** Thanks for contacting with your health concern 1. As the symptoms are recurrent so one has to exclude risk factors for complicated urinary tract infections. [as might be the case for you], which may impede urine flow like congenital urinary tract abnormalities and inflammation, consult a Urologist for differential diagnosis of the same. 2. According to the Journal of American Family Physician: Patients at risk of complicated urinary tract infections are best managed with -broad-spectrum antibiotics initially, - urine culture to guide subsequent therapy, and - renal imaging studies if structural abnormalities are suspected. . Other predisposing factors which can be considered are any immunosuppression, diabetes, chronic kidney disease [CKD]. 3. Patient should be counseled about risk factors such as spermicide use, frequent sexual intercourse, and new sex partners, as well as about preventive measures, like i. Cranberry juice has shown benefits in women with recurrent UTI [daily intake of 150 - 750 ml] ii. Several studies have demonstrated the effectiveness of using topical estrogen (0.5 mg of estriol vaginal cream nightly for two weeks, then twice weekly for eight months), but adverse effects are common. 4. As you mentioned pain in lower abdomen thus the noticeable effect of UTI [bladder pressure] is Interstitial cystitis [IC], [and one of the symptoms is the pelvic pain] so it will be a good idea to follow up with your attending doctor regarding detailed medical history, pelvic examination, and necessary investigation. [cystoscopy, biopsy, urine cytology], if needed PS. carbonated beverages, citrus fruits, Vitamin C, caffeine, alcohol, tomatoes, and wear loose clothes and doing stretching exercises can help reduce your IC symptoms