---
title: "Recurrent UTI Treatment in Curitiba — Femi Saúde"
canonical_url: "https://femisaude.com.br/en/treatment/infeccao-urinaria-repeticao"
meta:
description: "Treatment and prevention of recurrent UTIs in Curitiba, with investigation of the causes and gynecological follow-up. Femi Saúde."
"og:description": "Treatment and prevention of recurrent UTIs in Curitiba, with investigation of the causes and gynecological follow-up. Femi Saúde."
"og:title": "Recurrent UTI Treatment in Curitiba — Femi Saúde"
"twitter:description": "Treatment and prevention of recurrent UTIs in Curitiba, with investigation of the causes and gynecological follow-up. Femi Saúde."
"twitter:title": "Recurrent UTI Treatment in Curitiba — Femi Saúde"
---
Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized Clinical Treatment
# Recurrent Urinary Tract Infection
Investigation and prevention of new episodes
Consulta
Acompanhamento periódico
## What it is
Recurrent urinary tract infection is defined as two or more infections in six months, or three or more in one year. It is very common in women and may be related to sexual intercourse, changes in the vaginal flora, menopause, the habit of holding in urine, low water intake and changes in the urinary tract. Symptoms include burning during urination, a frequent and urgent need to urinate, pain in the lower abdomen and cloudy or bloody urine. The consultation investigates the factors that favor these episodes, with a urinalysis, urine culture and, when necessary, imaging tests, to guide treatment of each episode and the most appropriate prevention measures, which may include lifestyle changes, care during menopause and other individualized strategies.
## Most common symptoms
- Burning or pain when urinating
- Frequent, urgent need to urinate, in small amounts
- Pain or heaviness in the lower abdomen
- Cloudy urine, with a strong odor or blood
- Feeling of incomplete bladder emptying
- Fever and lower back pain, when the infection reaches the kidneys
## Causes and risk factors
- Intercourse, which favors bacteria entering the urethra
- Changes in the vaginal flora and drop in estrogen at menopause
- Habit of holding in urine and low water intake
- Use of spermicides or a diaphragm
- Constipation
- Anatomical or functional changes in the urinary tract
## How it is diagnosed
At the consultation, your gynecologist reconstructs the history of the infections: how many episodes have occurred, their relationship with sexual activity, hydration and bathroom habits, and the symptoms of each episode. The gynecological exam assesses signs of vaginal atrophy and pelvic floor changes. A urinalysis and urine culture with antibiogram identify the bacteria and guide antibiotic choice. When a urinary tract abnormality is suspected, ultrasound or other imaging tests are ordered and, depending on the case, a urology evaluation.
## How we treat it at Femi Saúde
Each episode is treated with an antibiotic guided by the urine culture, avoiding unnecessary repeated medication use. The main focus, however, is prevention. Femi Saúde's gynecology team provides guidance on lifestyle changes, such as increasing water intake, urinating after intercourse and not holding in urine, and treats constipation and changes in the vaginal flora. During menopause, vaginal estrogen may be indicated to restore the mucosa, and CO₂ laser is an option in selected cases. When episodes persist, options such as low-dose antibiotic prophylaxis or prophylaxis after intercourse, immunoprophylaxis and pelvic physical therapy may be considered. The plan is individualized.
## When to see a gynecologist
Book a consultation if urinary infections keep recurring, if symptoms don't improve with treatment, or if they return shortly after finishing it. Fever, chills, lower back pain, vomiting or blood in the urine indicate the need for immediate medical attention, as the infection may have reached the kidneys.
## What we offer
1
Investigation of the causes of the infections
2
Treatment guided by urine culture results
3
Measures to prevent new episodes
4
Attention to intimate and urinary health during menopause
5
Individualized follow-up
## Gynecology specialists
[Dra. Melissa Amoroso
Gynecologist](https://femisaude.com.br/en/doctors/dra-melissa-amoroso) [Dra. Vanessa Amoroso
Gynecologist and Mastologist](https://femisaude.com.br/en/doctors/dra-vanessa-amoroso) [Dra. Aline Matos
Gynecologist](https://femisaude.com.br/en/doctors/dra-aline-matos) [Dra. Andrea Novellino
Gynecologist](https://femisaude.com.br/en/doctors/dra-andrea-novellino) [Dra. Fabiane Sloboda
Gynecologist](https://femisaude.com.br/en/doctors/dra-fabiane-sloboda) [Dr. Igor Chiminacio
Gynecologist](https://femisaude.com.br/en/doctors/dr-igor-chiminacio) [Dra. Isadora Goetten
Gynecologist and Obstetrician](https://femisaude.com.br/en/doctors/dra-isadora-goetten) [Dra. Sabrina Oliveira
Gynecologist](https://femisaude.com.br/en/doctors/dra-sabrina-oliveira)
## Gynecology treatments at Femi Saúde
[CO2 Laser Rejuvenation and Lubrication
Skin Improvement and Lubrication](https://femisaude.com.br/en/treatment/laser-co2-rejuvenescimento-lubrificacao) [Implanon® — Hormonal Contraceptive Implant
Freedom and safety in a small implant](https://femisaude.com.br/en/treatment/implanon) [Menopause and Perimenopause
Care and hormone therapy when indicated](https://femisaude.com.br/en/treatment/menopausa-climaterio) [Family Planning
Preparing for a healthy pregnancy](https://femisaude.com.br/en/treatment/planejamento-pre-concepcional) [IUD — Intrauterine Device
Preventing pregnancy effectively](https://femisaude.com.br/en/treatment/diu) [Pap Smear
Cervical cancer screening](https://femisaude.com.br/en/treatment/papanicolau)
[See all Gynecology treatments ](https://femisaude.com.br/en/specialties/ginecologia)
## Ready to schedule?
Schedule your consultation and discover how this procedure can transform your quality of life.
[Schedule via WhatsApp]()
## Sitemap
See the full [sitemap](/sitemap.md) for all pages.