0 MicroGenDX Testing For Urinary Tract Infections

MicroGenDX Testing For Urinary Tract Infections

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MicroGenDX Testing For Urinary Tract Infections

By Melissa Kramer

Last Update On: Oct 10 2022

15 mins

Can MicroGenDX help if you experience ongoing urinary tract symptoms?

If there’s one thing we’ve learned from our community, it’s that many more people suffer from recurrent and chronic UTI than the statistics let on. One of the reasons this appears to be the case is that standard urine testing is highly inaccurate.

Advanced testing methods, like those offered by MicroGenDX, have helped many people piece together enough information about the cause of their infection, to seek more effective treatment.

Jump To Section:

  • How can advanced UTI testing methods help chronic UTI sufferers? >>>>
  • What type of testing does MicroGenDX offer? >>>>
  • How to read MicroGenDX test results. >>>>
  • How to order a MicroGenDX UTI test. >>>>
  • Collecting a urine sample for testing. >>>>

If you’ve already decided to order a MicroGenDX urine test kit and you are based in the US or internationally outside the UK, you can find the right order page by clicking one of the images below. UK-based tests can be ordered via Regenerus Laboratories.

UTI test kit for patients - MicroGenDX
UTI test kit order - MicroGenDX

If you want to learn more about it first, read on below.

How Can Advanced UTI Testing Methods Help You?

As mentioned above, standard urine testing methods are highly inaccurate. So much so, that millions of people have been told they do not have an infection, despite their UTI symptoms, and have been given no further advice on how to pursue better health.

In recent years, more accurate types of testing have become available, and for some people this has meant the difference between chronic illness and complete recovery, often after years of unresolved symptoms.

One such test is provided by MicroGenDX. This test uses two different technologies to identify bacteria and fungi in a urine sample (or a sample from any part of the body) against a database of 50,000+ microorganisms.

The vast majority of these microorganisms cannot be cultured, and this means MicroGenDX has a dramatically improved ability to find the cause of infection, over standard urine testing.

MicroGenDX Testing For Patients

Every day, we hear from people who suffer from recurrent and chronic UTI – after all – that’s the purpose of our site.

Experiences range from weeks to decades, and symptoms vary from person to person, but there are few things that come up over and over again among chronic UTI sufferers:

  • Multiple rounds of antibiotics, with UTI symptoms always returning
  • Negative urine test results despite symptoms of a UTI
  • UTIs as frequently as every month, regardless of home remedies or medication
  • A diagnosis of Interstitial Cystitis despite believing they have a bladder infection
  • An escalation of symptoms over time, and a fear that there is no solution
  • Constant pain in their urinary tract, with little or no relief

There are many reasons people end up in this position, and inaccurate testing is one of them. Without accurate testing it’s not possible to pinpoint what is causing the issue, and without knowing the cause, it’s impossible to confidently prescribe a treatment.

If any of the experiences above are familiar to you, and you want to take another shot at finding answers, MicroGenDX may be able to help.

A Quote On Live UTI Free About Recurrent UTIs“A year ago I had a UTI that was mistreated for several weeks that ended up turning into a terribly painful kidney infection. I spent 3 days in the hospital where their culture test reported E. coli as the problem and I was yet again put on the wrong antibiotics. Fortunately, I had sent in a urine sample to MicroGenDX the day I went into the hospital (on my own). Within a couple days back home from the hospital I began feeling kidney pain again. After reviewing both the hospital culture report and the MicroGenDX report I brought these reports back to the hospital so the doctor could see them both side by side. I was in a great deal of back pain, very frustrated, and scared that this infection is getting worse causing damage to my kidneys! My MicroGenDX report said 3% was E. coli and the actual cause of my infection was 82% Enterobacter hormaechei, 82%! This is a bug they would have never found using standard culture tests. My story ends well ONLY because of MicroGenDX! Within 24hrs of being put on the correct antibiotic to treat that bug I was feeling better, and within a few days the nightmare was completely over.” Lori - Chicago, IL, Patient

MicroGenDX Testing For Doctors

Just as chronic UTI sufferers can wind up in a place where their options appear to be exhausted, so can doctors trying to help their patients.

