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 ?

Urologist
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)
Why my pee is having blood/ red urine
Female | 18
Blood in urine indicates an underlying medical condition.. It can occur due to KIDNEY or bladder infection.. Kidney or bladder stones can be the underlying cause.. Urinary tract infections can cause red urine... Sexually transmitted infections can also cause red urine... Other causes include vigorous EXERCISE and DEHYDRATION... It is important to see a doctor immediately for diagnosis... Prompt medical attention can prevent serious complications...
Answered on 23rd May '24
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Dr. Neeta Verma
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
The pain you experience in your penis and scrotum after ejaculation is understandably uncomfortable. You've consulted many doctors and tried various treatments, but the cause of your pain remains elusive. Your proactive approach to seeking help and trying different therapies is commendable. While doctors are considering possibilities such as pudendal neuropathy, a clear diagnosis has yet to be made. Unfortunately, I cannot provide a definite diagnosis or solution at this moment, but you must continue to follow up with your urologists.
Answered on 16th July '24
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Dr. Neeta Verma
I'm 26 years male I'm feeling some itching in urethral opening from last 3 weeks I don't notice that so much but today when I wake I noticed some white pulp is coming out regularly daily so I on my phone torch and see that urethral opening tube have some wounds like sores please tell me about what's going on
Male | 26
You might be having an infection in your urethra. The itching, white pulp, and sores could be the signs of the problem. This may result from a sexually transmitted infection or a urinary tract infection. It's essential to visit a urologist for an accurate diagnosis and treatment.
Answered on 18th Sept '24
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Dr. Neeta Verma
Pani ki ganth hai urethra m urine pressure se nhi aata operation bola h
Male | 18
It looks like you may have a blockage in your urethra because of swelling known as a urethral stricture. This can happen after past infections or injuries. Signs may be trouble starting to pee, having a weak flow, or feeling pain while urinating. Surgery might be required to correct this problem so that urine can flow normally again. You need to see a urologist about it as soon as possible.
Answered on 7th June '24
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Dr. Neeta Verma
I get painful ejaculation The pain is too much for around 2 to 5 minutes immediately after the sperm comes out Pain is in the pelvic floor region and little bit near anus And my ejaculation time is too less It's within 30 seconds for the first round
Male | 21
You may be experiencing a condition called prostatitis. It often manifests by having pain in the pelvic floor area and near the anus which is intensified during ejaculation. It comes along with short ejaculation times. A urologist can prescribe you medicines that will help you fight this condition. Along with medicines, doctors recommend drinking plenty of water and not holding in your urine.
Answered on 4th Nov '24
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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
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Dr. Neeta Verma
Penis pain,urine come hot And blood coming in urine
पुरुष | 20
Experiencing penis pain, hot urine, and blood in the urine can be serious and might indicate an infection or other medical condition. It is important to visit a urologist immediately for a thorough examination and appropriate treatment.
Answered on 10th June '24
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Dr. Neeta Verma
I am a 21 year old male. I have groin pain and frequent urination with back pains. I’m sweating and feeling weak. Please I need help
Male | 21
The symptoms you have mentioned may point to a urinary tract infection (UTI). These are common and can lead to the indicated symptoms. To help yourself, make sure you drink plenty of water, never hold your urine, and maybe apply a warm compress to your lower abdomen. However, it is important to consult a urologist for proper diagnosis and treatment.
Answered on 23rd May '24
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Dr. Neeta Verma
My father 88 yrs c/o of burning micturition since 1 month , has taken norflox , nitrofurantòin, cefuroxime on different occasions..No relief. Help
Male | 88
Since your father has been experiencing burning micturition for a month and has already taken multiple antibiotics without relief, it's important to consult a urologist. A specialist can perform the necessary tests to identify the cause and recommend appropriate treatment. Please visit a urologist as soon as possible for a thorough evaluation and proper care.
Answered on 16th July '24
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Dr. Neeta Verma
After having a sex my tesuu is painful a lot
Male | 32
Answered on 10th July '24
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Dr. N S S Gauri
Hi, from last 3-4 month i could not hold my urine pressure, when i feel urine i have to be very rush to toilet & can't control to hold it, also frequent urination problem, please suggest.
Male | 43
You may have a urinary tract infection or another medical condition that is causing these symptoms. Consult with an urologist to determine the cause get appropriate treatment.
Answered on 23rd May '24
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Dr. Neeta Verma
I have been diagnosed with anal fissure and been feeling symptoms since early Feb. I then started to feel pain when urinating early March.
Male | 43
Anal fissures are common and may be treated with medications. Sometimes, a minor surgery is necessary. Intense pain during urination can be a symptom of urinary tract or STD infection, thus, you should see a urologist in order to be properly examined and treated.
Answered on 23rd May '24
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Dr. Neeta Verma
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
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Dr. Neeta Verma
I'm diagnosed with testicular vein infection .what is the best treatment .I am also have a testicular cyst
Male | 40
A testicular vein infection and cyst sounds painful. The infection occurs when germs enter the vein, leading to swelling, redness, and discomfort in that region. Antibiotics are typically prescribed to combat the bacterial infection. As for the cyst, it may not necessitate treatment unless it's causing issues. If problematic, your urologist might recommend draining it or removing it surgically.
Answered on 6th Aug '24
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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
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Dr. Neeta Verma
i am 24 years old whenever i feel pressure of pee i feel pain in my left feet when i pee i feel relief or the pain in my left feet is going away i can feel it very clearly some time i feel burning some time i feel too Itching in the same spot what should i do
Male | 24
You seem to have symptoms that may be consistent with a urinary tract infection. While trying to mimic peeing, your leg throbs less, which signifies emptying your bladder. Finally, the joint discomfort and the itching are classic symptoms of urinary tract infections. Make sure to drink plenty of water and empty your bladder whenever you feel the urge. If the symptoms don't improve, consult a urologist.
Answered on 10th July '24
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Dr. Neeta Verma
I've been having some discharge from my general lately.i want to know why
Male | 23
A clear or white discharge is normal. But if it's a different color or funky smell, that could mean infection. Itching, burning down there are signs not to ignore. Yeast or bacteria are probably the culprits, so see a urologist.
Answered on 23rd May '24
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Dr. Neeta Verma
when i drink too much water so me After urinating, drops come out in large quantities in white color and it is a bit difficult to stop them. And because of that sometimes I feel weak Isn't this dangerous? And there is no need to worry about any doctor Am unmarried
Female | 22
You might have a problem called urinary incontinence when urine leaks out of the body without you being able to control it. The causes for this can be different such as weak pelvic muscles or urinary tract infections. Eating sufficient water and doing pelvic floor exercises are important. If the problem persists, it's best to consult a urologist to obtain appropriate advice and treatment.
Answered on 8th Aug '24
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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
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