UTI Prevention

myths and facts on uti prevention

How to Prevent UTI Naturally: Myths And Facts

It is better to prevent UTI naturally rather than treat it later with antibiotics. Who could argue? However, there are plenty of suggestions out there that do not withstand a fact-check. We will look at three categories of suggestions on

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UTI Prevention With Probiotics Not Antibiotics: My Story

No, my doctor didn’t tell me about UTI prevention with probiotics, it was me who told him.

What did my doctors and nurses tell me to do for UTI prevention? Drink water, pee before and after sex and eventually, when none of this worked, take preventive antibiotics.

I could not personally comply with taking antibiotics until the rest of my life and wanted to find an alternative option. This is how I came across research about probiotics and UTI.

My First UTI

The nurse sent in my prescription for antibiotics warned me to take all of them even if the symptoms go away and also gave me the “lifestyle instructions”. Mainly she advised that I pee before and after sex, wipe from front to back and urinate frequently.

Frankly, I do not like taking antibiotics but if I do, I follow the instructions precisely. I knew that antibiotics work like a death squad: they kill bad, but also some beneficial bacteria.

However, I thought since I eat yogurt regularly I should be fine. The drugs helped almost instantly and I thought I would never have a UTI again.

Shortly After – My Second UTI

A couple of weeks later, during a road trip to Colorado, I felt the familiar symptoms. I’ve got to tell you, my first UTI outbreak was horribly painful and developed super fast. Within the first couple of hours, I was peeing with blood and dying from pain.

So the second time I wasn’t thinking too long and called the doctor again. They made me come in, took a urine sample (yep, it was E. coli) and gave me a prescription for yet another antibiotic.

And of course, the nurse repeated the well-known “pee after sex” mantra as the best way to go about UTI prevention.

Third and Forth UTIs & Antibiotic Prevention

My “wake up call” was when my doctor said that the next step is to take a preventive dose of antibiotics every time after sex. Basically, just take a pill every other day in my case. That’s way too much even from a layman’s perspective!

I started researching the issue.

It is not easy to find answers online since there are too many opinions and all kinds of “kitchen pantry” solutions. By then I had already tried cranberry pills, blueberries, and echinacea.

Baking soda helped to relieve the pain for a while but never “cured” the infection. Fortunately, I found an article on PubMed, that had research on UTI prevention and probiotics.

…Before we proceed any further, make sure you understand the mechanics of why sex causes UTI. This post will explain to you why if you are having UTIs after sex, you need to take care of your vaginal flora first. For a graphic version and detailed explanation see this infographic.

My Solution: UTI Prevention With Probiotics

Probiotics work in your body to help grow beneficial bacteria and bacterial flora is increasingly recognized as an important defense to infection. These beneficial bacteria help to “restrain” E. coli, the cause of most UTIs on the planet. Now imagine, every time you take antibiotics, you kill E. coli but you also kill these beneficial bacteria in your body.

Right after your infection has been cured with antibiotics you actually become more vulnerable to re-infection with E. coli again! And given that the main source of E. coli is always there for you (your own asshole, pardon my French) it makes total sense that recurrent UTIs are so widespread.

Every time you take antibiotics, you kill E. coli but you also kill these beneficial bacteria in your gut and vagina.

What is more important, probiotics are safe to use with no side effects, safe for the elderly, pregnant women and kids and sold over the counter. This is the best UTI prevention you can implement today (these statements reflect my personal opinion and are not verified by FDA).

In my opinion, there is really no risk in suggesting probiotics to anybody. It should be a logical continuation for patients treated with antibiotics.

I believe, recommending UTI prevention with probiotics is so much more valuable than the classic “pee before and after sex” advice.

I spent about $30 on a monthly supply of potent probiotics.

Needless to say, yogurt and kefir should be also part of the plan, but probiotics in these products are low in concentration (and are also not the type that your vagina needs).

The brand I bought at Walgreens advertised targeted delivery of the probiotics to my “lady parts”, which sounded like exactly the place where I needed them.

Products for UTI Prevention With Probiotics

If you’d like to learn more about how to choose the right probiotics, check out this post about probiotic strains that are most useful for restoring vaginal flora.

