TMI Talk with Dr. Mary
Ready to tackle the topics you've been curious about but never felt comfortable asking?
With a straightforward, no-nonsense perspective on life—blended with candid stories and a healthy dose of humor.
This premium podcast, hosted by Dr. Mary Grimberg cuts through the fluff and addresses the conversations we all need to have on 'TMI Talk'—where no subject is too taboo. Our bodies, our minds and everything in between.
Dr. Mary Grimberg is a pelvic floor and orthopedic physical therapist, this podcast is meant to empower you to learn more about your body regardless of your age.
Join us for some fun and mind-blowing discussions that you don't want to miss! The questions are based on real people but the information has been changed to avoid revealing their identity. If you would like to submit a question please email me at drmary@resilient-rx.com.
"TMI Talk with Dr. Mary" was previously known as "Sex and Wellness with Dr. Mary"
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
If you have any other questions or topics you want to talk about, send me a message on Instagram. And if you loved this episode, please leave me a rating and a comment with your feedback. Please share this with your friends and loved ones, too!
I also have a free resource for you if you're struggling with bladder urgency: https://resilient-rx.com/bladderdiary/
I’ll see you in two weeks!