Primary care physicians and specialists have told us of patients who:

  • Continue to experience recurrent UTI despite treatment
  • Have taken multiple rounds of antibiotics with little or no improvement, and have experienced other health issues due to overuse of antibiotics
  • Receive test results that identify one or more pathogens and antibiotic sensitivity, yet the recommended treatment is ineffective
  • Receive negative urine culture results despite obvious symptoms of a urinary tract infection
  • Have urinary tract infections caused by antibiotic resistant bacteria
  • Do not improve with lifestyle and/or hygiene changes
A Doctor Quote About Recurrent UTIs On Live UTI Free “The patient’s frustrated because sometimes they think they’re crazy because they have the symptoms and nothing is coming back [on standard culture tests]. I’m frustrated because I have this patient that thinks she has a urinary tract infection. I have no answers for her. Then the [MicroGenDX] test actually detected multiple bacteria. It was really nice. You can actually then really give the patient the correct antibiotic.”

Margarita Johnston, Urologist

If you’re a practitioner with a patient who has not responded to previous approaches, the testing options MicroGenDX offers may help guide future treatment.

What Type Of Testing Does MicroGenDX Offer?

MicroGenDX uses two different technologies to test your urine sample, and provides two sets of the results. They also offer combined test kits to take samples from multiple sites. WomensKEY includes a urine sample and vaginal swab, and MensKEY includes a urine sample and semen sample. (UK order links: WomensKEY and MensKEY)

MicroGenDX First Level Testing: PCR

The first is a rapid screening of your sample using Polymerase Chain Reaction (PCR). In this first level of testing, MicroGenDX looks for the following pathogens in a urine sample:

  1. Enterococcus faecalis
  2. Klebsiella pneumoniae
  3. Prevotella bivia
  4. Pseudomonas aeruginosa
  5. Staphylococcus aureus
  6. Streptococcus agalactiae
  7. Proteus mirabilis
  8. Escherichia coli
  9. Mobiluncus curtisii
  10. Mobiluncus mulieris
  11. Gardnerella vaginalis
  12. Staphylococcus saprophyticus
  13. Mycoplasma hominis
  14. Ureaplasma urealyticum
  15. Ureaplasma parvum
  16. Lactobacillus gasseri
  17. Lactobacillus crispatus
  18. Lactobacillus acidophilus
  19. Candida albicans (fungus)
  20. Chlamydia trachomatis
  21. Neisseria gonorrhoeae
  22. Mycoplasma genitalium
  23. Trichomonas vaginalis

In addition to the 23 pathogens listed above, the test also looks for 10 drug resistance genes, but we’ll go into that more later.

PCR testing is fairly quick – you can get your results within 24 hours of the lab receiving your sample, and approximately 80% of MicroGenDX PCR samples are positive for at least one pathogenic microbe. But it’s important to understand the following:

  1. PCR testing only tests for specific microorganisms. The microorganisms tested for may be requested by your doctor, or they may be part of a standard panel (as above) for the type of infection. You can think of a PCR panel as a list of microorganisms the test has been told to look for.
  2. If the microorganism causing your infection is not listed on the PCR panel, the test will not tell you whether it was present or not.
  3. Because PCR testing looks for specific microorganisms only, it is unable to provide a picture of how these microorganisms are represented within the total urinary microbiome – maybe they are significant, maybe they aren’t – to learn this, you need a more comprehensive test.

This is why MicroGenDX provides a second level of testing…

MicroGenDX Second Level Testing: Comprehensive Genetic Identification

Second level testing at MicroGenDX uses urine from the same sample as first level testing. The second level test looks for a specific gene that is common to all bacteria, called 16s ribosomal RNA, and a gene common to all fungi, 18s ribosomal RNA.

18s vs 16s testing - compare DNA and RNA

This second level test is more comprehensive than PCR testing, in that it looks for the 16s and 18s genes among all the genetic material contained within a sample, against a database of 50,000+ microorganisms, rather than only detecting the 23 species listed on the panel above.

Urine Culturing vs. MicroGenDX Testing

Urine culturing has been the standard UTI test since the 1950s, but this test was never intended to be used to diagnose lower urinary tract infections, and it has never been accurate.

In fact, studies show that standard urine culturing may miss up to 50% of infections, leaving many people with false negative results.

We’ve covered a number of the reasons these tests are so inaccurate, and it’s a good idea to get an understanding of it, particularly if you’ve received negative culture results despite your UTI symptoms.

One of the biggest discoveries that has helped put the inaccuracy of testing in context, is that the urinary tract has a complex microbiome of its own. The second important step has been an increased understanding of how biofilms and intracellular pathogens can cause chronic infection in the bladder.

