Chronic urinary tract infections are often misunderstood and under-treated. Here’s what you need to know about this silent struggle.

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Chronic urinary tract infections (UTIs) are a significant health issue impacting many women, yet they often lack the attention they deserve. Labour MP Allison Gardner recently highlighted her struggles with chronic UTIs during a heartfelt speech, emphasizing the urgent need for enhanced understanding and treatment options.
Allison’s Journey: A Fight Against Pain
For over a decade, Allison battled chronic UTIs, which she described as an excruciating experience. Diagnosed in 2023 after years of suffering, she recounted painful moments, including lying on her sofa with frozen peas on her abdomen in a desperate attempt to cope.
Unfortunately, many women endure similar experiences in silence.
Allison’s story is not an isolated case. The Chronic Urinary Tract Infection Campaign estimates that approximately 1.7 million women in the UK face similar challenges. This raises critical questions about why these conditions are so often misunderstood.
The Medical Oversight: Testing and Treatment Failures
A significant concern in Allison’s experience is the tendency to dismiss women’s health issues. Dr. Catriona Anderson, a specialist in this field, criticizes the NHS’s standard treatment approach—a mere three-day course of antibiotics—as inadequate for many women suffering from chronic UTIs.
Dr. Anderson notes that standard diagnostic tests identify only about 60% of infections. This reality leaves many women living with a condition that is frequently misdiagnosed or overlooked. Allison expressed frustration at feeling as though she was contributing to the development of antibiotic-resistant bacteria due to insufficient treatment.
There is a pressing need for longer treatment courses and improved diagnostic tests. Given that over half of women experience UTIs at some point, the healthcare system must prioritize addressing the root causes rather than merely alleviating symptoms.
Hope on the Horizon: New Treatments and Awareness
Recently, a new antibiotic called gepotidacin (also known as Blujepa) received approval for treating uncomplicated UTIs. This marks the first introduction of a new class of oral antibiotics for UTIs in nearly 30 years, raising hopes for improved treatment options.
However, there is a caveat: doctors cannot prescribe gepotidacin until it is evaluated for cost-effectiveness by NICE. This situation prompts important discussions about the balance between clinical effectiveness and the financial aspects of healthcare. Are patient quality of life considerations being overlooked in favor of economic factors?
As we reflect on stories like Allison’s, it is crucial to advocate for better testing, longer treatment courses, and increased awareness about chronic UTIs. Engaging in conversations about these issues can help drive necessary changes in women’s health. The more we discuss, the more we can push for progress and break the silence surrounding these important health matters.




