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Recurrent UTI guide

Recurrent UTI prevention online in Virginia and West Virginia

This guide is for women with a documented pattern of recurrent uncomplicated UTIs seeking prevention — not for a current kidney infection, an active infection, a first UTI, pregnancy, or complicated urinary problems.

Start online

Start a $59 online review for Recurrent UTI prevention.

Some women get frequent urinary tract infections (three or more in a year, or two in six months). When infections have been clinician-confirmed and there are no complicated features, a prevention plan is often a good online service — options include behavioral measures, a standby prescription to start at the first symptoms, low-dose continuous or post-coital prophylaxis, and (after menopause) vaginal estrogen. A current kidney infection, an active infection, a first UTI, pregnancy, or complicated urinary problems need other care.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • Repeated UTIs (3+ in a year or 2 in 6 months)
  • Infections often after intercourse
  • Bothersome frequency and burning with each episode
  • Wanting to reduce how often UTIs happen

May fit online care

  • Adults 18 and older
  • A documented pattern of recurrent uncomplicated UTIs
  • No symptoms of an active infection right now
  • No fever, flank pain, or blood in the urine
  • Not pregnant; no complicated urinary history

Look for another care setting

  • Fever, flank pain, or vomiting (possible kidney infection)
  • An active infection right now (use the acute UTI pathway)
  • A first or single UTI
  • Pregnancy, or a history of stones/structural problems/catheters

What to have ready

  • How many UTIs you've had and over what time
  • Whether past UTIs were confirmed by a test
  • Whether you have symptoms right now
  • Whether you could be pregnant; current medications and allergies

What happens next

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

How can recurrent UTIs be prevented?

Options include hydration and post-sex voiding, a standby prescription to start at the first symptoms, a low-dose daily or after-sex antibiotic, and — for postmenopausal women — vaginal estrogen, which substantially lowers recurrences. Your clinician tailors the plan.

Is this for a UTI I have right now?

No. If you have burning or frequency right now, use the acute UTI pathway for treatment. This prevention plan is for reducing future infections once you're not actively infected.

When do recurrent UTIs need in-person care?

Fever, flank pain, or vomiting (possible kidney infection), blood in the urine, pregnancy, or a history of stones, structural problems, or catheters need in-person evaluation.