Some of the reasons a standard urine culture is inaccurate

  • Standard culture time of 24 hours is insufficient – many bacteria take up to 5 days to grow, and some fungi more than 20 days
  • Anaerobic bacteria will not grow at all unless an anaerobic culture is requested in addition, and this type of test comes with additional expense
  • Results are often biased towards easy to grow microorganisms, while others are completely missed
  • Uncommon microorganisms are often considered contamination rather than potential causes of infection
  • Bacteria that have been living in a biofilm, are less likely to grow in a culture than free-floating bacteria (see more on this below)
  • Free-floating bacteria have been shown to make up less than 1% of the bacterial cells in natural pathogenic ecosystems, meaning very little of such an ecosystem can be cultured
  • As a result, doctors may recommend antibiotic treatment for the bacteria found, but it may not be the cause of infection.

How MicroGenDX testing is different

  • Urine samples not easily impacted by time or temperature changes
  • DNA sequencing technology does not grow microorganisms, instead, it extracts the microbial DNA in the sample and matches it to a database with 50,000 species sequence codes.
  • All microorganisms in their database of 50,000+, including fungi, and all types of bacteria, can be detected in a single test, and do not require different conditions or mediums
A Doctor Quote About Recurrent UTIs On Live UTI Free “For years, we’ve been trusting urine cultures and trusting it when it says that there’s no bacteria there but the patients still were sick, the patients were still having symptoms. We were left without anything to do. Now, we have a tool that we can go back and say, 'Look, there is a bacterial or a fungal etiology to your symptoms'.”

Roscoe Nelson, Urologist

To help demonstrate the accuracy of this type of DNA sequencing, when compared to standard urine culturing, MicroGenDX conducted a head-to-head study. Among other findings, one point is clearly relevant to all chronic UTI sufferers, particularly those frustrated by negative culture results:

“In total, 13 of 44 patients had positive urine culture results whereas 44 of 44 patients had positive DNA NGS results.”

Although the sample size of the study was small, it provides a promising basis for future research into UTI testing, and hope for chronic UTI sufferers who are yet to find answers.

Can MicroGenDX Test For Biofilms and Intracellular Infection?

First, a quick refresher on biofilms and intracellular infection. We’re hoping you’ve already read our article on chronic infection, and how biofilms are involved.

To put it simply, bacteria and other pathogens can team up to form complex communities that are attached to (or live within) your bladder wall or urinary tract. These communities are very difficult to treat, and your own body can have a very hard time getting rid of them. Biofilms can stick around, causing problems in the bladder indefinitely.

Chronic Urinary Tract Infection - Simplified UTI Pathway

On top of the difficulty of treating biofilms or intracellular communities (IBCs), it’s near impossible to test for them in the first place. At least with standard testing methods.

Even if pieces of the biofilm break off into your urine sample, the pathogens contained within it are very unlikely to grow in a standard urine culture test. So they won’t show up in your results and you’ll be none the wiser.

Fortunately, sequencing methods are able to detect the DNA of pathogens within a biofilm, so this is another area where the tests offered by MicroGenDX are superior to a urine culture.

Having said that, if your sample does not contain pieces of any biofilms present, or infected bladder lining cells, no test will be able to detect the pathogens contained within them. And at this stage, it is not possible for a DNA sequencing test to tell you whether any microorganisms identified were part of a biofilm or intracellular community or not.

An Expert Tip About Recurrent UTIs on Live UTI FreeTo increase the chances of collecting a sample that contains pieces of any biofilm, you can take a tip from MicroGenDX and collect a urine sample 4 times in a single day, combining each in the sample container.

All microorganisms naturally form biofilm structures, so if you are experiencing chronic infection, there is a good chance biofilms containing multiple microorganisms are involved.

A Doctor Quote About Recurrent UTIs On Live UTI Free “There were certainly a lot of times that we were pretty convinced somebody had some type of infection in their bladder, and the tests were coming out negative. What we found is through working with some of these tests [from MicroGenDX] that sometimes some of those patients truly do have some bacteria in their urine that’s not being picked up on the regular cultures.”

Ginger Isom-Batz, Urologist

About MicroGenDX

MicroGenDX was launched as Pathogenius in 2007, and was recently acquired and rebranded as MicroGenDX. Since 2007 they have delivered over 300,000 test results, including around 30,000 urine tests, to more than 10,000 doctors. This amounts to more sequencing tests for microbe identification than any other lab in the world.

“MicroGenDX is facing a massive paradigm shift in medicine, convincing physicians to move from an 1870 culture tool to microbial detection by DNA sequencing. We believe that change will occur only with solid medical evidence to prove the clinical utility of NGS. We are investing significantly in clinical research studies to prove the clinical value of our technology. Clinical evidence will be the key to helping more patients gain access to our technology and bring improvement in their lives. We have already delivered more scientific published clinical trials in this space. All of that evidence has clearly shown NGS is superior to culture.” Rick Martin, MicroGenDX

MicroGenDX has worked with some of the top medical centers in the USA, including the Cleveland Clinic and Mayo Clinic and are currently working on a multi-center chronic UTI study with academic centers like Thomas Jefferson in Philadelphia and Wake Forest.

