If your urine cultures keep coming back normal but you still feel like you have a UTI, you're not alone. Recurrent UTIs, interstitial cystitis, and overactive bladder affect millions of people, and too many are stuck cycling through antibiotics with no lasting relief.
In this episode, Jana Rogers, APRN, FNP-C, IFMCP, a functional medicine nurse practitioner at Forum Health who specializes in recurrent UTIs and interstitial cystitis, joins us to break down what's actually driving the cycle. We talk about why her approach isn't anti antibiotic, it's anti incomplete, how biofilms let bacteria hide from both antibiotics and the immune system, why a negative urine culture doesn't always mean the infection is gone, and how hormonal changes during perimenopause raise the risk of recurrent UTIs and interstitial cystitis.
Jana also explains why checking the vaginal microbiome matters, how gut health and pelvic floor function tie into a true root cause workup, and why the nervous system and fear cycle around chronic bladder symptoms deserve just as much attention as the physical drivers. If you've been stuck in the antibiotic cycle for months or years, this conversation will change how you think about your bladder health.
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