● Women's health · Urinary tract infections
UTI Treatment
Half of all women will have a UTI in their lifetime
A urinary tract infection (UTI) can be uncomfortable and disruptive, but the symptoms are often recognisable and UTI treatment is usually straightforward. Learn what to look for below, then complete a short online assessment so an Envigore prescriber can decide whether treatment is right for you.
Medically reviewed by UTI prescriber Danny Gian Hou Chu, HCPC-Registered Physician Associate (PA38670).
women will experience a UTI in their lifetime1,2
● Know the signs
What is a urinary tract infection?
A urinary tract infection is an infection affecting part of the urinary system, which includes the kidneys, bladder and urethra. The urinary tract removes urine from the body and includes the kidneys, ureters, bladder and urethra.
Most UTIs are caused by bacteria entering the urinary tract. A bladder infection, known as cystitis, is one of the most common types of UTI and affects the lower urinary tract.
UTIs are more common in women, partly because women have a shorter urethra, which can make it easier for bacteria to reach the bladder. However, anyone can develop a urinary tract infection, including men.
Common symptoms of a UTI
You may have a UTI if you notice one or more of the following symptoms, some of which can come on quickly. If any of these sound familiar, it may be worth discussing with one of our prescribers.
A burning sensation when you pee
A painful stinging or burning sensation (dysuria) as you pass urine.
Needing to pee more often
A strong or frequent feeling that you need to urinate, even shortly after going.
Frequent, small amounts
Passing urine more often than usual, but only a small amount each time.
Cloudy or strong-smelling urine
Passing urine more often than usual, but only a small amount each time.
Lower tummy or back pain
Discomfort or pressure in your lower abdomen or lower back.
Blood in your urine
Some people may notice blood in their urine. Blood in the urine should be medically assessed, particularly if it is significant or persistent.
When to seek urgent care
Contact a healthcare professional or NHS 111 straight away (and do not wait for an online assessment) if you develop:
A high temperature, fever, shivering or chills
Pain in your sides or back, under your ribs
Feelings of confusion or feeling very unwell, or having UTI symptoms during pregnancy
Nausea or vomiting
Blood in your urine, particularly if it is significant or persistent
Symptoms that are rapidly getting worse
These symptoms can occur with a kidney infection, which may require different treatment and can lead to serious complications if left untreated.
If you are pregnant and think you may have a UTI, seek medical advice rather than relying on self-treatment, as UTIs during pregnancy need appropriate clinical assessment.
● For information
UTI Medication & treatment
Lower UTIs are typically treated with a short course of antibiotics, although they are not appropriate in every situation. The treatment for UTIs depends on factors such as your symptoms, medical history, allergies, previous infections and whether you may be pregnant.
| Antibiotic | Typical use | Important considerations |
|---|---|---|
| Nitrofurantoin | Generally considered a first-line option for uncomplicated cystitis in non-pregnant women, when clinically appropriate.. | Not suitable for people with severely reduced kidney function. Usually avoided in the last trimester of pregnancy. |
| Trimethoprim | Often used as an alternative first-line option — for example, where nitrofurantoin is unsuitable, where there is an allergy, or where it has been used recently. | Should be avoided by anyone who may be pregnant or is in the first 12 weeks of pregnancy, as it can affect folic acid and interfere with the baby’s development. |
Your prescriber will consider the most appropriate treatment for a UTI based on your individual circumstances. Use antibiotics only when appropriate, as unnecessary use can contribute to antibiotic resistance.
If you are prescribed antibiotics, take them exactly as directed by your prescriber. If your symptoms get worse or do not improve as expected, seek further medical advice.
● The bigger picture
UTIs by the numbers
Urinary tract infections are one of the most common reasons women seek care. Understanding how common — and how recurrent — they can be helps explain why timely assessment matters.
1,2 Women are markedly more likely than men to develop a UTI, largely due to anatomical differences.