Here are couple brands of the probiotics (I used RepHresh Pro-B which nowadays is much cheaper than it was when I first bought it), which have the right strains:

1) RepHresh Pro-B Probiotic Feminine Supplement

2) Douglas Laboratories iFlora Multi-Probiotic

3) Jarrow Formulas Fem-Dophilus

UTI Prevention With Probiotics? My Doctor Agrees

Three months after my experiment with the probiotics I wrote an email to my doctor telling him about my discovery. He thanked me for sharing and replied: “we are seeing more benefits from probiotics, so I could definitely see how it could work”. Duh?

I also posted comments on a couple of UTI related sites with the same information and finally, decided to start this blog.

Thanks to the Internet nowadays the results of medical trials and research are no longer just for the doctors. I suggest you take matters into your own hands and see if probiotics can help you to break the cycle of recurrent UTIs.

As always, a quick reminder: I’m not a physician and this is strictly my opinion. I highly encourage you to follow the links I provided above and form your own opinion. If you decide to start on probiotics for UTI prevention, make sure to check with your physician.

68 thoughts on “UTI Prevention With Probiotics Not Antibiotics: My Story”

  1. I suffer with UTI regularly my doctor prescribes me Macrobid, It helps but it comes back again, no one has told me what else to do to try and prevent this keep happening, I drink cranberry juice every day, I do not want to take antibiotics all the time, so what else can I do.

  2. Anastasia Visotsky

    Hi J.L, thanks for sharing! I’d say topical estrogen could be great for you, I’m sure your doctor recommended 🙂

  3. Hi,
    I am 47 and having recurrent UTIs. I believe and so do the doctors that it is due to perimenopause and the lack of estrogen to offer protection. I started taking the Refresh Pro B as well. One other suggestion I have is to use D-Mannose power ( purchased on Amazon). I take it twice a day preventatively and when I feel the first twinge of a bladder infection, I increase it to 1 teaspoon every three hours during the day for five days straight. :).
    Hope it helps someone else.

  4. I have suffered for many years with UTI infections I have ultra scans tests I saw a Urolgist for a year and been taking Hipprex tablets for a year !
    Unfortunately I still am getting the infections
    My doctor seems to think that these tablets are not working !
    There do not seem to be an answer why I continue to get UTI infections really gets me down.
    I am sure I am not the only one ? If only a golden cure !

  5. Hello is female probiotics oral ok to use with Premarin cream. I asked my urologist who was busy and said it’s fine. Just wondering if anyone does this? Thank yiu

  6. Hello,

    This website is a Godsend, thank you!

    Unfortunately vaginal probiotics wasnt the cure for me, ive been on it for two years with no luck. (Been having UTIs after sex for almost 7 years now). Now. I am trying your 8 step holistic approach instead. Fingers crossed!

  7. Thanks for this information. I have recurrent UTI. It really disturb my everyday living. I’m tired taking antibiotics, then infections came back after.

  8. I’m so happy I found this blog. I just got put on my third round of antibiotics for aUTI in 2 and a half months! I am 51 and have only had 1 or 2 UTIs (in my mid 20s)……so suddenly getting these recurring ones as soon as I’m off the antibiotics has been super frustrating. The doctors have not really been able to tell me why they keep coming back, I asked today if sex could be contributing but they didn’t really say much about that. I have an appt with a urologist now but I’m not convinced that’s the answer. After reading your info I feel this rings true with me…….so I went out and bought some rephresh pro b as well as some Cystex. I plan to stagger the doses with the antibiotics and continue use after my antibiotic dose is done………fingers crossed!

