Dealing with recurrent UTIs can be incredibly challenging, and it's great that you're already following many of the standard preventive measures. Beyond those, there are a few other strategies that might be worth considering. Some individuals find that taking cranberry pills or D-mannose supplements can help reduce the frequency of UTIs. D-mannose, in particular, has some scientific backing suggesting it may help prevent bacteria from adhering to the bladder walls.
Probiotics might also be helpful, as they can support a healthy balance of bacteria in your gut and urinary tract, potentially reducing the risk of infections. Specifically, look for strains like Lactobacillus that are known to benefit urinary health.
Dietary modifications, like reducing sugar intake, can also play a role since high sugar levels can sometimes contribute to bacterial growth. Additionally, ensuring you empty your bladder completely and regularly, especially after sexual activity, is another preventive measure.
If infections continue despite these efforts, it might be worth discussing with your healthcare provider the possibility of more specialized tests to determine any underlying causes or structural factors that might be contributing to the recurrence.
Has your doctor considered any additional testing, like a urine culture during an infection, to tailor the antibiotic treatment more closely? Sometimes identifying the specific bacteria involved can help in choosing the most effective antibiotic.