How To Read MicroGenDX Test Results

As discussed above, MicroGenDX provides two levels of results:

1. Rapid Screening (PCR Results)
2. Comprehensive Identification (Sequencing Results)

PCR results are available within 24 hours of receipt of your sample, while the sequencing results take 3-5 days.

Although it’s possible to order a MicroGenDX test online, you must have a practitioner’s signature before submitting your sample. It’s always best to work with a practitioner who has experience treating chronic UTI, and preferably, is familiar with DNA sequencing.

MicroGenDX results do not look like typical urine culturing results, and it helps to have assistance in deciphering them. This short video helps explain the results:

MicroGenDX Results: Level 1 & Level 2 Results

If you watched the above video, you would have noticed that more pathogens are listed as being detected in the Level 1 PCR test, than Level 2 NGS testing. 

This can be explained if we go back to the list of pathogens included in the MicroGenDX urine PCR panel. Only pathogens included in the PCR panel can be detected in the Level 1 results.

When the more comprehensive Level 2 testing is done, pathogens from a database of 50,000+ organisms can be detected.

Bacteria and fungi identified via sequencing are listed in order of prominence.

In some cases, a pathogen that shows up in the Level 1 results, will not be present on the Level 2 results at all. This is because comprehensive sequencing showed that this pathogen was not a prominent part of the microbiome.

Any pathogen that makes up less than 2% of the DNA identified will not be included in the sequencing results.

Hopefully you can see why PCR (Level 1) testing alone may not provide enough information.

Differing results in the Level 1 and 2 tests can also mean that treatment may be started based on the first findings, then need to be adjusted based on the second. It will be up to your doctor whether to proceed with treatment immediately, or wait for the level 2 results.

MicroGenDX Results: Drug Resistance Genes

By now, you’re probably familiar with the term antibiotic resistance. This refers to an organism’s ability to resist the effects of an antibiotic they were once sensitive to. The same effect can occur with antifungals and fungi.

Bacteria and fungi can acquire resistance genes in various ways (a complicated topic that deserves an article of its own!).

Resistance genes allow bacteria and fungi to resist specific drugs via particular mechanisms. Many of these mechanisms are known, along with which drugs they are relevant to. These known resistance genes can be identified by looking at the DNA of the bacteria or fungi.

You’ll note that on the top of the MicroGenDX sample results, there is a list of antibiotic recommendations. If a resistance gene is present, a red ‘R’ will be shown below that class of antibiotic. These antibiotic classes with resistance genes are also listed in a red box above.

If an antibiotic class is detected, as the four shown in the example, this means resistance genes were found in the level 1 results. In this case, these antibiotics should be avoided.

The antibiotic classes that do not have resistance genes may be more suitable. Of course, any antibiotic should only be prescribed by a doctor who has been through a thorough assessment of the patient.

MicroGenDX Results: Complete Antibiotic Analysis

Each of the pathogens in the results is cross-referenced with various drug classes. A tick means that particular antibiotic is okay to use for that microorganism.

This antibiotic analysis is not based on testing antibiotics on the actual pathogens found in your urine, it is based on clinical studies where that antibiotic has been shown to be effective against that bacterial species. The list of antibiotics is not exhaustive, it’s there to provide preliminary guidance to your doctor.

For further explanation of MicroGenDX resistance genes and antibiotic recommendations, you can view this video resource they’ve put together.

Why Have I Never Heard Of The Pathogens On My Results?

This seems important to cover given the number of questions we get about it…

If your results contain pathogens that you or your doctor have never heard of, there’s no reason to panic. Traditional culturing methods have simply been unable to identify the diverse community of microorganisms that live within the urinary tract.

As we now know, the urinary tract is not sterile, but because everyone assumed it was until very recently, we really have very little information about what should and shouldn’t be there.

It’s very unlikely you’re the only person in history to have a particular microorganism in your urine, even if you do happen to be the first person it’s identified in. And if that’s the case, it may take a little more research on your doctor’s part, to decide on a treatment approach.

A Quote On Live UTI Free About Recurrent UTIs“I had never heard of most of the bacteria listed on my test results, and they never showed up on any culture tests, so I was kind of freaked out. My doctor talked me through them and came up with a treatment plan and my symptoms started to improve, which was a relief.”

