Chronic Urinary Tract Infections in Women

A report from the Cleveland Clinic showed that as many as 50 percent of women with chronic urinary tract infections culture out a bacteria called Ureaplasma, and can be cured by taking either tetracycline or erythromycin antibiotics or both.

When you complain of burning on urination, feeling like you have to urinate all the time, getting up in the night to urinate or having urgency to urinate when your bladder is full because it hurts so much, you usually have a urinary tract infection. Doctors order a culture and often the culture grows no bacteria.  Then your doctor may tell you that you have no infection or worse, that you have interstitial cystitis.

Your doctor probably knows that chlamydia, mycoplasma and ureaplasma bacteria cannot be found on routine cultures, so he should believe that you have symptoms and treat you in spite of the negative culture. This study shows that many women can be cured when they and their partners take Azithromycin or doxycycline, and if that fails, a quinolone antibiotic. (Azithromycin 250 mg once day for 6 to 9 days. Doxycycline 100 mg twice a day for 21 days, or Cipro 500 mg twice day for one month.)  Check with your doctor.

JM Potts, AM Ward, RR Rackley. Association of chronic urinary symptoms in women and Ureaplasma urealyticum. Urology, 2000, Vol 55, Iss 4, pp 486-489. Address: Potts JM, Cleveland Clin Fdn, Dept Urol, A100, 9500 Euclid Ave, Cleveland,OH 44195 USA

Checked 12/3/15

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