UTI help requires my gender identity?

submitted by our_team_is_winning from self.GenderCritical

Did you know you can now get antibiotics for a UTI without seeing a doctor in person in the USA! I guess that was approved within the last year. Yes! So I used the HeyDoctor app of the GoodRx. I expect to answer health questions. Did NOT expect to be asked my gender identity: female, male, nonbinary, other. Those were the choices. I'd ALREADY had to choose male or female when filling out my ID. Men really don't get UTIs because of their anatomy. How is someone's delusion relevant to UTI treatment?

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[–]MarkTwainiac 11 insightful - 2 fun11 insightful - 1 fun12 insightful - 2 fun -  (2 children)

Men aren't as susceptible to UTIs as females cuz of differences in anatomy, but males certainly aren't immune to UTIs. Sorry OP, but you're displaying a lack of knowledge about male and female health conditions similar to that of MRAs and TRAs

https://www.healthline.com/health/mens-health/uti-in-men

[–]our_team_is_winning[S] 10 insightful - 2 fun10 insightful - 1 fun11 insightful - 2 fun -  (1 child)

Sorry OP, but you're displaying a lack of knowledge about male and female health conditions similar to that of MRAs and TRAs

I have always heard they are uncommon in men. Female friends complain of them all the time to me. Never ever heard a man mention it. Doesn't mean it doesn't happen, but less common. Please never liken me to a TRA

[–]MarkTwainiac 5 insightful - 1 fun5 insightful - 0 fun6 insightful - 1 fun -  (0 children)

OK, gotcha. My apologies. But in your OP, you did say

Men really don't get UTIs because of their anatomy.

That's basically saying no males get UTIs. Which is not true. And just goes to show that it's never a good idea to base generalizations about entire populations solely on what your friends and acquaintances tell you...

Yes, UTIs in males are "uncommon" compared to females when the entire population is viewed as one. But amongst specific sub-populations - people over 50; the physically disabled; incontinent cath users; people with chronic kidney disease; those with compromised immunity caused by HIV-AIDs, chemotherapy, prescribed steroids for diseases like RA and MS and so on - the picture is more complex.

Amongst older people, males are more likely to require hospitalization for UTIs than females. I've known males who nearly died of UTIs, in part because their workups and diagnoses were delayed because UTI symptoms in males are often discounted by sexist HCPs just as heart attack/disease symptoms in females are.

https://www.medicinenet.com/script/main/art.asp?articlekey=174675

Again, my apologies for characterizing you in a way you dislike. But making sweeping statements about one sex or the other based on what one's friends and acquaintances have said is ill-informed and sexist.

[–]Comatoast 11 insightful - 1 fun11 insightful - 0 fun12 insightful - 1 fun -  (0 children)

Oh they do get UTIs, and they can get absolutely fucking terrible because of how long their urethras are.

Telemedicine is trying to kiss ass by adding nonbinary to anything involving a UTI though.

[–]mangosplums 10 insightful - 1 fun10 insightful - 0 fun11 insightful - 1 fun -  (0 children)

Men do get UTIs... is this a joke?

[–]luckystar 8 insightful - 1 fun8 insightful - 0 fun9 insightful - 1 fun -  (0 children)

Did they ask both sex and gender identity, or only "gender identity"? I've seen both kinds of forms in different medical settings, I don't think there's a standardized wording yet. My preferred phrasing is "What was the sex listed on your birth certificate when you were born?" because it gets to the heart of the matter without leaving wiggle room for people to squabble about "muh biological female penis" type nonsense. I've also seen a question along those lines followed up with the gender ID question, which I guess GC wouldn't like, but I can see how it can be useful -- if you know in advance you're dealing with a person who identifies as trans, you can be better prepared to talk to them. Ultimately you have to meet people where they're at in these situations. I do think trans should be listed as a medical condition esp. if it's to note that the patient is on HRT, has had surgeries etc because those facts are also important for adequate care.

I wish we could just have "Sex: M / F circle one", but I can understand why medical professionals don't want to do that and then have a slew of people coming in having basically lied on their medical forms.

[–][deleted] 8 insightful - 1 fun8 insightful - 0 fun9 insightful - 1 fun -  (0 children)

UTI in a man is always considered complicated and requires more of a workup, different meds and typically longer treatment. Sex is vitally important when assessing for UTI. Gender identity is useless to me in that case and in fact worse than useless. I might wind up treating a man with five days of macrobid and it fails and he ends up in kidney failure, or a woman with six weeks of cipro and she ruptures her Achilles tendon. What a mess.

[–][deleted] 7 insightful - 1 fun7 insightful - 0 fun8 insightful - 1 fun -  (0 children)

Men really don't get UTIs because of their anatomy

But this is wrong.

[–]Doobeedoo661 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (0 children)

Pretty sure Tom Hanks’ character, Paul Edgecomb, has a urinary tract infection in the film, The Green Mile - just thought I’d share...

[–]jkfinn 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (2 children)

Did you know you can now get antibiotics for a UTI without seeing a doctor in person in the USA! I guess that was approved within the last year.

Are you sure this is not just a covids-19 ruling? I can't imagine people self-prescribing abx. And as to the men question--most men over 50 have enlarged prostate glands, and often end up with lots of UTIs accompanying the use of either catheters or related surgeries.

[–]Nona_Biba 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (1 child)

Yeah, this was happening way before covid, I've used it myself. Lots of health insurance companies have a telehealth option now, I can use a my laptop or phone to see a dr for non serious issues and they can write prescriptions. And websites like virtuwell prescribe abx for uti based on symptoms.

[–]jkfinn 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

Yeah, this was happening way before covid, I've used it myself. Lots of health insurance companies have a telehealth option now, I can use a my laptop or phone to see a dr for non serious issues and they can write prescriptions. And websites like virtuwell prescribe abx for uti based on symptoms.

Thanks. I partly misread the op, but this is good news becaue Dr. visits are always problematic during normal times.

[–]artetolife 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (3 children)

I remember being asked my sex when I was requesting an online prescription for sildenafil of all things a few years ago, but I just assumed the form is a standardized one that they adapt for different meds.

[–][deleted] 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (2 children)

That's not just for ED though, we also use it for pulmonary hypertension which can affect anyone, and the side effects are different in men and women.

[–]artetolife 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

That makes sense, except you have to click on the "men's health" option to get to it. I don't think you could get an online prescription to use it for hypertension here without an actual consultation

[–][deleted] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

Well that's a good thing.

[–]ImPiqued1111111 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (0 children)

Male and female aren't genders nor gender identities. How stupid.