Some (not all) OBs and CNMs know a lot about UTIs. and would have enough sense to get a workup done if you had > 3 UTIs in 6 months. They would then refer you (possibly) to a urogynecologist, who knows a lot about UTIs in WOMEN, as opposed to a general urologist, who may treated primarily men.
Going to a urologist first before a workup has been done + a trial of post-sex antibiotics, or possibly a once a day antibiotics for a month, seems a bit hasty. Recurrent UTIs often have something to do with an anatomical issue that allows urine to pool. One cause of this may be pelvic organ prolapse, or low estrogen levels in older women, so a good gyn exam and then treatment of the underlying cause is warranted first.
Yep, all the time. I think a gyn or CNM is the place to start because often UTI symptoms are similar to reproductive symptoms (yeast, bv, sti's, PID) so it's good to rule those out if they are a possibility.
Yes, OB/GYN's treat uti's, acute and chronic. After all, it's a primary care specialty nowadays. With recurrent UTI symptoms, this is a patient that certainly does not require a urogynecologist, but a visit with the gynecologist, as a) it may require long-term suppression/prophylaxis after culture proven infection and treatment, b) the patient needs to be evaluated for possible interstitial cystitis or even endometriosis, both of which can mimic UTI type symptoms, it's one of the reasons we don't just call in antibiotics for UTI's without checking urines.
Seeing a Urogynecologist might be a little overkill, Urogynecologist's specialize in pelvic floor abnormalities and reconstruction, including but not limited to pelvic floor relaxation, incontinence, fistula repairs, etc, and certainly any good gynecologist can perform a thorough evaluation for recurrent cystitis, if in fact, that's the problem.
Wow, I had 3 infections for the last year, now Im really concerned. Gotta find some good urogynecologist.
I would say to see your primary health care provider or your GYN. My Primary HCP referred me to a urologist's office (months ago) because I had 5 UTI's last year. I am currently on a prophylaxis (not giving medical advice) and I also had an US of my kidneys which came back normal...Good Luck!