Brief Answer:
Recurrent infections always have underlying cause

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help you as much as possible.

Frequent urination is a indication of a possible infection some where in the urinary tract. Other symptoms that also point towards the same direction are:
-Less quantity of urine passed each time
-Burning sensation while passing urine
-Chills (not always)
-Itching around the genitalia
-Fever (not always)
-General sense of poor health
-Dehydration symptoms (not always)
and a few others.

From your query, I understand that you have had two recent episodes of cystitis, which indicates a recurrent infection or inflammation. Recurrent infection or inflammation is almost always due to some underlying cause. Unless this cause is found and addressed, the infection/inflammation shall keep recurring.

A list of most common causes in women include:
-Ureter stones
-Pelvic inflammatory disease
-Gastrointestinal abnormalities
-Endometriosis
-Uterine fibroids
-Uterine polyps
-Medications
-Diabetes
-Tumors or cancers
-Previously untreated infections
and a few others.

I would strongly recommend the following ma'am:
-An abdominal and/or transvaginal ultrasound
-Complete blood count
-Vaginal swab test
-Urine analysis
-Urine culture and sensitivity
-Physical and/or bimanual examination

Please report to your doctor for the same ma'am. Also initiating an antibiotic to address the current symptoms would greatly help. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.

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