How To Order A MicroGenDX UTI Test

1. Talk to your doctor

Patients who live in continental USA require a physician’s signature on their MicroGenDX Lab Requisition Form. You can order the test kit directly using the link below and have it shipped to an address that suits you. This way you can collect your sample at home. Before returning your sample to MicroGenDX, you will need a physician to sign the form.

International patients do not need a physician signature to run the test, however, a physician’s signature IS required for the antimicrobial recommendations. As for US-based patients, you can order the test kit directly using the link below. However, without a physician’s signature, your results will contain information about any organisms identified, but no treatment recommendations.

2. Order your MicroGenDX testing kit

Both US and international patients based outside the UK can order a testing kit directly from MicroGenDX. UK-based patients can order directly via Regenerus Laboratories. This option gives you the opportunity to request the results be sent directly to you, as well as your doctor. Some patients prefer this option, particularly if they have multiple practitioners or wish to be notified of results immediately. You can also ask your doctor to order a testing kit on your behalf. 

3. Receive your kit

If you ordered a kit directly, you’ll receive it by post. If your doctor ordered on your behalf, you can collect it from them. Remember, for continental USA patients, you’ll need to get your doctor to sign the included requisition form either way. International patients don’t need to worry about this.

4. Collect your urine sample

You can find more detailed information below on how to collect a urine sample for a MicroGenDX test. If you follow the instructions correctly, your sample will remain in a suitable condition for testing for up to a week at room temperature. This is plenty of time for express shipping from anywhere in the world.

5. Ship your sample

The testing kit includes instructions on how to ship your sample – for both US based and international patients. If you ordered a kit through your doctor, they may ship it on your behalf. See more information below about shipping.

6. Testing of your sample

Once MicroGenDX receives your sample, it will be processed and tested, as described above.

7. Get your results

Your first level PCR results will be ready within 24 hours of your sample being received. The comprehensive sequencing results take 3-5 days. You’ll receive both via email if you ordered on the MicroGenDX website and provided your email address. If you ordered via your doctor, they will notify you of the results.

8. Discuss your treatment options with your doctor

Your results will be unique to you. You’ll need to chat with your doctor about how to best treat what is found in your urine sample.

Shipping For US And International Testing

MicroGenDX has conducted testing on urine samples, to evaluate any changes that occur when the sample is kept both at room temperature and refrigerated for up to week. In both cases, no changes to the bacterial load or species identified was observed. This indicates that samples will remain viable for testing throughout shipment.

Currently, MicroGenDX is unable to ship to Africa, China, Russia, Ukraine or Bulgaria.

Paying For Your MicroGenDX Urine Test

For US patients, MicroGenDX will bill most insurance companies directly, after providing your test results to your doctor. Your insurance company will review the claim and inform you of any additional cost you must cover personally.

International patients will be required to pay via credit card, at the time of purchasing the test kit.

The maximum out-of-pocket amount any patient will pay is USD199 plus shipping for a UTI only kit, or USD225 for a combination kit, regardless of where they are based. This amount may be reduced by insurance coverage.

International orders may incur an additional credit card payment fee.

MicroGenDX offers a Patient Assistance Program for US patients that allows payments in monthly installments for any out of pocket expenses.

If the results of your test are negative, MicroGenDX will reprocess your sample a further 2 times. This applies to both US based and international patients.

It’s extremely important to follow the sample collection instructions provided in order to achieve the most accurate result.

Collecting A Urine Sample For MicroGenDX Testing

We probably don’t need to say it, but for a test to be accurate, your sample must contain the pathogens it is trying to look for. To help with this, there are a few things you can do to get the best sample possible:

1. Read the MicroGenDX instructions

A full set of instructions on how to collect a viable sample and use the collection kit are provided in the kit and online. It’s best to read and understand these before you’re perched over a toilet!

2. Stop taking probiotics and other supplements 2 days prior

Supplements that contain an active metabolite may degrade the DNA within your sample, while it sits in shipment.

3. Stop taking antibiotics 2 days prior

Antibiotics may continue to be active within your sample, and this may impact your results. It’s not always feasible to cease taking medications, and testing may still be possible while on antibiotics, so talk to your doctor about it if you’re worried.

4. Do not use Lidocaine gel (even if cathing)

Lidocaine gel can render a sample invalid or give false negative results.

5. Do a ‘prep’ urination, then cease fluid intake

About 2 hours before collecting your sample, empty your bladder. Then in the 2 hours leading up to your sample collection, don’t drink any fluids. If this isn’t possible, minimize your fluid intake.