  9. Thanks for this wonderful site. I am a chronic sufferer since I was 19 and am many many years beyond that now. Used to take the antibiotics and be good for a year or two but now I’m suffering difficult to treat infections most likely due to all the sulpha and cipro I’ve take. Your information is invaluable. Thanks again

  10. Hi Apurva, sorry to hear :(( check out these two posts: probiotics for vaginal health and BV/Yeast infection post. If you are otherwise healthy, your doc should have no problems with you taking probiotics. Just tell him/her “FYI this is what I plan to take”. You can take them at the same time as antibiotics, just 2-4 hours later after you take an antibiotic pill and def continue afterward for at least couple more weeks. If you have frequent yeast infection/BV get this addressed with your doctor as well. Best wishes,

  11. Hi I a chronic UTI sufferer too and I get it literally everytime I have sex. Even if I maintain utmost levels of hygiene. I am 27 now and completely put off sex altogether! I now have a UTI which needs to be tested and treated. I would like to know what exactly should I tell my doctor and when to start probiotics. Is it something I should ask to be prescribed along with antibiotics?

  12. Sophie, I’d say a week of probiotics and good diet could be a good start. Nobody could probably say for sure. There are no readily available tests that I know of, unfortunately. There are plenty of other things you could do in the meantime depending on how severe your bladder infections were. Check out posts from Prevention category (this post specifically), this could be a good place to start. Best wishes,

  13. Hi, your story gives me some hope as it sound very similar to mine, a few months ago all of a sudden I got a UTI then a few weeks later another one and then a few weeks after another one. I’ve now had 4 in two months and the doctor has given me a preventative of one antibiotic every time I have sex. However, like you I am very against this idea, I have bought some strong probiotics and have been taking them for about a week but now I’m really put off having sex incase I get another uti! How long did you take the probiotics for before realising that you weren’t getting any other utis? I don’t know whether to carry on taking the preventative antibiotics at the same time or if that will make my pro bitoics less effective. Help I’m 23 and am too young to be avoiding sex with the fear of these dreaded infections!

  14. Hi Sam,
    There is no clinical recommendation for a probiotic dose. Most important is your overall diet to accommodate these guys once they are “in”.
    As to vaginal vs oral: yes, you can. Here is Dr. Ore’s post about that .
    Actually, some studies show that oral way might be more beneficial in long-term vaginal colonization. Who knows why 🙂

  15. HI,
    Do you know if applying Optibac for Women (same strains as Fem-Dophilus) directly into the vagina would be more beneficial than oral consumption (all the benefits going straight to the desired place)? I’m guessing the bacteria wouldn’t die off if you did this quickly.

    Also, I think I read that you use Fem-Dophilus – do you think that 5 billion CFU every day/every other day enough for maintenance?
    Thanks so much

  16. I have been suffering with low grade uti symptoms for the last year. I take d mannose several times a day which works but every time I try to cut back on it the pain upon urination comes back.
    I have had my urine cultured two or three times but it Co. Is back clear each time.
    I am going to buy a woman’s prebiotics tomorrow, thanks for the info.

  17. Jen, I also get the “low-grade UTI” thing that comes up negative when they test. Have you had any luck?

  18. Hi Jen, glad you find it useful.
    It depends on many factors of your life (diet, lifestyle, stress etc) and your guess as good as mine. I would take it couple times per year, and certainly after an antibiotic treatment. Best of luck,

  19. This is great info! Funny thing, I have taken the Rephresh probiotic in the past to deal with bacterial vaginosis, and it worked. Lately, I’ve been getting this recurrent, intermittent low-grade UTI thing lately (though test first time around was negative for UTI, but it sure feels like one every time!). This morning, on instinct, I decided to pop one of the Rephresh, hoping it would help with whatever is going on with the false UTI thing I keep getting. Just came across your site now, and I plan to explore. Thank you for all of this info!

  20. Depends! If a guy has frequent UTIs, it is normally a range of issues that triggers it. I would advise a thorough medical examination to get to the root of the problem, then, once you know the issue, you can develop a prevention plan.

  21. I just want to say THANK YOU for putting so much effort into this. Your blog is a godsend. It’s so crazy to read your story and see that it’s exactly like mine and so many others who follow this. I’m tired of my doctor assuming I don’t know how to wash my vagina or wipe. I thought I was just a helpless cause and started to accept the fact that I’ll be in discomfort or pain the rest of my life (unless I became asexual but who am I kidding lol!).
    Anyway, probiotics have always helped but I still have symptoms here and there so I’m testing other solutions that you recommended. It’s insane that Google (and finding your blog) has done more good for me than a single doctor I’ve seen for my UTIs…since we’re told to take antibiotics like they’re Skittles! So with that said, I greatly appreciate you organizing this and putting all of your research together. I pray for the day I can leave my house without my emergency pack of Azo!

