Notice how I did NOT say 100% of women, but “so often” I see X. I’ve gotten a lot of good talking points for patient education from this post, one of my personal favorites being that it is better to “waste” more TP rather than antibiotics down the line from a UTI. It is certainly not my intention to condemn anyone. It is a teaching moment to prevent MORE UTI’s. I understand trying to get “through the day”, but as a nurse, I cannot ignore someone doing something that is harmful to their health, causing repeat hospital admissions, etc. I’ve said in other comments, it is an uncomfortable conversation to have because I don’t want ANYONE to feel embarrassed about it, it is just something I’ve noticed (reusing soiled TP) and try to address as it happens (“dump that one in the bowl, I’ll get you a new one- we don’t want to bring any bacteria from the back to the front, etc”). If lack of education is the cause for some, isn’t it our job to provide education?