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Recurrent UTIs don't happen because you're unlucky. They happen because your vaginal microbiome collapsed. Vaginal atrophy (from low estrogen) kills the lactobacilli that maintain vaginal acidity. Without those bacteria, uropathogenic E. coli move in, and when the pH rises, they have a clear path to your bladder. Antibiotics treat the infection. Vaginal estrogen fixes the root cause. This woman's mother, 87, stage 3 kidney disease, caught in the antibiotic trap: every UTI treatment damaged her r
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Causes of On-and-Off Pelvic Pain Intermittent pelvic pain can come from several systems: Gynecologic causes * Ovulation pain (mittelschmerz) * Menstrual cramps * Ovarian cyst * Endometriosis / endometrioma * Adenomyosis * Myoma (uterine fibroids) * Pelvic inflammatory disease (PID) * Endometrial or cervical polyps * Adhesions, especially after pelvic surgery or infection Pregnancy-related * Early pregnancy-related discomfort * Ectopic pregnancy — important to rule out when pregnancy is possible
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