  22. 🙂 Kendra, you are very welcome, I’m happy to share my experience if it could help others.
    Best wishes,

  23. I have been suffering with recurrent UTIs for NINE YEARS. I am constantly trying to research to learn how I can fix this. It is incredibly frustrating, I identified exactly with the degrading “pee after sex, etc etc” spiel EVERY time I had to go to a doctor for antibiotics. I too was put on a low dose antibiotic after sex and after a little while I knew “this CANNOT be healthy” and stopped. Anyway, a very concentrated dose of D-mannose (by Vibrant Health) seems to be the most helpful prevention for me yet. I ran out, and this evening took entirely too much of a different, powder form Dmannose, which caused bad diarrhea, which I didn’t know could happen!! So I googled it, and BING! I found your blog. I’ve read a few of your posts and have already learned much and been more encouraged. I am going to try the probiotics you list. I drink kefir and take A biofilm disruptor, but I didn’t realize kefir isn’t potent enough, let alone the right kind of probiotics! THANK YOU for this blog! I feel sometimes I am the only one with this problem and very hopeless. I have some renewed hope now and encouraged that I am not alone and maybe something can help!!

  24. Hello dear Renee,

    First of all, follow your doctor’s orders once you see them. Most likely, he/she would take a culture analysis and given that your symptoms are not getting better, check the bacteria on resistance to antibiotics.
    Judging by the fact that they told you that infection is ascending to the kidneys, they probably either already did culture and saw a very high number of bacteria, or they “tapped” your flanks and you felt numb pain. Which one of these is true? If they did culture, can you look at your lab results to see which bacteria was identified? If it is anything but E.coli, D-Mannose might not be useful (but in most cases it is E.coli).
    Check out this post about other supplements and if your doctor prescribes you another round of antibiotics, ask them about NAC (you can also print out info for them from the link in the post). This can help to fight the bacteria whichever drug they prescribe you. Also, ask them if you can take garlic .
    It’s great that you ordered probiotics, this is always a good idea when taking antibiotics.

    Don’t panic, just ask these questions when you see your doctor:
    -Which bacteria caused UTI?
    -What is the level of bacteria in urine now? What was it before treatment?
    In case if they decide to prescribe another round: Which antibiotics my bacteria is sensitive to? Since it looks like symptoms are not gone after Cipro, can you do a sensitivity test?

    It might very well be that you do not have an infection anymore, but the urinalysis will show for sure.

    Best of luck,

  25. Wow, what an amazing and informative blog and comment section! THANK YOU!!! I, too, am suffering from this horrid UTI cycle and wanted to see if maybe there’s something else I can take away from this with my individual experience, however I do feel that your information is fantastic!!

    So here’s the deal:

    I’m a 38 y/o woman. Went plant based/vegan (mix of both, but absolutely no animal products) 6 months ago, totally cold turkey from trash food (lots of takeout and fast food). So far, I’ve felt fan-freaking-tastic, wake up early and energized, and have lost 80 pounds (YAY!) I recently had oral surgery (3 weeks ago) that included a round of amoxicillin. The last time I had antibiotics before this was well over a year ago.

    Flash forward to the Thursday before last, so 8 days ago, I woke up in the middle of the night while out of town with tremendous pain and cramping, and the immediate need to use the restroom. This happened 3 or 4 times within about 30 mins, and after some googling I realized I probably had a UTI (I’ve only had one UTI prior, 12 years ago).