6. Clean the area, pee in the sample cup and follow the instructions

First, clean the genital area with soap and water. Next, get in to a position you’re comfortable with. Separate the labia with your free hand and fill the sample cup between ¼ and ½. Then follow the rest of the kit instructions.

We know it’s a lot of information to consider, but it’s best to be well informed when it comes to your health!

Ultimately, we want to provide you with as many avenues as possible to find answers, and to find the right treatment for you.

US-based patients and international patients based outside the UK, click on the images below to place an order. UK-based patients and clinicians can order directly from Regenerus Laboratories for faster shipping.

UTI test kit for patients - MicroGenDX
UTI test kit order - MicroGenDX

To get answers to other commonly asked questions about chronic and recurrent UTI, visit our FAQ page. If you have any questions or comments, or you think we’ve missed something, you can comment below, or get in touch with our team.

MicroGenDX Testing For Urinary Tract Infections

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    Comments

    Aleks says:
    15 Nov 2021 at 5:17 am

    Hello
    What is the waiting time for results of sample sent from europe? I have sent mine on the 9th November. If i didnt put doctor information would i get the results by e mail? Thank you!

    Reply
    Melissa Kramer says:
    18 Nov 2021 at 4:44 pm

    Hi Aleks, as mentioned in the article, PCR results are available within 24 hours of receipt of your sample, while the sequencing results take 3-5 days. For samples from Europe you need to add shipping time, which depends on the carrier. We have been advised by MicroGenDX that results will be forwarded, but antibiotic recommendations will not be included if a doctor has not signed off on the test. Melissa

    Reply
    Sabrina says:
    19 Oct 2021 at 7:48 am

    Hi! what reputable test can I order that is like the MicroGenDX Testing For Urinary Tract Infections in Australia? I want the same exact testing but in my country so i dont pay excess shipping etc If there isnt one, could you send me a referral ? thank you

    Reply
    Melissa Kramer says:
    21 Oct 2021 at 5:02 pm

    Hi Sabrina, I saw you also sent an email about this so I’ll respond there. Melissa

    Reply
    Virginia Hart says:
    14 Nov 2020 at 7:25 am

    Can I get micro gen testing done in Australia?

    Reply
    Melissa Kramer says:
    15 Nov 2020 at 1:30 pm

    Hi Virginia, yes, MicroGenDX ships to most countries, including Australia. You will need a practitioner to sign off on your order form, once you receive it. Melissa

    Reply
    Eva Lindstedt says:
    11 Nov 2020 at 5:14 pm

    I would like to order a MicroGenDX. I live in Sweden and I’m worried that the shipping takes too long, more than a week. Then the sample will be ruined. How do I know it will get to you within a week?

    Reply
    Melissa Kramer says:
    12 Nov 2020 at 12:56 pm

    Hi Eva, MicroGenDX works with many international patients, including many in Europe. They have conducted their own studies into how long a sample will remain viable for testing and they have confirmed that international shipping does not decrease the viability of the sample. If you have more questions, you are welcome to get in touch with them directly. Melissa

    Reply
    Inmaculada Ortiz Montiel says:
    28 Oct 2020 at 7:04 pm

    hello Melissa, do you know which doctor in berlin will be open to use this testing? Thank you!

    Reply
    Melissa Kramer says:
    30 Oct 2020 at 1:07 pm

    Hi Inmaculada, I wish I could help, but don’t have that kind of insight. It’s usually best to reach out to a clinician’s office to ask. Melissa

    Reply
    Salima Alikhan says:
    13 Sep 2020 at 8:34 pm

    My MicroGenDX results came back recently, with Staphylococcus hominis accounting for 54% of my UTI. My urologist keeps telling me Staph hominis is a “normal” bacteria and that she doesn’t think it’s causing the UTI — she also said she couldn’t prescribe the med I’d likely need to treat it anyway, Linezolid, so she referred me to an infectious disease specialist. The whole thing has been a nightmare and I’m just curious whether you know of anyone else with a Staph hominis UTI, or anyone who’s had luck with an Infectious Disease doc vs. a urologist.

    Reply
    Melissa Kramer says:
    17 Sep 2020 at 10:15 am

    Hi Salima, we often hear from people who have had ‘normal’ bacteria show up in the urine test results, and in many cases this can mean the sample was contaminated with organisms from skin surrounding the urethra. It can also mean, according to some recurrent UTI specialists, that the organisms are potentially UTI-causing. It’s important to work with a recurrent UTI specialist on results like these. We have heard mixed feedback from people working with ID specialists on recurrent UTI. It may depend somewhat on the clinician and their interest in the urinary microbiome. If you want to discuss possible specialists, you can send me a direct message. Melissa

    Reply
    Melissa Cotton says:
    30 Jul 2020 at 5:46 pm

    Why are so many doctors resistant to using this test?

