At The UTI Clinic, we prioritize time, listening, and personalized care. We operate as a cash-pay practice with transparent pricing, so you always know the cost of your visit upfront — no surprises.

While we do not bill insurance directly, we’re happy to provide superbills that you can submit for possible reimbursement. This model allows us to focus on what matters most: spending meaningful time with you and creating individualized treatment plans without insurance limitations.

Yes. Many people with recurrent urinary symptoms are told everything is “normal” because standard urine tests come back negative — yet they continue to experience real, disruptive symptoms. We recognize that this disconnect can be deeply frustrating and invalidating.

At The UTI Clinic, we understand that standard urine cultures have limitations and don’t always capture what’s happening at the cellular or microbiome level. We take your symptoms seriously and use a more comprehensive, individualized approach to evaluation. Our goal is to understand the full picture — not just the test result — and to work with you to identify underlying contributors and develop a thoughtful plan for healing and prevention.

At The UTI Clinic, we look beyond simply treating each infection as it arises. While we can absolutely treat acute UTIs when needed, our primary focus is understanding why infections keep happening in the first place.

We take a root-cause approach that considers cellular health, the urinary and vaginal microbiomes, hormones, immune function, and the body’s ability to heal. Our goal is to restore balance and resilience, not just suppress symptoms. By identifying contributing factors and making thoughtful, sustainable changes, we help create a foundation for long-term prevention and healing.

Your first visit is designed to give you the time and space to tell your full story. We’ll review your medical history, prior labs, and any past testing or treatments, and work together to better understand your experience with urinary symptoms.

You’ll learn about our approach to UTI care and how it can be individualized to best support your health and healing. We’ll also discuss our urine testing methods, and you’ll be provided with a take-home kit so you can easily collect and mail urine samples for PCR testing.

We do not perform a physical exam during the first visit. Instead, your appointment takes place in a consultation room rather than an exam room, allowing for a thoughtful, conversation-based visit focused on listening, education, and collaborative planning.

Antibiotics can be an important and appropriate part of treatment in certain situations, and we use them thoughtfully when indicated. At the same time, our goal is to move away from reflexive or repetitive antibiotic use whenever possible.

We focus on preventive and restorative strategies that support long-term urinary health, including individualized care plans that may incorporate non-antibiotic therapies such as herbal remedies, microbiome support, and lifestyle-based interventions. We are also continuously evolving our approach and developing new treatment modalities as research and clinical experience expand our understanding of chronic UTIs.

The bladder and vagina each have their own communities of bacteria, called microbiomes. Many of the same types of bacteria live in both areas, but the balance of these bacteria can differ. Factors like age and hormones can change the vaginal microbiome, which can then influence the bacteria found in the bladder.

When these microbial communities are healthy and balanced, they help protect against infection and support normal immune function. When the balance is disrupted, the body may be less able to fight off infections or may stay stuck in an inflamed, irritated state. Over time, this can contribute to frequent UTIs or ongoing urinary symptoms.

Standard urine cultures have long been used to diagnose UTIs, but they have important limitations. They are designed to detect a narrow group of fast-growing bacteria and often report only a single “dominant” organism. This means they can miss infections involving multiple bacteria, slow-growing microbes, or bacteria living in biofilms. As a result, cultures may come back negative or incomplete even when symptoms are ongoing.

We also use urine DNA (PCR) testing, which looks for microbial DNA directly in the urine rather than relying on bacterial growth. This testing allows for detection of a broader range of organisms.  Because this testing is very sensitive, results are always interpreted carefully and in the context of your symptoms.

Yes. We understand how exhausting and discouraging it can feel to have tried multiple treatments and still not feel better. Many of the people we work with come to us after years of searching for answers.

At The UTI Clinic, we aim to offer not only a more nuanced and evolving approach to treatment, but also a space where you feel fully supported and genuinely cared for throughout your healing journey. Your story matters to us. We take the time to understand everything you’ve tried, explore why it may not have worked for you, and work collaboratively to create a plan that feels thoughtful and aligned with your goals.

Yes. We are happy to collaborate with your existing care team by offering consultations and discussions to support your healing.

Yes — we offer virtual visits for those in California, Oregon, Washington and Wisconsin. You are always welcome to travel to see us in person at our clinic in Portland, Oregon, and we’re honored when patients choose to do so.

The UTI Clinic is an inclusive and welcoming space. We are committed to providing respectful, affirming care for transgender, non-binary, and gender-diverse individuals.

We are happy to evaluate urinary symptoms, bladder pain, and frequent urinary tract infections in trans and non-binary clients and to tailor care thoughtfully to each individual’s anatomy, medical history, and goals. We recognize that gender-affirming care is often supported by multidisciplinary teams, and we are committed to collaborating with primary care providers, surgeons, endocrinologists, and other gender-affirming clinicians to ensure coordinated, comprehensive care.

If you are seeking support for bladder-related concerns, we welcome the opportunity to discuss how our services may fit within your overall care plan.