UTI relief, without waiting for an appointment
A doctor reviews your symptoms and, when suitable, prescribes antibiotic treatment, with clear guidance on warning signs that need in-person care.
- Written consultation, no video call
- Reviewed for safety and interactions
- Full refund if not approved
What it is
A urinary tract infection, most often of the bladder, can cause burning when you pee, needing to go often and pain low in the tummy.
Uncomplicated infections are common and often treated with a short course of antibiotics. Some symptoms need an in-person check, and the doctor will tell you.
How it works
Answer online
A short questionnaire about your symptoms.
Doctor review
A licensed EU doctor reads your answers and replies in under 2 hours on average.
E-prescription
If treatment is suitable, your prescription is issued electronically and dispensed at any EU pharmacy.
Treatment options
The doctor chooses based on your answers and health. Some options are practical advice, some are prescription medicines.
Antibiotic treatment
A short course of antibiotics, if suitable for you.
Symptom advice
Fluids, pain relief and what to watch for while you recover.
Warning signs
When fever, back pain or blood in your urine means you should be seen in person.
One consultation, one clear price
You pay for the doctor's consultation. If a prescription is issued, the medicine is paid at your own pharmacy.
- Consultation reviewed by an EU-licensed doctor
- Private follow-up in the in-app chat
- Full refund if the doctor does not approve
Sexual health
- Consultation reviewed by an EU-licensed doctor
- Electronic prescription if approved
- Private follow-up chat
Full refund if a review is not approved
What to know before your consultation
Cystitis and its treatment
A lower urinary tract infection, or cystitis, is an infection of the bladder that causes burning when you pee, needing to go often or urgently, and pain low in the tummy. It is common in women and, when uncomplicated, is usually treated with a short course of antibiotics. The doctor may consider a single dose of fosfomycin or a short course of nitrofurantoin. Advice on fluids, pain relief and warning signs is part of every consultation.
Who the online pathway suits
The online pathway is for adult women with typical cystitis symptoms and a positive urine dipstick test from this episode. Men, older adults, pregnant women, and people with a catheter, kidney disease, weakened immunity or repeated infections need an in-person assessment, often with a urine culture. Fever, chills, pain in the side or back, vomiting, or heavy blood in the urine can mean a kidney infection and need urgent care. The questionnaire checks these points and tells you before you pay.
Side effects and warning signs
Fosfomycin can cause diarrhoea, nausea and headache. Nitrofurantoin can cause nausea and, rarely, lung, liver or nerve problems, mainly with longer use, and it is not used when kidney function is significantly reduced. Allergic reactions are possible with any antibiotic. Symptoms that suggest the infection has reached the kidneys, such as fever, chills, pain in the back or side, or vomiting, need same-day medical care, and confusion, fainting or feeling very unwell can signal sepsis: call 112.
Self-care and other routes
Resting, drinking enough fluids to pass pale urine and taking paracetamol for pain can ease symptoms while you recover. Your family doctor can examine you, send a urine culture and treat infections that are not suitable for an online pathway. Repeated infections deserve an in-person review to look for a cause and discuss prevention. If the doctor decides online treatment is not appropriate, they explain why, tell you where to go, and your consultation fee is refunded.
What guidelines recommend
The European Association of Urology guideline on urological infections lists a single dose of fosfomycin and a five-day course of nitrofurantoin among the first-line treatments for uncomplicated cystitis in women. It notes that cystitis in men needs a different approach, because involvement of the prostate has to be excluded. NHS guidance advises urgent assessment for signs of a kidney infection, which can lead to sepsis if it is not treated. These are the reasons the online pathway is limited to uncomplicated cases.
Your UTI consultation
You answer a questionnaire about your symptoms, how long they have lasted, your dipstick result, pregnancy, kidney health, allergies and medicines. An EU-licensed doctor reviews your answers in the private chat, checks for signs of a kidney infection or another cause, such as a sexually transmitted infection, and, if appropriate, prescribes a suitable antibiotic. You collect and pay for it at a pharmacy of your choice in the EU.
When to get back in touch
Take the treatment exactly as prescribed, even if you start to feel better. Contact your doctor in the chat if your symptoms have not improved within 48 hours, get worse, or come back soon after treatment. Seek urgent care for fever, pain in the back or side, or vomiting. If infections keep coming back, the doctor may suggest an in-person review with a urine culture to find the cause.
Sources
- European Association of Urology. EAU Guidelines on Urological Infections (2026)
- NHS. Urinary tract infections (UTIs) (2025)
- AEMPS CIMA (Spanish medicines agency database). Fosfomycin 3 g: package leaflet (national product information) (2025)
- AEMPS CIMA (Spanish medicines agency database). Nitrofurantoin 50 mg: package leaflet (national product information) (2025)
- European Commission. 112: the single European emergency number (2025)
Sources checked on September 29, 2026
Your questions answered
Can a UTI be treated online?
When should I be seen in person?
Who is the online UTI consultation for?
Do I need a urine test?
What can I do to feel better while I recover?
What side effects can the antibiotics cause?
What if my infections keep coming back?
What does it cost?
What if the doctor declines?
Which sexual-health treatments does Hi-Doctor cover?
How much does sexual-health care cost, and when will I hear back?
What treatments are there for erectile dysfunction?
Are PDE5 inhibitors safe?
Are there alternatives if the tablets don't work for me?
How discreet is everything handled?
Can erectile dysfunction indicate another problem?
Saying it is the first step
Answer the questionnaire and a licensed doctor reads it. You pay only if treatment is approved.
Start UTI consultationNo charge unless a doctor approves your treatment.Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work


