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UTI: Should I wait for culture results or just start antibiotics?

Started by Nicole Lee4 · · 👁 5 views · 3 replies

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Participants Nicole Lee4Jerry Booth10
Nicole Lee4 Nicole Lee4 MemberOP
21 messages
joined Oct 2007
#1 ·
Ladies, I have a quick question for you all.
I need to get a urine culture done because I've been dealing with some bladder issues lately.
In the meantime, I saw my OB-GYN, and she prescribed Medazol vaginal suppositories to help out.
Should I finish the course of medication first before providing the sample for the lab, or should I go ahead and get the urine test done before I even start the treatment?
Thanks!
Jerry Booth10 Jerry Booth10 Member
36 messages
joined May 2008
#2 ·
Nicole Lee4 said:Ladies, I have a quick question for you all.
I need to get a urine culture done because I've been having some bladder issues.
In the meantime, I saw my OB-GYN, who prescribed Medazol vaginal suppositories.
Should I finish the medication first before providing the sample, or should I go ahead with the lab test before starting the treatment?
Thanks.

Get the urine culture done first, then start the suppositories. If you use the medication beforehand, there's a real risk of vaginal discharge contaminating the sample, which would completely invalidate the results. Honestly, I'm not sure who sent you for this test or why, but once the lab results come back, they will list exactly which antibiotics are effective against the specific pathogen they've isolated. You shouldn't touch any antibiotics until you have those definitive answers in hand. Before you provide the sample, make sure you clean yourself thoroughly. When you're actually urinating into the cup, you have to be incredibly precise—you cannot let the container touch your vagina or anything else; you have to aim carefully into the opening. It’s much like a surgical procedure. Even when handling the lid, be mindful: when you unscrew it, hold it so the underside—the part that faces the inside of the cup—is facing upward. If you set that cap down on a surface, you risk picking up bacteria from the counter or your hands, which leads to a false positive. Ideally, in a clinical setting, the area would be disinfected using something like Octenisept wipes, cleaning from the urethra toward the anus using seven separate wipes, with one wipe per stroke. But since nobody is handing you medical-grade disinfectant and sterile wipes at home, just focus on washing thoroughly and being extremely careful not to touch the rim or the inside of the container, and watch that cap.
Nicole Lee4 Nicole Lee4 MemberOP
21 messages
joined Oct 2007
#3 ·
Sandra Martin72 said:Basically, when you're doing a urine culture, you’re supposed to disinfect the vaginal area using something like Octenisept—wiping from the urethra toward the anus with seven separate cotton swabs, where each swab counts as one single wipe. That is how it *should* be done, but let's be real: nobody is handing you medical-grade disinfectant and sterile swabs and telling you to sanitize yourself first. So, just make sure you wash up thoroughly, don't touch the rim or the inside of the collection cup while you're peeing, and watch out for the cap.

Thanks. My understanding of how to collect a sample basically stopped at knowing I need to wash up and catch that "midstream" flow from my first morning pee.
I had absolutely no clue about the rest of it.
Jerry Booth10 Jerry Booth10 Member
36 messages
joined May 2008
#4 ·
Nicole Lee4 said:thanks. my understanding regarding urine collection was limited to knowing I had to wash up first, and that I needed to catch that very first morning sample using the midstream method.
I was completely in the dark about the rest.

That’s exactly how it’s medically prescribed, and that’s how I was taught. Actually, I realized I neglected to mention the whole "midstream" aspect to you—basically, you start peeing, stop for a second, position the container, and then finish. I won't promise you won't get a little bit on your hands while trying to aim, but honestly, just wash your hands afterward. At the end of the day, it's your own biology, not some stranger's; the only thing that matters is getting an accurate lab result rather than a false positive. It’s frankly exhausting how many people don't even bother with basic hygiene when they go to their doctor here in the States, let alone for something like this. I've seen far too much to be surprised anymore.

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