Dr. Tina Todorova graduated from Medical University – Sofia. He has been working in the Obstetrics and Gynecology Department of Sofiamed Medical Center since 2015. She is part of the team of specialists at the gynecological office “Dr. Ani Nacheva” Sofia and the gynecological office “Endovue”. There are a number of participations in national congresses and seminars in the specialty. He is a member of the Bulgarian Medical Union. He is the chairman of the porphyria patient organization in Bulgaria. – Dr. Todorova, why are urinary tract infections so common? Are there risk groups of patients who are more vulnerable and why? Urinary tract infections are one of the most common bacterial infections in women. About 40% of women have experienced symptoms of urinary tract infections in their lifetime. On the other hand, the characteristic symptomatology makes them easily recognizable. About a year after an acute UTI, 27-46% of women will experience it again. This is due to some anatomical features in women, unlike men. The urethra in women has a length of about 4 cm, which makes it much easier for the urethral tract to be affected by inflammation. In children, this condition is also quite common. – What is the reason that urinary tract infections recur so easily? And is there a way to reduce the frequency? An extremely important issue is the correct treatment and prevention of recurrent urinary tract infections. They are very often due to the incorrect use of medication or the early termination of the course of treatment. Very often, patients stop taking the drug(s) because the symptoms have subsided, but this does not mean that they have cleared the infection. It is important to complete the entire course of treatment, which in itself prevents relapse. – We are all familiar with the problem with the frequent use of antibiotics. Could you please share when and how the need for antibiotic therapy is determined? A test of sterile urine with an antibiogram is mandatory. The quantity of the isolated bacteria and its sensitivity to certain antibiotics are of particular importance for achieving the ultimate goal – eradication of the pathogen. The interpretation of the study is also good to be carried out by a specialist, because according to certain indicators, he can judge when to avoid taking an antibiotic and when it is necessary. The decision whether or not to administer an antibiotic depends entirely on the pathogen isolated and its quantity in the sample. – Are there reliable alternatives to antibiotic therapy? Antibiotics are extremely important medications that should not be abused. A good prevention in patients who are prone to frequent and recurrent infections would prevent taking antibiotics. Therefore, it is important to take measures from the first – second day after the appearance of the first symptoms – this is the only way to prevent subsequent antibiotic treatment. – Every informed woman is familiar with the beneficial effect of cranberry.There is a wide variety of products on the market that are universally available. What advice would you give when choosing a product for uroinfections? It is very important that they first seek advice from a personal or treating doctor and/or pharmacist. Yes, there are many products with similar compositions, which makes personal choice difficult. I am glad that more and more young and active women are deepening their interest to make an informed decision. My experience shows that complex formulas give excellent results. When a proven ingredient, such as cranberry, is combined with specially selected probiotic strains, they not only have a beneficial effect on uroinfections, but also help with possible antibiotic treatment. I would upgrade further, because there are ingredients that, in a purely mechanical way, help to cleanse the pathogenic bacteria e.coli – for example, the not so well known D-mannose. Such a complex formula contains Lactoflor UroBiotic Forte – a wonderful preparation that contains Exocyan (dry extract of North American cranberry), D-mannose and probiotic bacteria. D-mannose becomes a target for e.coli. It also has a diuretic effect. By increasing diuresis and latching onto the bacteria, they can be excreted through the urine. Cranberry, in turn, suppresses attachment of the pathogen to the cells of the picochopolous system. Therefore, the synergistic action between cranberry and D-mannose leads to better and faster results, especially in acute conditions. And the presence of a probiotic blend in the formula makes the product suitable for antibiotic therapy. – Could you share your experience with similar type of complex formulas? In most cases, women come with complaints dating back several days. In this situation, we can afford to start the treatment with Lactoflor UroBiotic Forte and add an antibiotic if necessary, after receiving the test result. Thus, patients’ complaints are significantly reduced until the moment of the result, and at the same time we perform a precise and adequate treatment. In practice, we have encountered more than once or twice patients whose complaints date back several days. The patient relies on us to relieve his symptoms when he visits us. With Lactoflor UroBiotic Forte this is possible and within two or three days the subjective symptoms subside. The last case we encountered was a 24-year-old female patient with complaints of cystitis dating back 3 days. Until sterile urine came out, he used Lactoflor UroBiotic Forte. Research came up with a sterile crop. Within 72 hours, the patient had significant improvement in subjective complaints. After a course, the symptoms completely subsided. The complex therapy of an antibiotic preparation and Lactoflor UroBiotic Forte gives an extremely good result, which is our main goal. Lactoflor UroBiotic Forte is a 100% natural product that is a scientifically proven combination for urinary tract health.The probiotic blend with an increased concentration of D-mannose and cranberry contributes to normal functioning, supports the excretory activity of the body and supports the activity of the immune system. The use of natural products restores the disturbed balance and reduces the possibility of recurrence of infection, increasing the natural defense of the body. Lactoflor UroBiotic is an all-natural product suitable for men and women, preservative-free and GMO-free, based on an innovative probiotic blend with D-mannose and cranberry, which provides us with: Combined therapy for urinary tract infections Uroantiseptic action with a fast effect Fast recovery process Possibility of long-term use without side effects See more HERE.