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Ladies..which doctor do you call?


UncleEJ
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If you have a urinary tract infection? OB/GYN or general practitioner?

 

I always call my OB/GYN because I figure it is sort of a female problem, plus it's in the pelvic area. My Dr has always been good about treating me and has never said anything. Well, my step-mom uses the same OB/GYN and she was telling me that they have gotten on to her about calling them. The Dr told her that she need to call her general practitioner instead.

 

Who would you call and why?

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Family practice.  But that's an easy choice, because we only get one doctor.  I don't *have* an OB/Gyn, nor would I unless I were pregnant (and not using a midwife) or needed the speciality for some other complaint.  If it happened during pregnancy, I'd probably go through the pregnancy care provider.

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If you have a urinary tract infection? OB/GYN or general practitioner?

 

I always call my OB/GYN because I figure it is sort of a female problem, plus it's in the pelvic area. My Dr has always been good about treating me and has never said anything. Well, my step-mom uses the same OB/GYN and she was telling me that they have gotten on to her about calling them. The Dr told her that she need to call her general practitioner instead.

 

Who would you call and why?

 

Could be due to different insurance rules.

 

For example, if I go to  my primary, I don't need a referral and the copay is $25. If I go to a specialist, the copay is $40 and I need a referral from my primary.

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My family practitioner is a DO (doctor of osteopathic medicine) and she's been everything for me - general practitioner, OB/GYN, my daughter's ped. So, I call her. If it wasn't for this circumstance, I would just call my general practitioner. All you do is pee in a cup to determine an infection. No exam, so that's easily done in the regular office. 

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In pharmacy, we see it both ways. For a random UTI, patients most commonly use their PCP or Urgent Care.  OB/GYN are used more often if it is a chronic or reoccurring Issue.  It typically depends on the patients comfort level and how quickly they can get into the doctor though.  

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I'd call my family doc, because I don't have an OBGYN, and a UTI wouldn't be worth calling my midwife for (and she's a lot farther away than my family doc). For a recurring problem, I'd ask for a referral to a specialist of some sort. But I get my well woman checkups done with my family doc anyway because she is covered by insurance, and my MW is not; I don't mind paying out of pocket for pregnancy and birth care, but I don't really see the need to do so for a basic Pap smear. Fwiw, I also see my family doc when my asthma flares, because it hasn't gotten to the point where it's beyond her scope, although eventually I'd like to dig a little more into it with the help of a specialist.

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I've never seen an ob/gyn in my life.  Well, except dh's uncle at family dinners :)  It's hard to remember than he's an ob/gyn while he's telling long & funny gardening stories. (I once caught him surreptitiously taking rose bush cuttings while we were at an outdoor wedding LOL)

Seriously, we have them but they're only for serious mongo complications. Babies are delivered by family doc's or midwives unless you're very high risk.

You have to have serious issues before you get referred to a gynecologist.

 

 

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Whichever one can see me quickest so I can start the meds and stop the pain!  Usually means a run to Urgent Care (which is same co-pay as primary doc.) Which is what I had to do last New Years Eve eve, :-(   as primary booked until the next day, and I did not want to wait! 

 

No Ob/Gyn as four years now since menopause.  Do have a Urologist, but co-pay too high to use for mere UTI.

 

 

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Whichever one can see me quickest so I can start the meds and stop the pain!.

This the main reason I call my GYN, they just have me pop in the lab whenever I can. The problem is that they like to grow a culture to be sure they are giving me the correct antibiotics and that takes 1-2 days. I woke up in the middle of the night Tuesday/Wednesday in a crazy amount of pain. Went into the lab and gave a sample Wednesday at noon and didn't get my prescription until this morning. And now I think the infection has moved up into my kidneys. Ugh. Hopefully the antibiotics kick in soon.

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I would now go to my urologist who I was referred to after numerous so-called UTIs.  They were actually chronic cystitis and caused by autoimmune process, not bacteria.  So now I would go to the urologist if I thought it was really a bacterial problem and not my usual autoimmune issue.  (just in case anyone wants to know, the chronic cystitis is treated with Urogesic Blue and also my other medications I take to reduce my immune response.)

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I would now go to my urologist who I was referred to after numerous so-called UTIs. They were actually chronic cystitis and caused by autoimmune process, not bacteria. So now I would go to the urologist if I thought it was really a bacterial problem and not my usual autoimmune issue. (just in case anyone wants to know, the chronic cystitis is treated with Urogesic Blue and also my other medications I take to reduce my immune response.)

That sounds unpleasant. I think a friend of mine's mom has that, or something similar. Seems like I remember her telling me can't eat acidic foods or something. Maybe it's totally different.

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Medical lab technician here - especially with three infections in three months, it really is a GOOD idea for them to culture the urine sample.  Not only will the microbiology department at the lab be growing out the yucky germs that are causing the UTI, they will also be testing those yucky germs to see what antibiotics they are susceptible to.  It does help the doctor know what antibiotic to use so that hopefully the infection gets knocked out.   A genuine pain to wait, but worth the wait.   

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