    Problem was, I was across the country on a short trip (4 days), and only had clindamyacn and Advil on me (I always travel with an antibiotic in case of emergencies). After a long night and call to my dr, they told me to try to get to an urgent care and also get some AZO to relieve the discomfort. I didnt go to urgent care because I didn’t feel comfortable in another state unless it was super bad, and the AZO and clindamcyn seemed to be holding it at bay. I am totally aware this isn’t a usual drug prescribed for a UTI, but I was also aware it kills bacteria, so I took It 3x a day for 3 days. Took AZO for 2 days as that was the max recommended, and used Advil as needed until I got home. My dr wasn’t available last week, so I went to the urgent care attached to my doctors office. I tested positive for leukocytes and nitrites (nitrates? Sorry I know It’s one of them!) and was told I was dehydrated and the UTI had began to ascend to my kidneys. As I usually drink a ton of water, I chalked the dehydrarion up to me flying across the country twice in 4 days, and being in pain and not really wanting to eat or drink much. They prescribed me Cipro (citing the complicated UTI), advised me to get some pure cranberry juice with no sugar, and drink lots of water.

    I felt HORRIBLE on cipro. Sleepy, upset stomach, and just gross. Drowned in water and unsweetened cold pressed cranberry juice that I made myself with whole cranberrries and my juicer, and diluted it with water. By the third day (my last day of meds), I wasnt feeling fully better, but definitely markedly improved.

    Symptoms seemed to subside from Saturday – Wednesday, and then slowly I’ve felt the urge to go creep back. I called urgent care today because it was the last place I went, and they want me to come back for a urinalysis, probably a different prescription, and a referral to a urologist. I couldnt go today because I took AZO again and they told me it can skew the urinalysis results. I bawled Am I dying? Is something serious wrong with me? And then I see your blog. THANK GOD FOR YOU!!!!!

    I ordered the Solaray D-Mannose tablets (I know, powder is better – please tell me this isn’t horrible or detrimental!) and the rePhresh Pro B that you recommended, and they’ll be here tomorrow.

    My question to you is, do I really have to go get more antibiotics? I’m super concerned with all the stuff I’ve already taken as of late that another round is just going to completely ruin my immune system. I’m hoping I can try to knock this out with the D-Mannose and RePHresh, and continue with a full round of probiotics for optimal health. I dont feel nearly as worse now as I did the first time this hit, but I’m also keenly aware UTI’s aren’t something to mess around with.

    Thank you again for everything you’ve posted here!!! Wishing you all the best and Happy Holidays!!

  26. Thanks for your quick reply.I have read your all posts and all are very helpful….
    Thanks a’lot ????

  27. Hello Priyanka,
    Sorry to hear you have been unwell for a while. If you have been experiencing UTI symptoms continuously for three weeks, the best bet would be to go see a doctor.
    1.Yes, you can take D-Mannose and probiotics together.
    2. In terms of probiotics, follow the advice of the manufacturer. Most likely it is 1-2 tablets per day depending on the dose per tablet. Good benchmark is to take at least 10 billion CFUs per day.
    If you are asking about D-Mannose, then preventive dose is up to 2 grams per day.
    3. Depends! With probiotics I would do at least 2-3 months and also adjust diet. Everyone’s situation is different, we don’t know how quickly your body will respond. In terms of D-Mannose, if you are taking a preventive dose, when to stop would depend on what causes your UTIs. Could be indefinitely, could be that in 2-3 months you could stop. If, for example, it is sex related, then once your vaginal flora is restored, most likely you could stop taking D-Mannose as well.
    Best of luck,

  28. Hi
    I have read all reviews and all are satisfied by D mannose and probiotics.I am suffering from UTI problem frm past 3 weeks,i am getting both medicine in tablets.I want to know …
    1. can I take D mannose and probiotics together
    2. How many tablets in a day
    3. If I will start now then how long I should continue both.
    Thanks & Regards

  29. Hi Louise,
    I’d advocate for that given how many infections you went through. Also, here is a new post about some supplements that might be helpful.
    Best of luck

  30. Hi,
    Thank you for your reply. I will take the advice on board and I will let you know how it goes. Thank God eggs are still on the alkaline list of food! Otherwise I’d be living on fresh air and Mung beans!
    Do you think I should be taking a general probiotic as well as the more targeted probiotic?
    Thank you, Lou

  31. Hi Lou,
    Thank you for your kind words 🙂 Sorry to hear about your struggle.
    Check out this information about urine pH as well. Catheter is a major culprit for UTI, let’s see if D-Mannose helps. You can also try adding a broad spectrum probiotic to reduce number of pathogenic e.coli overall.
    There are multiple herbs that could provide antibacterial properties such as Uva ursi, garlic, berberine, tumeric. Research for contraindications and consult with your urologist. Check out this protocol and see what your doctor thinks.
    Best of luck and do not give up.