    Reply
    Melissa Kramer says:
    01 Aug 2020 at 6:12 pm

    Hi Melissa, we have heard from many clinicians who are using this test and others based on similar technology. It is very different to the conventional testing that has been used for UTIs for the last 60 years or so and there are various reasons that some practitioners may not choose to adopt technology like this. Melissa

    Reply
    Craig Crisman says:
    18 Jun 2020 at 12:50 am

    In June 2019 I started having UTI symptoms confirmed by high white blood cell count. After 5 antibiotics with no results I took your test. After 4 tests during 4 months and four 28 day courses of antibiotics there is no in change in symptoms. Four different bacteria were identified in the four tests. Does that make sense? I am reluctant to take more antibiotics, given the side effects, unless there is a reasonable hope for a cure. Any thoughts?

    Reply
    Melissa Kramer says:
    20 Jun 2020 at 3:47 pm

    Hi Craig, to clarify, we are not affiliated with MicroGenDX, we have covered the UTI testing they offer. If you have specific questions for their team you can always reach out to them directly. I saw you also sent us an email so we’ve replied there with more information. Melissa

    Reply
    Moira O’Flynn says:
    10 May 2020 at 10:09 am

    Hello Melissa

    I am interested in the MicroGenDX lab test. I have not yet spoken to my GP but if she is not open to this kind of testing I am wondering if from previous UK clients you have a list of specialists that are happy and able to work with the results.
    Thus far all my tests have been negative and the antibiotics did not improve my symptoms throughout the course. Currently I am using D-Mannose to manage the symptoms but this is very costly and I am having to use high doses to achieve an effect which is causing stomach issues.

    Many thanks
    Moira

    Reply
    Melissa Kramer says:
    11 May 2020 at 7:11 pm

    Hi Moira, the best way to find out about practitioners in the UK that may be able to help is to reach out to MicroGenDX directly and ask for a referral. They update their practitioner database frequently, so will have the most current information about this. Melissa

    Reply
    Samantha says:
    29 Apr 2020 at 7:26 pm

    is there another company similar to this one? I called this company and they aren’t taking patients in NY. Thanks

    Reply
    Melissa Kramer says:
    04 May 2020 at 2:15 pm

    Hi Samantha, whether or not a company can provide testing in a particular state is often due to state specific regulations. I just sent you an email with more information. Melissa

    Reply
    Denise says:
    08 Mar 2020 at 4:03 pm

    I live in turkey. I dont think any doctor would even know about this test in my country. So how can I get tested like this? Shipping would be way too expensive and i dont know if the test would be in your hands in time? How can you help me?

    Reply
    Melissa Kramer says:
    10 Mar 2020 at 9:16 am

    Hi Denise, it is possible to order this test internationally, many people do. Can you send me a direct message so I can share some information by email that may be useful in speaking with your doctor? Melissa

    Reply
    Lidia says:
    06 Jan 2020 at 4:29 pm

    Hi. I’m living in Ireland and I don’t know any doctors who can prescribe treatment based on MicroGenDX test. Please helps me. Thanks

    Reply
    Melissa Kramer says:
    07 Jan 2020 at 6:55 pm

    Hi Lidia, we are still looking for Ireland based resources for UTI. At the moment, the only options we know of are travel to the UK, or to work with a US based clinician that offers appointments via telephone/video call. If either of these options appeals to you, can you send us a direct message so I can share more information? Melissa

    Reply
    Amanda says:
    24 Nov 2019 at 1:59 am

    If I order myself & pay out of pocket expenses I will be able to obtain the 1st results but will have to find a participating
    Doctor to get the results of the 2nd test?

    Reply
    Cara D. Branson says:
    13 Apr 2020 at 9:50 pm

    Hi, I get uti’s at least twice a year. My urine tests ALWAYS come back showing no sign of infection. I always get prescribed antibiotics before my test come back. 100% of the time the antibiotics have cured my infection. Not this time. I have been on 2 rounds of antibiotics and have seen some relief with second round but not completely. My Dr thinks I am crazy. She will not look any further into my symptoms. She does not believe the normal urine test is antiquated. May I please have the names of physicians in my area of St.Louis Missouri that would sign off on this test?

