Help please me with this

Patient: Hello, I’ve been experiencing pain caused by a UTI, pain in my lower back, vaginal bleeding when not on my period, and pain during sexual intercourse. The pain in my back can last anywhere from 30 seconds to a few days. The pain from the UTI is almost every other week.

Symptoms: Lower back pain, pain when urinating, vaginal bleeding, vaginal pain during intercourse

Doctor: