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A urinary tract infection (UTI) is a bacterial infection affecting the bladder, urethra, ureters, or kidneys. It is caused by bacteria, most commonly Escherichia coli (E. coli), entering the urinary system and multiplying in the urine. The Culture, Urine, Routine is the most important test for diagnosing UTIs because it identifies and quantifies the specific bacteria causing the infection.
A urinary tract infection is caused by bacteria entering the urinary system through the urethra and multiplying in the bladder or other parts of the urinary tract. Escherichia coli (E. coli) is responsible for about 80-90% of UTIs, though other bacteria like Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis can also cause infections. Women are at higher risk because they have shorter urethras, making it easier for bacteria from the rectal area to reach the bladder. Sexual activity, improper wiping technique, urinary catheters, and conditions that prevent complete bladder emptying can all introduce bacteria into the urinary system.
The Culture, Urine, Routine is the most important test for diagnosing UTIs because it identifies the specific bacteria causing the infection and measures the bacterial count in your urine. This test is the gold standard because it can detect E. coli and other common UTI-causing bacteria, confirming whether an infection is actually present rather than just symptoms. The culture also provides antibiotic susceptibility information, helping your healthcare provider choose the most effective treatment for your specific infection. A urinalysis may be performed first as a screening test, but the urine culture is essential for confirming the diagnosis and guiding appropriate antibiotic therapy, especially for recurrent or complicated UTIs.
You should get tested if you experience painful or burning sensations during urination, feel the need to urinate frequently even when your bladder is nearly empty, notice cloudy or strong-smelling urine, or have pelvic pain or pressure. Testing is especially important if you have recurrent UTIs, are pregnant, have symptoms that persist for more than a day or two, or notice blood in your urine. Men with UTI symptoms should always get tested since UTIs are less common in men and may indicate an underlying problem. Getting tested promptly helps prevent the infection from spreading to your kidneys, which can cause serious complications like kidney damage or bloodstream infections.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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