- ~80% caused by E. coli bacteria
- ~20% other bacteria
4 The large majority of uncomplicated UTIs are caused by E. coli, which normally lives harmlessly in the bowel.
1,2 Women are markedly more likely than men to develop a UTI, largely due to anatomical differences.
- ~80% caused by E. coli bacteria
- ~20% other bacteria
4 The large majority of uncomplicated UTIs are caused by E. coli, which normally lives harmlessly in the bowel.
● Self-care
Looking after yourself when you have UTI symptoms
If you suspect a UTI, the following may help ease symptoms while you arrange assessment. These steps can support, but do not replace, appropriate clinical care.
Helpful steps
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Drink plenty of water. Staying hydrated helps flush bacteria through your system.
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Avoid potential bladder irritants. Steering clear of alcohol, coffee and other caffeine may reduce discomfort until the infection clears.
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D-mannose. Some people use supplements such as D-mannose to help with recurrent infections, but it should not be relied upon to treat an active infection.
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A heating pad or warm compress over your lower tummy may help relieve discomfort.
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Avoid scented soaps, perfumed products and other potential irritants around the genital area.
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Loose-fitting clothing and breathable underwear, including cotton underwear, may help you stay comfortable.
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Consider suitable over-the-counter pain relief if it is appropriate for you.
● Recurrent infections
When UTIs keep coming back
Recurrent UTIs are usually defined as two or more infections in six months, or three or more in a year. If this sounds like you, it is worth a proper conversation — there are prevention strategies, and where clinically appropriate, a prescriber can discuss longer-term approaches with you.
You can help prevent UTIs by:
- Drinking enough fluid to stay hydrated
- Avoiding regularly holding your urine for long periods
- Wiping from front to back after using the toilet
- Avoiding scented soap and perfumed products around the genital area
- Wearing comfortable, breathable underwear and loose-fitting clothing
- Emptying your bladder after sex
- Discuss with your GP whether your birth control method is contributing to recurrent infections
Not all UTIs can be prevented, and getting a UTI does not necessarily mean you have done anything wrong
Where Envigore can help
If recurrent UTIs are affecting your quality of life, our prescribers can review your history through an online assessment and discuss whether a prevention plan is appropriate for you. The right approach is always tailored to the individual.
● How it works
From symptoms to support, online
A simple, clinician-led route. There is no obligation, and treatment is only ever supplied if a prescriber decides it is clinically appropriate for you.
1. Complete your assessment
Answer a short, confidential set of clinical questions about your symptoms and health history.
2. A prescriber reviews
One of our UK-regulated prescribers reviews your answers — a person, not an automated system.
3. Treatment if appropriate
If suitable, treatment is arranged and dispensed discreetly. If it isn't, we'll explain why and advise on what to do next.
Ready to get checked?
Take the first step with a short online assessment.
Quick, confidential, and reviewed by a real prescriber.
● Your questions
Your UTI questions, answered
The things people most often search for and ask about urinary tract infections.
Common signs include a burning feeling when you pee, needing to go more often, passing only small amounts, cloudy or strong-smelling urine, and discomfort in the lower tummy or back. Symptoms often appear quickly. A clinical assessment helps confirm whether it is likely to be a UTI and what to do about it.
A UTI may be diagnosed based on your symptoms, medical history and clinical assessment. Depending on your symptoms and circumstances, a healthcare professional may recommend a urine sample or other tests.
A urine test may be useful when symptoms are unusual, keep coming back or do not improve with treatment. The results can help determine whether an infection is present and, where appropriate, guide treatment.
Some very mild UTIs may settle with self-care such as drinking plenty of fluids, but many need antibiotics to clear properly. Left untreated, an infection can sometimes spread to the kidneys, which is more serious. If symptoms persist beyond a day or two, or worsen, it is best to seek assessment rather than wait it out.
Many people notice an improvement within one to two days of starting an appropriate antibiotic. It is important to complete the full course as directed, even once you feel better. If your symptoms have not improved after a couple of days, contact a clinician.
