Year 1middle twist
A 21-year-old woman presents to the GP with urinary urgency, suprapubic discomfort, and dysuria. This is her third similar episode in the past year. She does not use any contraceptives and denies recent travel. She reports drinking around 2 litres of water a day, wearing tight gym clothes, and using public bathrooms frequently due to her university schedule.Which of the following is the most significant contributing factor to her recurrent urinary tract infections?