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I have the Mirena, and Endometriosis, I have recently

Customer Question
I have the Mirena...

I have the Mirena, and Endometriosis, I have recently started a partner ship with someone and I have noticed that each time we have intercourse I end up with UTI symptoms I have just finished a one week course of antibiotics as one day after sex I had blood in my urine, everything had cleared up and seemed to be back to normal but I am now having the same symptoms again, Is it possible that I can have a reaction to the persons body bacteria ???

Doctor's Assistant: In general, how has your health been lately?

Honestly not great, I have lost a bit of weight, and am sitting at a lower weight than normal. generally not feeling 100 percent never really amazing due to pain but recently iv been worse than I have been in the last few months

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Just endometriosis, Ovarian Cysts (Chocolate Cysts) Frequent UTIS ( as a child ) and within the last 2 years (Have had the IUD for 3 years )

Submitted: 8 months ago.Category: OB GYN
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Answered in 10 minutes by:
9/25/2017
OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago
Dr. Arun Phophalia
Category: OB GYN
Satisfied Customers: 38,160
Experience: MBBS, MS. Deal with women related all surgical problems including genito-urinary and breast surgery.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

While there is a possibility of you being allergic to your partner's semen or body fluids, but this is not the common reason of UTIs. Since you have history of childhood UTIs, you need to be investigated to ascertain the cause of recurrent infection.

Following approach for the chronic / recurrent urinary tract infection may be helpful;

1) An estimation of residual urine. This is done by an ultrasound examination. An ultrasound is done with full bladder. Then you are asked to void and ultrasound is repeated. If there is a residual urine amount more than 50 ml; that is considered as significant amount. An high residual urine in bladder will not let the UTI eradicated. In a high residual urine following investigations would be done;

a) CMG (cystometrography); this tells about the bladder muscle and sphincter functions. A problem in these would not let the bladder empty properly and thus the recurrent UTI.

b) Pelvic floor EMG; tells about the pelvic muscle dysfunctions and help in above.

These will need medications to improve bladder emptying.

2) Medications which alter urinary pH helps in eradicating the recurrent or chronic UTI with the antibiotics.

3) Culture for the mycobacterium; this if grown will need different kind of medication regime specifically for the mycobacterium bacteria which do not respond to the antibiotics.

4) Gynecological examination; to see for the major cystocele (bladder prolapse). This also predisposes for the recurrent UTI.

5) If above do no help the other investigation contemplated are;

a) Cystoscopy; camera exam to look for bladder diverticulum or any other abnormality.

b) MR urography (magnetic resonance urography to look for infective nidus elsewhere in the urinary tract).

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

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