  32. Hi Anastasia,
    I’m 48 and last August was diagnosed with an under active bladder. There’s no reason at all, I just retain about 500mls of urine after voiding a small amount naturally. I never got UTIs but now that I self catheterise, I get one every 26 to 40 days. It’s always treated with antibiotics. I tend to get an infection during my period. My doc wants me to try cerazette (pill) to stop my periods, which I’m 3 weeks into. I’ve 2 days of antibiotics left. Today I started dmannose tablets (I’ve ordered powder) and I’ll start on one of the probiotics you recommend (ordered that too). I’ve had 8 infections this year and it scares me to think that I’ll either become immune to antibiotics or the infection symptoms will become worse. I wanted to thank you for you info and your blog. I feel much happier that I’ve got HOPE now. Lou

  33. Hello K,
    I understand, but sometimes antibiotics are a necessary evil.
    If you have been experiencing UTI symptoms for couple days, I’d suggest to go to a doctor. There are couple remedies that are good option to supplement a UTI treatment: D-Mannose is one of them but by the time you read this I’m afraid it’s too late to experiment with natural remedies. You can still order and try D-Mannose to take it with your antibiotic treatment. If you end up treating UTI with antibiotics, check out this post about alternative approach to UTI treatment that explains importance of NAC for curing recurrent UTIs.
    As to FemDophilus, the probiotics are critical for prevention of recurrent UTI but I’m afaraid won’t do much for treatment. Same with Kombucha.

  34. Do you have any suggestion on current UTI symptoms? I am tired of taking antiobiotics and would love to cure this without them. I am chugging water like crazy and taking Fem Dophilus which I already take almost daily. I picked up Kombucha too because it was all I could think of! If I have to take another round of antibiotics I will but want to ward this off without. Symptoms are mild and only feeling pain after urinating.

  35. Hi – unfortunately, I grew up with persistent UTIs and then was plagued with chronic inistitial (sp?) cystitis – which is inflammation of the bladder wall) – it causes blood in the urine, which result in exact UTI symptoms ( sometimes far worse). D-mannose can cause bladder irritation, so it follows that she’d feel the same symptoms. When you reduced the dosage the irritation may have been lessened or eliminated. I would sometimes have so much blood in my urine and no infection, that the college infirmary thought I must have my period. 25 years ago when I was dealing with it, it took me several years and several urologists to figure out what it was – I was so lucky to stumble onto the doctor who was actually doing studies of it at the research hospital in MA. I’m actually relieved when it’s a UTI and not CIC. I “grew out of it” at about 30 – I’ve only had 1 or 2 instances CIC or UTIs in the last 20 years – and now they actually have a medication for it. FYI – the treatment options use to be steroids in the bladder or stretching of the bladder – both of which were temporarysolutions and neither sounded like something I wanted to do. With that knowledge, at the first tingle I would start drinking huge amounts of water and holding it as long as I could repeatedly – it would work!! Obviously make sure you don’t have an infection first!!! If the d-mannose does irritate her bladder or she develops any issues with the antibiotics or u want to avoid them, you may want to try oregano oil or colloidal silver they will knock out most anything bacterial, viral, or fungal without killing the good bacteria. Good luck!!!

  36. Hello!
    Unfortunately, probiotics wouldn’t help with an infection, they work to help you to improve your natural defense in the future.
    Try D-Mannose if you have any available and if symptoms do not disappear right away (within a day or two, but watch out for any flank pain or worsening of the symptoms), ask for Macrobid and do a cycle of probiotics while taking the antibiotic, and one more after would not hurt.

  37. What If you are currently having a UTI? I have mild symptoms now so I know one is coming on. I would hate to go get antibiotics again but I have the probiotics you listed

  38. Great! (re: no abnormalities). But really really strange.. I’ll send you a link once post is out and hopefully your cultures are clear!

