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Female | 35

Why won't my chronic UTIs go away despite treatment?

I’ve had a chronic UTI for over a year all my test come back normal, antibiotics work for about a week or 2 then I get a uti infection again followed by a yeast infection. I’ve been on antibiotics for the past year every month I’ve had a flare, my blood work is good, but prolactin levels are at 24-33, could there be any correlation? I wipe correctly, wear cotton underwear I do it all… one time I had no uti symptoms except for a fever I went to the emergency room and I had a uti once again I was on the verge of septic shock 4 weeks later I had another uti and so on, a week ago again every month, the doctor seems confused and the gynecologist didn’t find anything. The kidney doctor didn’t either, my white blood cells are fine, what else could I ask to her checked ?

1 Answer

Answered on 14th Dec '24

Your tests are normal, yet you experience symptoms, so speak to your healthcare provider and ask about the prospect of further evaluations. You can ask them if cultures for specific bacteria or other potential causes like interstitial cystitis, bladder issues, or anatomical abnormalities should be performed. Prolactin levels may not be a direct cause of UTIs, however, it's worth discussing with your doctor. Furthermore, the introduction of probiotics will help win the war over flora and will make yeast infection less likely to occur. Bringing in a specialist in chronic pelvic pain or a urologist who is familiar with recurrent UTIs can help you explore less conventional routes to avoiding and managing this condition. 

2 people found this helpful

Questions & Answers on "Urology" (1139)

Good evening, male, 47 y/o. For about 30 years I have been suffering from pelvic pain that arises ONLY a few hours after ejaculation. The pain originates precisely at the base of the scrotum and extends over hours to the entire scrotum and sometimes to the shaft of the penis. It arises as an itch, then a pinch, then grows in intensity until it becomes aching with a strong sense of heat accompanied by pronounced relaxation of the scrotum. Ice and (sometimes) supine position are the only things that provide temporary relief. I should add that prolonged abstinence has always given me discomfort and sensation of urinary urgency, which disappears with orgasm. Until two years ago the pain disappeared with sleep at night, so I only had regular sexual activity before going to sleep, and in this way I had a normal sex life and children. Then it began to occur EVEN THE NEXT DAY starting around noon and escalating into the evening, then (usually) disappearing the next morning. Over the years I have consulted several urologists. In 2001 the first transrectal ultrasound (all negative). Recent worsening of symptoms (i.e., their persistence even the next day) prompted me to confront other urologists, who were unable to help me. Prescribed spermioculture and Stamey test (all negative), prostate echo normal (some calcification). For the past two years I have been taking prostate supplements, anti-inflammatories, muscle relaxants, PEA etc without success. I tried acupuncture, ozone therapy, craniosacral osteopathy, TENS, pelvic floor physiotherapy (identified and treated contracted "triggers"), without success. A neurologist hypothesized muscular causes possibly related to a tempomandibular dislocation (hypothesis ruled out by maxillofacial surgeon) and prescribed Mutabon Mite 2 cpp/day which I took for three months, without success. A psychologist specializing in chronic pain has suggested nociplastic (psychogenic) pain and is helping me to manage the distress this problem causes me, but unfortunately not to reduce it as I had hoped. Thanks to her, however, I was able to accurately track the point of origin and course of the pain (so-called "somatic tracking"). On the advice of the GP I went in February to the Niguarda Hospital Pain Therapy where, with hypothesis pudendal neuropathy, I was prescribed pelvic MRI (resulted adductor enthesopathies), lumbosacral MRI (resulted disc dehydration, asymptomatic), pelvic EMG (no abnormalities), physiatric examination (no abnormalities). I have follow-up visit in September to evaluate nerve block, but in light of the negative EMG I don't know what they will say. In the meantime I have been prescribed Pregabalin 25+25 and then 50+50, which makes me sleep very well but has no effect on the disorder, so I will insist a little longer and then I think I will discontinue. I am very frustrated, I am asking if anyone reading me has any idea, if not of a treatment, at least of a diagnosis that I've never been given. Thank you.

Male | 47

Answered on 16th July '24

Dr. Neeta Verma

Dr. Neeta Verma

Finished with microscopy varicocelectomy and still have veins on testicle is that okay?

Male | 16

Varicocele recurrence is possible after surgery. Consult your urologist

Answered on 23rd May '24

Dr. Neeta Verma

Dr. Neeta Verma

After having a sex my tesuu is painful a lot

Male | 32

question is not with proper details

Answered on 10th July '24

Dr. N S S Gauri

Dr. N S S Gauri

I'm worried because i have a white spot on my glans

Mannelijk | 20

For such a condition, it's essential to seek medical evaluation from a urologist or a dermatologist.. It could be due to infections, or inflammation. Avoid self diagnosis and consult a doctor for an accurate diagnosis and appropriate treatment

Answered on 23rd May '24

Dr. Neeta Verma

Dr. Neeta Verma

I want to make sure if i have varicocele because my left testicle is little down

Male | 18

Varicocele is an abnormal dilation of veins in the scrotum. It causes pain, swelling, and discomfort. You should see a urologist to be properly diagnosed. Treatments may include medication or surgery to fix the problem and any symptoms you may be experiencing could be relieved.

Answered on 23rd May '24

Dr. Neeta Verma

Dr. Neeta Verma

2 days ago I notice little blood clots in my urine and my lower left side of my back is starting to ache

Male | 23

Blood clots in urine and lower left back pain could be indicative of a urinary tract issue or kidney problem. Consult your doctor such as a urologist or a primary care doctor, who can evaluate your symptoms, conduct a physical examination, and order further tests. 
Meantime you can drink plenty of water to stay hydrated and avoid any irritating substances such as caffeine or alcohol, that could exacerbate the symptoms.

Answered on 23rd May '24

Dr. Neeta Verma

Dr. Neeta Verma

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