TMI Talk with Dr. Mary
Welcome to TMI Talk with Dr. Mary, where we dive into non-traditional forms of health that were once labeled “taboo” or dismissed as “woo.”
Dr. Mary is an orthopedic and pelvic floor physical therapist and an Orthopedic Certified Specialist (OCS) who helps health, movement, and rehab professionals integrate whole-body healing by blending the nervous system into traditional biomechanics to maximize patient outcomes.
She uses a non-traditional approach that has helped transform countless lives — addressing the deeper roots of health that often get overlooked in conventional Western training.
Because the truth is: we can’t teach what we haven’t lived or learned ourselves.
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"TMI Talk with Dr. Mary" was previously known as "Sex and Wellness with Dr. Mary"
You can learn more about Dr. Mary at drmarygrimberg.com
TMI Talk with Dr. Mary
Episode 9 - Why do I keep getting UTIs
For this episode, we have Marianna Pucillo, a nurse practitioner who specializes in urology in Northern California. Today, we will be talking about UTI.
UTIs are a huge issue in urology and pelvic floor therapy. We received a letter from Maya of Houston, Texas. She is 45 years old and she keeps getting diagnosed with UTI. Whenever she gets such diagnosis, she is constantly put on antibiotics but the symptoms later return. She is now asking for help regarding her dilemma.
So, in this episode, we will be sharing with you what the Urinary Tract System is, what Urinary Tract Infection is, Urinary Tract Infection in older people, and what you can do to prevent this issue!
Let’s talk about:
00:35 - Introduction to today’s guest
00:54 – Introduction to the topic
2: 00 – The difficulty of knowing the reason for re-occurring UTI in perimenopausal women
2:30 – The Urinary Tract System
3:05 – Why more women experience UTI compared to men
3:25 – What distinguishes a Urinary Tract Infection
4:25 – The over-the-counter strips versus urine culture testing to distinguish UTI
6:25 – Importance of getting clear with your symptoms to avoid getting misdiagnosed
8:07 – The difference between upper and lower urinary tract infection
10:14 – The symptoms of UTI in the older population
11:41 – Our thoughts on treating patients with antibiotics
13:00 – Differentiating back pains referred to the kidneys and regular back pains
14:08 – When to advocate for yourself to look for other treatments and specialist
14:40 – The typical treatment plan for patients with recurring UTI
16:01 – The anatomy of the urethra and vaginal opening for the older population and understanding the connection between UTI and perimenopausal
18:34 – The correct usage and dosage for vaginal estrogen to work
22:00 – The most typical times people experience decrease in estrogen
23:59 – Symptoms of menopause
25:37 – Understanding the pH level of your vagina
27:06 – Preventative measures to avoid getting recurring UTI
33:06 – Ruling out other conditions like interstitial cystitis
36:38 – Conclusion
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