  39. Thank you so much for your quick reply. I had my daughter back off of the d-mannose and she is feeling better. I will look into bladder health probiotics and will think about her diet. She has fortunately been cleared of all abnormalities. Her doctor and I feel that her initial UTI’s were caused by poor bathroom habits and delayed voiding (which is still an issue though getting better). I’ll look for your interview with the homeopathic doctor and let you know about her urine culture.

  40. Hi Jen,
    I’m so sorry to hear! Poor girl. Hope supplementing with D-Mannose will help to stay healthy!
    Here are my thoughts:
    1) If culture test comes negative (knock on wood) than D-Mannose worked for your case. See if you can lower the dose to get rid of the upset stomach issues. If you use it early enough I don’t see a reason why it wouldn’t work fast!
    2) No, it should not make any effect on her urine. How persistent is this symptom? Many factors can affect why urine appears cloudy. There are three main factors: increased protein, crystals and puss/blood due to infection. I would personally worry if this persist but your urine analysis should show what is the reason. It could be as harmless as diet change. So let’s hope it is.
    3) I don’t think D-Mannose would interfere with the test (but again, I’m not a physician). They will try to grow whatever bacteria are present in urine and the fact that mannose is also there would not affect the bacteria viability IMHO 🙂
    4) Quite frankly, I don’t think you guys should really worry about vaginal probiotic since she is 12. Vaginal health plays important role when UTIs are triggered by sex. I would suggest to focus on bladder health probiotics instead. These are chewable for kids and have some good strains. There are plenty of chewable options on the market.
    5) Definitely see if diet could help to keep pH of urine lower.
    Most importantly, have you checked for any abnormalities in her bladder/urethra or any stones? I’m sure you did but thought I would ask. With kids it could be an issue with urine flow and anatomy issues. If this is the case, then focusing on supporting low pH and eating plenty of fiber to maintain growth of good bacteria could be helpful.
    Also, have you tried homeopathy? I’ll be soon posting an interview with a local homeopathic doctor that I found very intriguing.
    Best of luck and best wishes to your daughter!
    Let me know what your urine culture shows. Fingers crossed!

  41. My almost 12 year old daughter has been getting UTI’s since she was five. This school year has been especially rough. She had back to back to back to back UTI’s from January-mid APril and missed a lot of school. She has become very good at knowing her symptoms, and they always culture her urine, including after she has finished antibiotics. Of course, I am very concerned about the amount of antibiotics she has had over the past six years and especially this past year so I started seeking alternatives. I read about d-mannose a couple months ago and she has been taking it twice daily for about a month with the intent of reducing it to once/day. Her doctor was not familiar with d-mannose but was supportive of trying it. She was swimming at a water park for two days this past weekend and I was concerned about the increased potential for a UTI due to being in a wet bathing suit for long periods of time. I upped her d-mannose to three times/day and have been hoping for the best. On Tuesday night she mentioned she had felt some mild UTI symptoms while at school. Wednesday morning she was feeling uncomfortable. I brought a urine sample to the doctor and started her on d-mannose every 2-3 hours. By mid afternoon she said she wasn’t having any UTI symptoms but her stomach was upset. Today she also has no UTI symptoms but an upset stomach. Her doctor just called and said the urinalysis came back clean but her urine was milky (maybe from the d-mannose?) so they were still going to culture it and run another test. So…finally to my questions. Do you think it is possible for d-mannose to work that quickly(less than 12 hours)? Can it cause milky urine? Can it interfere with a urinalysis? I’m thinking she may have misread her symptoms and in fact does not have a UTI. Also, my daughter does take a probiotic but not specific to vaginal health. My daughter does not take pills or capsules well. I was hoping to be able to open the capsule and mix with something but I am guessing they are time release and would not be as effective. Any thoughts on this?

    I have spent countless hours online looking for helpful information and this is the first time I came across you sight. Thank you! I will be obsessed with it for the next few days.

