Thanks for writing in.
A lot of young women get recurrent episodes of urinary tract
infections. A majority of them occur as the original infection was not treated properly in the first place. It is unlikely that Streptococcus
is responsible for the recurrent bouts of cystitis
. The causative organism can only be definitely known after a urine culture and sensitivity. To prevent recurrent bouts of urinary tract infections, I would suggest the following:
a. If you are sexually active, avoid using diaphragms ( particularly those laden with spermicides) and spermicide coated condoms. Also, voiding after intercourse will help.
b. Drink lots of water and continue taking a glass of cranberry juice everyday
c. If you have experienced >2 bouts of UTI in the last 6 months or >3 bouts in the last 12 years, speak with your general physician about antibiotic prophylaxis
d. Do not douche, and dont use perfumed soaps or take long baths with bubble bath.
e. You can try taking some probiotics with lactobacilli which should help.
As far as the abnormal Pap smear
is concerned, many times the changes would resolve with a course of antibiotics. Till we have the biopsy
results ( we usually take a punch biopsy of the white areas during a colposcopy
), you dont need to worry.
hope this helps