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I would recommend that you follow up with a urologist ...they could obtain a Cath urine for U/A and culture ...cystoscopy could be done to examine lining of bladder ...chronic inflammatory condition of bladder = INTERSTIAL CYSTITIS could mimic symptoms of UTIs ...
Uterine fibroids may be symptomatic but I think not so much mimic of UTI -- no to that I would say
Similar as to ovarian cyst ...possible Symptoms but not mimic of UTI ....
Actually another consideration could be a side effect of the methotrexate ....it can include potential side effect of pain with urination
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Anthony Bray MD