    Reply
    Melissa Kramer says:
    15 Apr 2020 at 4:03 pm

    Hi Cara, you’re not alone in that experience. It’s very common! At the moment, the best option may be to consult with a doctor via telehealth, so you don’t need to leave home. If you send me a direct message, I can share more information via email that might be useful. Melissa

    Reply
    Melissa Kramer says:
    24 Nov 2019 at 5:37 pm

    Hi Amanda, if you order privately you will receive all your results, but it’s very important to find a practitioner to work with on treatment. If you have questions about the process or would like help locating a clinician in your area, you can always reach out to MicroGenDX directly. Melissa

    Reply
    Mary O Schell says:
    12 Aug 2019 at 10:33 pm

    Can I have a list of doctors who are familiar with and believe in your testing in the Chicago area?

    Reply
    Melissa Kramer says:
    13 Aug 2019 at 4:39 pm

    Hi Mary, I sent you an email a few weeks ago, I hope you received it. It’s best to reach out to MicroGenDX directly to ask for a referral in your area. Their team can be reached here. Melissa

    Reply
    Heather says:
    04 Jun 2019 at 2:56 pm

    I live in the US. Do you have a listing of urologists on the Eastern side of the US you are working with. Willing to go anywhere for help.
    Thanks,

    Reply
    Melissa Kramer says:
    05 Jun 2019 at 6:24 pm

    Hi Heather, I saw you sent an email, so I’ve replied to that with more information. Melissa

    Reply
    Gregory Bogen says:
    05 Aug 2019 at 12:08 pm

    I would appreciate your sending me a list of urologists who work with your company and who are located in New York City and 30 miles radius.

    Reply
    Melissa Kramer says:
    07 Aug 2019 at 7:29 am

    Hi Gregory, I saw you also sent us an email, so I’ve replied with more info there. Melissa

    Reply
    Shelley Caskanette says:
    03 May 2019 at 2:42 pm

    Do you have any labs in Ontario Canada?

    Reply
    Alix says:
    22 Aug 2019 at 9:12 pm

    Which test is this for? Their website doesn’t outline what each test looks for (unless I’m missing that). So I see uti and uti/std test and don’t know which to do..

    Reply
    Melissa Kramer says:
    27 Aug 2019 at 11:17 am

    Hi Alix, if you follow the order link in the article it will take you to the right page, and as you go through the steps to order you can select UTI Urinalysis Kit, unless you would also like to test for STI, then you can select the combined kit.

    Reply
    Melissa Kramer says:
    09 May 2019 at 2:17 pm

    Hi Shelley, I saw you also sent us an email, so I’ve replied to that with more info. Melissa

    Reply
    Melissa Kramer says:
    08 Mar 2021 at 9:02 am

    Hi Sarah, I’m not sure what your comment is in response to. Can you send me a direct message with your question/s so I can share more by email? Melissa

    Reply
    Sarah Flood says:
    07 Mar 2021 at 7:48 am

    I would love this information as well about the pro/probiotics to take. Thank you!

    Reply
    Melissa Kramer says:
    10 Nov 2020 at 4:55 pm

    Hi Nicole, I just sent you more information by email. I hope you find some answers soon. Melissa

    Reply
    Nicole Earney says:
    10 Nov 2020 at 8:22 am

    would greatly appreciate you sending me a list of urologists/gynocologist who work with your company and who are located in Australia Victoria

    Reply
    Melissa Kramer says:
    07 Aug 2019 at 8:17 am

    Hi Laura, that’s correct, if you provide a urine sample the test will be looking for urinary tract organisms, however, it is virtually impossible to avoid at least small amounts of contamination with a mid-stream urine catch, meaning organisms from other parts of the vulva may also be in the sample. If you specifically want to test for vaginal infection, you can also order this type of test. Melissa

    Reply
    Laura says:
    07 Aug 2019 at 4:20 am

    I’ve had pelvic and vaginal pain for over a year. Also, UTIs although usually the tests are negative but I know I have the symptoms. I’ve also had Cándida glabarta. Since this is a urine sample, it wouldn’t detect vaginal infections correct? That would have to be a swab.

    Reply
    Melissa Kramer says:
    29 Jun 2019 at 7:09 pm

    Hi Jennifer, MicroGenDX provides support for practitioners in understanding their results, so you could request that your doctor reach out to their team. If you have specific questions you can send us a direct message and we’ll respond via email. Melissa

    Reply
    Melissa Kramer says:
    29 Jun 2019 at 7:04 pm

    Hi Claire, I saw you also sent us an email so I’ve replied there with more information. Melissa

    Reply

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