“UTI” is the broad term for an infection anywhere in the urinary tract. Cystitis specifically means inflammation of the bladder, which is the most common type of lower UTI. In everyday use, the two terms often overlap.
Recurrent UTIs are common and can be linked to factors such as sexual activity, hormonal changes around the menopause, and individual anatomy. Around a quarter of women who have had one UTI experience another within six months. If infections keep returning, a prescriber can review your history and discuss prevention strategies tailored to you.
Some people find supplements such as D-mannose helpful for reducing recurrent infections, though the evidence is mixed. Importantly, these should not be used to treat an active infection in place of appropriate clinical care. Always raise supplement use with your clinician, particularly if you take other medication.
Cranberry products may help reduce the risk of repeat UTIs, particularly in women who experience recurrent infections. Some recent research has found fewer UTIs in women taking cranberry extract and suggests cranberry may make it harder for bacteria to cause an infection.
However, it is not clear whether cranberry juice provides the same benefits as standardised cranberry products. Cranberry juice does not treat an active UTI and should not replace medical advice or antibiotics when needed.
Yes. Although UTIs are less common in men than women, men can develop urinary tract infections.
UTIs in men may sometimes be associated with an underlying urinary problem and may require a different clinical assessment. If you have symptoms of a UTI, seek appropriate medical advice rather than assuming that treatment for an uncomplicated UTI will be suitable.
Yes. Envigore offers an online clinical assessment reviewed by a UK-regulated prescriber. If treatment is clinically appropriate, it can be arranged and dispensed discreetly. If your case needs in-person care, we’ll tell you.
Seek urgent help if you develop a high temperature, shivering or chills, pain in your sides or back under the ribs, confusion, or if you are pregnant and have symptoms. These can suggest the infection has reached the kidneys and needs prompt attention. Contact NHS 111 or your GP rather than waiting for an online assessment.
UTIs in pregnancy do need treatment, but some antibiotics are not suitable at certain stages — which is exactly why a prescriber’s assessment matters. Always tell your clinician if you are pregnant or think you might be, so the right and safe option can be considered for you.
This page is for general information and education only and does not constitute medical advice, diagnosis or treatment. Prescription-only medicines are supplied only where a prescriber determines, following a clinical assessment, that they are appropriate for the individual. If you are seriously unwell, or develop signs of a kidney infection, contact NHS 111, your GP, or emergency services. Envigore is a UK-regulated online clinic.
+ Sources
National Institute for Health and Care Excellence (NICE). Clinical Knowledge Summary: Urinary tract infection (lower) — women. cks.nice.org.uk/topics/urinary-tract-infection-lower-women
NHS. Urinary tract infections (UTIs). nhs.uk/conditions/urinary-tract-infections-utis
Gros S, et al. Epidemiology and microbiology of recurrent UTI in women in the community in Oxfordshire, UK. JAC-Antimicrobial Resistance. 2024. academic.oup.com/jacamr/article/6/1/dlad156
Bono MJ, et al. Management of uncomplicated urinary tract infections. pmc.ncbi.nlm.nih.gov/articles/PMC1071654
González de Llano D, et al. Cranberry Polyphenols and Prevention against Urinary Tract Infections: New Findings Related to the Integrity and Functionality of Intestinal and Urinary Barriers. J. Agric. Food Chem. 8 May 2024; 72 (18): 10328–10338. https://doi.org/10.1021/acs.jafc.3c07169
Drekonja D. Urinary Tract Infection in Male Patients. Infectious Disease Clinics, 2024; 38, 311-323. https://doi.org/10.1016/j.idc.2024.03.009
About Your Clinical Team
This content was medically reviewed and approved by Danny Gian Hou Chu, an HCPC-registered Physician Associate (PA38670), who oversees all prescribing decisions at Envigore.
All prescriptions are dispensed by Right Medicine Pharmacy Group, a GPhC-Registered Pharmacy (No. 9012382).
Last medically reviewed: September 2026