  42. Hi ann,
    Just thankful for people like you taking precious time to help others.God Bless

  43. Hi Ken, thank you for sharing your experience. I’ll update my post about D-Mannose side-effects with this information. I think it is helpful for the women who are trying to conceive to consider the possible effects of D-Mannose binding with sperm.
    In terms of probiotics, there is more and more research out there about the importance of healthy bladder microbiome in UTI prevention and studies suggesting that lactobacilli play a role in preventing infection. I would imagine healthy vaginal flora would benefit your reproductive goals as well!

  44. Hi I’m ttc and i have big issues with uti’s sexual related only. Before i was using D.Mannose it work great. But now i want to conceive and heard d mannose bind the sperms. Now I’m planning to use probiotics Fem Dophilus to prevent uti. Does it will be helpfull? Or is there will be any effect during the period of conceving?

  45. Hi J!
    Thanks for stopping by. Good question. There are multiple factors that affect vaginal flora, therefore there is no “one size fits all” answer!
    Here are the factors:
    1) Microbiological characteristics of every vagina is different to begin with 🙂
    2) By adding certain probiotic strains as a supplement one tries to introduce helpful bacteria into their microbiome. Nobody really knows what is the “perfect balance” of bacteria.
    3) Some probiotic strains are more researched than others in their effect on vaginal flora, but still it is more art then science.
    4) Probiotic’s potency varies! Methods of administering probiotics will also influence how quickly you’ll deliver the beneficial bacteria where they most needed.
    5) Your lifestyle continuously affects your microbiome resulting in varying levels of beneficial and pathogenic bacteria with time.
    With all this being said, here is an article that describes an experiment of promoting growth of certain type of beneficial probiotic strains in a group of women who suffered from bacterial vaginosis. According to the study, they were able to see positive results within a week. I’d say target for a 30 day cycle and repeat in times of stress, after eating/drinking too much sugar and starch (Thanksgiving anybody?) and if taking antibiotics. Not a medical advice!
    Best of luck,

  46. Hi Aylin,

    Thanks for dropping by!
    Familiar story, but still it is heartbreaking to hear that another doc failed to suggest probiotics to avoid this vicious cycle.
    Yes, please get probiotics (make sure to get the right ones – see my posts about the types). Don’t be desperate. You have all you need to safely help yourself to never experience a UTI again.
    Make sure to finish your antibiotics first and completely and then, 12 hrs later get started on probiotics. Proiotics won’t help with fighting an existing infection, since it is already in the bladder, but will create a healthier vaginal flora going forward. Allow yourself couple weeks before claiming the victory and take D-Mannose for prevention while restoring your good bacteria. There are other preventive techniques that you can utilize in the first couple weeks to ward off e.coli while restoring your vaginal flora.
    You will be back to normal in no time 🙂

    Best wishes!

  47. thank you!! Sigh! Going through my third one in less than a month right now. I’m desperate. Will take probiotics and see if it at least helps with the symptoms. Already tried two different antibiotics. Makes sense that I would be more prone to it after taking the antibiotics!

  48. Hi David,
    I haven’t looked into this topic, but I’ll see what I can find in the research literature in the next couple weeks.
    I would imagine a male would need a different strain than a female (here is my most recent post on the difference of the probiotic strains)
    D-mannose will work in a similar fashion, so perhaps start with that?

    Thank you, I’m g;ad you find it helpful 🙂

  49. Emily,
    Thank you for sharing! Probiotics are a part of a standard treatment in many countries in Western and Eastern Europe, but still have not been popularized among clinicians in USA.
    I’m so glad it’s working for you! Don’t settle on your result, you can rid yourself of UTI completely. Best wishes for upcoming new year!

  50. Probiotics are the greatest solution I have come across. After having near constant infections for a good while, I now get less than a handful a year. Increasing my water intake also helped enormously.

    So glad this information is so easily searchable online – never once heard it from a doctor!

  51. Hi Ann, thank you for the kind message, it made my day! I’m glad you found the information helpful.

  52. Hey, I got reccurent UTI and the frustration that comes with it, but your blog is way helpful than what the doctors have recommended to me for the past 2years! Yupp,thankyou so much.

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