Medical Q&A Urology

Why Do I Keep Getting UTIs? Causes & Prevention Tips

Published 20 April, 2025 | Answered by Dr. Abdelmajeed Saad
Why Do I Keep Getting UTIs? Causes & Prevention Tips
Patient Query

Hello Doctor,

I keep getting urinary tract infections (UTIs) repeatedly, even after completing a full 5-day course of antibiotics. It happens every 3 to 4 months, and it's becoming really frustrating. What can I do to prevent this from happening again and find a permanent solution?

Certified Medical Response
Dr. Abdelmajeed Saad
Dr. Abdelmajeed Saad
Urologist
Now reading the answer...

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

Confirm Diagnosis: Urine cultures to ensure correct antibiotics; check for underlying issues (e.g., kidney stones, diabetes).

Optimize Treatment: Complete antibiotics as prescribed; ensure correct choice based on culture results.

Preventive Measures:

1. Increase fluid intake.

2. Urinate before/after intercourse.

3. Wipe front to back, avoid irritants.

Non-Antibiotic Options:

1. D-Mannose, Methenamine Hippurate, Cranberry Extracts, Probiotics.

2. Antibiotic Prophylaxis (If Needed):

3. Post-coital, continuous low-dose, or standby antibiotics.

4. Partner Evaluation: Check for bacterial colonization if UTIs are sex-related.

5. Antibiotic Stewardship: Use antibiotics only when necessary to prevent resistance.

6. Specialist Referral: See a urologist if infections persist despite treatment.

Thanks

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