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A 28 white female calls the office frequently requesting antibiotics for symptoms of a UTI. She comes in for a visit 4-6 times yearly for dysuria, urgency, frequency and receives treatment for a positive urine for infection. She uses a combination low-dose OCP for contraception. She and her husband have sexual intercourse 1-2 times most weeks. On close questioning the patient, she usually washes her perineum before and gets up and empties her bladder after intercourse. In spite of this, she has recurrent ( ? 3 per year or 2 or more in 6 months) UTI’s that always occurs within 12 hours of intercourse. Today, she calls complaining of UTI symptoms and asks, “What can I do to prevent this from happening?”

What are the typical symptoms this patient complains of when she experiences a UTI? Make sure to define each one?

What is the perineum, and why would it beneficial for a person with recurrent UTIs to wash this area before intercourse?

What is the purpose of emptying the bladder post intercourse?

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Hubert Koch
Hubert KochLv2
28 Sep 2019

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