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Is it a UTI or vaginal infection – read on…
LB – Part of my training was at University of Washington where many of the sexually transmitted diseases were described for first time – Herpes, Bacterial vaginosis, Chlamydia, Ureaplasma and others.
From my clinical experience MANY women with symptoms of UTI –
DO NOT have UTI but have vaginal infections (some sexually transmitted and
the partner needs to be treated or symptoms recur. The urine passes out of the short female urethra and the urine comes through any vaginal secretions that exist picking up bacteria that show up on a urinalysis. I had a reputation for diagnosing these infections early in my career in Internal Medicine. From my experience these infections often do not have symptoms as the infection symptoms come and go (but if examined the infections can be diagnosed in the vaginal secretions even when no symptoms occur).
During a office or ER visit, the physician will OFTEN only do a urinalysis and not a culture and sensitivity. Vaginal infections described above will NOT grow on a urine infection culture and the report is usually “no growth”. These vaginal and sexually transmitted organisms need to have specific testing to be diagnosed. A urinalysis may see lots of white cells or bacteria but again these are from a vaginal infection and not a urine infection.
Ex. A patient I had seen in New Orleans had pain on intercourse for 28 years which went away completely when her infections were treated. 3 different married women I saw at a prominent clinic in NO were labeled as “infertile” by their gyn and after I treated their infections, they each became pregnant (as not using contraception).
These are not complicated infections to diagnose or treat but have to be done methodically. Finding a GYN in your area who has an interest in STDs or female infections is critical as in my experience most gyn do not have adequate training and why so many of these infections are missed.
Since I left this area of practice over the last 25 years, I’ve gotten interested and practice a lot of homeopathy. At low potency (<30C) there are no side effects. I’ve found homeopathic ideas for treating UTI as well as vaginal infections but being transparent, I have no personal clinical experience, but trust they work when you uncover the right remedy.
UTI – Urinary Tract Infections
Nonantibiotic prevention and management of recurrent urinary tract infection – Néha Sihra, Anna Goodman, Rhana Zakri, Arun Sahai & Sachin Malde Nature Reviews Urology volume 15, pages 750–776 (2018)