Urinary Tract infections

Womens Healthcare Topics
James Brann, MD 26 years of Obstetrics and Gynecology Experience
   
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Women are more likely to Experience an Urinary Tract Infection than Men

Urinary Tract infections

At some point or another most women will experience the pain and discomfort associated with a urinary tract infection or UTI. Urinary Tract Infections are in fact one of the most common infections that occur in young women. Women's health surveys indicate more than 50 percent of women will report having a UTI at some point in their life.

Urinary Tract infections
A UTI can range in severity from infection of the bladder (cystitis) to infection of the kidney (pyelonephritis), a much more severe form of UTI that may cause severe complications. Most patients that have a UTI will have cystitis that can be treated effectively with a short regimen of antibiotics.

The Biology of an Urinary Tract Infection
The urinary tract consists of the kidneys, bladder and urethra. Bacteria sometimes enter the urinary tract and multiply, causing an infection or UTI. Most of these infections are confined to the bladder, however in certain cases the bacteria can travel up to the kidneys causing a more severe infection.

Women are much more likely to contract a UTI than men. This may be due to the fact that the urethral opening to the anus is closer in women, and the length or the urethra prior to opening into the bladder is shorter in women, allowing the opportunity for bacteria to pass more easily. A common cause of UTIs is contamination by bacteria found in fecal matter, which can move up into the bladder.

Risk Factors for Developing a Urinary Tract Infection

  • Sexual intercourse.
  • Use of spermicides, particularly when in combination with diaphragm.
  • New sexual partners.
  • Recent surgery or procedures involving the urinary tract.
  • Pregnancy.
  • Compromised immune system.

The Most Common Symptoms of a UTI
Symptoms of a UTI vary from person to person. In some mild cases no symptoms may be present. The overwhelming majority of women with a UTI will present however with some or all of the following:

  • Frequent urge to urinate, with little output.
     
  • Pain or burning during urination.
     
  • Blood in the urine.
     
  • Pain in the lower abdomen.

The symptoms of a UTI are sometimes different in pregnant women, who may experience nausea in addition to burning. It is important if you suspect a UTI that you seek out medical attention. The symptoms of a UTI often mimic other conditions including vaginitis, which may cause burning with urination or pain with intercourse.

Infection of the kidneys is a more serious complication of a UTI, and may result in side pain, nausea and vomiting, as well as fever.

Treatment of an Urinary Tract Infection (UTI)
Treatment of a UTI typically consists of administration of antibiotics. Increasing fluid intake may also help flush bacteria from the bladder.

Though cranberry is a popular folk remedy for relieving urinary tract infections in women, there are no definitive studies available at this time that support the use of cranberry juice for treating a UTI.

UTI's in pregnant women need to be treated aggressively, as a simple bladder infection is much more likely to result in a kidney infection and preterm labor.

Two percent of pregnant women have bladder infections that are asymptomatic.

The Prevention of an Urinary Tract Infection
There are several things you can do to decrease your likelihood of contracting a UTI.

The more common preventive methods include:

  • Urination after intercourse, which may help eliminate bacteria in the vagina.
     
  • Changes in contraception, particularly among women who use spermicides or a diaphragm.
     
  • Consumption of cranberry juice. While cranberry may not help alleviate an existing UTI, there is anecdotal evidence suggesting that the juice may decrease the ability of E. coli to stick to the urinary tract lining cells.
     
  • Increasing fluid intake post intercourse, which can help flush bacteria. 




   




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