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40 · Female No Known Drug Allergies Updated 4 March 2026

Current Status

Chronic Cystitis
Confirmed
Biopsy confirmed · No malignancy
Was IUD-related — IUD now removed
Mirena IUD
Removed
Removed 4 Mar 2026
Was causing bleeding and bladder irritation
Yeast Infection
Persisting
Weak immune system per gynae
Probiotics recommended
Left Ovarian Cyst
Monitor
Clear/simple, 38.4 × 17.5 mm
Avg 28 mm · Vol 6.2 cm³

Test Timeline Jan – Mar 2026

Initial Urinalysis
The Clinic @ Campus — Dr Mervin Lim
Candida detected
Follow-up Culture
Innoquest Diagnostics
GBS UTI confirmed
Full Blood Panel + Urology
Assure Urology — Dr Koh Li-Tsa
Infection cleared
CT IVU with Contrast
AsiaMedic — Dr Low Kah Boon
Kidney stone found
Urine Microalbumin/Creatinine
Assure Urology — Dr Koh Li-Tsa
ACR normal
Cystoscopy + Bladder Biopsy
Mount Elizabeth Orchard — Dr Koh Li-Tsa
Inflamed bladder — biopsy taken
Biopsy Histology + Culture
SGH Pathology · Parkway Lab · Reviewed by Dr Koh 23 Feb
Chronic cystitis · No malignancy · No bacterial growth
Gynaecology Review + Pelvic Ultrasound
Mirena IUD removed · Left ovarian clear cyst (38.4 × 17.5 mm)
IUD removed · Yeast persisting

Hematuria Trend Urine RBC

Infection History

Date Organism Status
5 Jan Candida species Cleared
Mid-Jan Group B Strep (GBS) Augmentin
14 Jan No growth Cleared
3 Feb No growth (Bladder Washout) Cleared
4 Mar Yeast infection (persisting) Active — Probiotics

Reassuring Results

  • Kidney Function
    eGFR 105 — Excellent
  • Blood Counts
    Normal, no anaemia
  • Liver Function
    All normal
  • Fasting Glucose
    4.7 mmol/L — Normal
  • No Malignancy
    Biopsy confirmed — no dysplasia
  • No Obstruction
    Kidney stone non-blocking
  • UTI Cleared
    GBS treated with Augmentin
  • !
    Yeast Infection
    Persisting — probiotics started
  • Urine ACR
    0.5 mg/mmol — Normal

Next Steps

Biopsy Results Reviewed
23 Feb 2026 — Dr Koh Li-Tsa
Gynaecology Review
4 Mar 2026
IUD Removed
4 Mar 2026
Upcoming
1
Probiotics for Yeast Infection
Persisting yeast infection — weak immune system per gynae
2
6-Month Follow-up Imaging
Monitor kidney stone (4mm), kidney cyst (1.5cm Bosniak 2), and left ovarian cyst