are one of the most common stories I hear, and one of the most misdiagnosed. New research in The Journal of Sexual Medicine, reported by NPR this morning: in 253 women carrying a recurrent UTI diagnosis, only 15 percent had a problem limited to the bladder. The rest had hormonally driven vulvar inflammation, pelvic floor dysfunction, or both. Important context: this was a specialty referral population, meaning antibiotics had already failed these women. The finding is not that UTIs are imaginary. The finding is that when antibiotics keep failing, nobody is examining the vulva. Clinical observation, not statistic: in my own practice, the women who cycle through antibiotics for years are almost always the women whose vulvar tissue has never been looked at. Three questions for your next appointment: Was my urine CULTURE positive, or only my urinalysis? Has my vulvar tissue and pelvic floor been examined? Am I a candidate for vaginal estrogen or DHEA? If you have fever, flank pain, or you feel truly sick, that is a different situation. Get seen. Source: Uloko et al., The Journal of Sexual Medicine, via NPR, Aug 31 2026.

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Monday 31 August 2026 21:10:51 GMT
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momwenttocollege
user4317846259683 :
UTI psychosis, it real!
2026-09-01 22:07:58
0
jennyrep1
Jenny :
Me 😳 hrt fixed it
2026-09-01 22:50:08
0
eyballard
eyballard :
That is my story. Recurrent UTI’s for a couple years and finally got some estradiol and it is saving me!!
2026-08-31 21:19:15
45
userabc1495737586
userabc123 :
D-Mannose
2026-08-31 22:51:57
12
tipytoz
EarthmanMMisonebigstupiddope :
My mom had 3 years of UTI’s treated multiple times with antibiotics…..but no further testing. It was cancer and her bladder had to be removed. Horrible healthcare for the elderly and for women.
2026-09-01 01:00:30
17
cluttercorequeen
cluttercorequeen :
I went to the same OBGYN for MONTHS. In so much pelvic pain. She kept putting me on antibiotics. I argued with her and said it felt like something else. She dismissed me. I finally got in with a gynourologist - and she put me in vaginal estrogen. Pain gone in 2 weeks. Hasn’t come back.
2026-09-01 03:55:54
10
kate.ganshirt
Kate Ganshirt :
Had it for 4 months it was Costco toilet paper
2026-09-01 19:21:11
0
kmnnetter
whatever 😉 :
I believe my Estradiol has helped a lot with IC (interstitial cystitis) symptoms too.
2026-08-31 23:25:59
10
tbush950
Change is good :
I have been trying to get my mom help with this and the doctors wouldn't prescribe the vaginal estrogen and when they finally did it was only a week I'm still working on it but my mom gets tired and stops asking.
2026-09-01 19:26:13
1
tulipsnpepcid
tulipsnroses :
Wouldn’t they test to confirm infection?
2026-09-01 06:22:20
2
almorofaul
Alice Moreau Faul :
UTI one week before every period. Got on HRT, much better now
2026-09-01 01:40:55
5
toricolemcneal
toricolemcneal :
I have stinky urine first thing in the morning….Like very foul. What will help that? That then turns in to a UTI. I know immediately when it comes on due to the stinky urine.
2026-08-31 23:03:55
0
moneywhileyousleep
Michelle | Home & Beauty Finds :
My oncologist won’t let me use topical estrogen due to ER positive breast cancer in the past. Will this always be the case?
2026-09-01 04:00:15
1
ms.carmen777
Carmen :
Can perimenopause cause this, not just post menopause?
2026-08-31 21:20:51
2
rayleigh6491
Rayleigh :
Why are we always inflamed!!!??
2026-09-01 03:17:13
2
foreverbrooklyngirl
Forever.Brooklyn.Girl :
Can I get this over the counter? Thank you for sharing. This makes so much sense now.
2026-09-01 03:40:32
0
a_man_duh_carroll
Amanda Carroll :
If I’m taking oral estrogen, could I still benefit from adding vaginal estrogen? I’ve had a dozen bladder and vaginal reconstruction surgeries.
2026-08-31 22:26:29
3
kellychicago_pt
kelly - pt :
that was me. thanks
2026-09-01 08:59:11
1
nikki.hk.nyc
Nikki R :
Then what do you do? Tell us. Other than telling us to go to another doctor. What’s that doctor gonna say? What’s the treatment? Thank you 🙏
2026-09-01 01:52:29
0
carriemeaway1
Carereeeee :
This just happened to me…all UTI symptoms and no bacteria. Pelvic floor dysfunction
2026-08-31 23:40:12
2
tashaandromo12
tashaandromo12 :
But some bacteria doesn’t show
2026-08-31 23:03:26
0
bernicenelms
Momma bear :
I’ve had uti issues since my 20s from sex with my husband. Been married for 29 years
2026-08-31 22:53:59
1
cora25va
cora25va :
That cream does wonders 🙏 thank to my Dr. my symptoms are controlled.
2026-08-31 23:34:53
1
stephwhitewv
Stephanie :
As I’ve listening to you and have become more educated I’m just so curious if my IC diagnosis is really the reason. The urogynecologist I see has prescribed vaginal estrogen so here’s to hoping. Thank you for the lessons, truly. My girls are sick of me talking to them about it. I consider that a win 😂
2026-09-01 12:03:01
2
catherinedarsey
Catherine Darsey :
I wonder if that's what had been happening to my mother, 78 year old. For 3 years now about every 6 weeks she tests positive for "UTI", but none of the antibiotics they constantly give her work.
2026-09-01 03:15:39
1
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