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Recurrent Urinary Tract Infections and Chlamydia

Q: I am 32 years old. I have two children, 13 and 7. I started my period while on the Pill. I have been on the pill since I had my 7-year-old. I am not supposed to start until next week. It started out BROWN, and the next day it was redder. It is confusing me because I have never had this happen since I started the pill. I always seem to have a lot of UTIs, since I started having sex with my fiancé, (we have been together for 2 years) and it seems like I get one every other month or so. I talked to the gynecologist about this when I had my physical. She said to drink more water, and always use the bathroom after intercourse, which I ALWAYS do. I don't understand why I keep getting them, and could it have something to do with my partner? Please help!

Thank You,


Dr. Donnica: It seems as though you have two separate problems: an abnormal period and recurrent urinary tract infections (UTIs). I can't explain the abnormal period unless you've missed one or more of your birth control pills, if you've had a significant weight change recently, or if you were taking antibiotics for the UTIs. Did your doctor tell you that if you're taking certain antibiotics while on the Pill you must use back-up contraception?

Regarding the UTIs, ask your doctor if you had a urine culture and sensitivity with your last UTI and if you've had a Chlamydia test since you've been with your fiancé. It would be helpful to know which organism is causing the UTIs; if it is Chlamydia, you could be getting it from your partner (without his even knowing that he has it). In that case, you BOTH need to be treated. If it's not Chlamydia, you may want to ask your doctor if you could benefit from a medicine to prevent UTIs. The behavioral habits she discussed with you are helpful, but not always enough.

Best regards,
Donnica Moore MD
President, DrDonnica.com

Created: 4/16/2003  -  Donnica Moore, M.D.

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