Q:

A 57 year old woman presents with dysuria, frequency and urinary incontinence. She complains of dyspareunia. Urine culture has been done and is sterile. What is the most appropriate step?

waelhammad
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2022-11-03
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A 57 year old woman presents with dysuria, frequency and urinary incontinence.

She complains of dyspareunia. Urine culture has been done and is sterile. What is

the most appropriate step?

  1. Oral antibiotics
  2. Topical antibiotics
  3. Topical estrogen
  4. Oral estrogen
  5. Oral antibiotics and topical estrogen
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waelhammad
2022-11-03
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The key is C. Topical estrogen. [There may be UTI like symptoms and dyspareunia in atrophic

vaginitis for which topical oestrogen can be used].

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