Introduction Urinary tract infections (UTI) are the most common outpatient infections in the United States. Recurrent urinary tract infections (rUTI) are 30 times more common in women than men, suggesting differences in genitourinary anatomy and physiologic factors exist that could explain an increased susceptibility in females. One in three women are diagnosed with a UTI by age 24, with a recurrence rate of approximately 2.6 infections/year. A bidirectional relationship exists between rUTI and pelvic floor dysfunction (PFD) in women, however, little is known about the role of pelvic floor dysfunction in the pathogenesis of UTI in premenopausal women. Objective We aimed to document the occurrence of PFD among a group of premenopausal women with rUTI to further understand the relationship and identify factors associated with pelvic pain and dyspareunia. We hypothesize PFD will have a high prevalence in this population. Methods The Electronic Medical Record Search Engine (EMERSE) database for a single institution was utilize to identify eligible patients. Inclusion criteria included women aged 18-49 with an ICD code for UTI, who still have their ovaries, and who have who have seen a urologist, gynecologist, or urogynecologist within the past 5 years. A total of 610 eligible patients were identified and contacted via email and asked to participate in our survey study. The survey included queries on demographics, medical history, personal experience with UTI symptoms, diagnosis, and treatment. Survey responses were analyzed using chi-squared tests to analyze factors associated with dyspareunia. Pelvic floor dysfunction was defined as baseline pelvic pain outside of the context of UTI or dyspareunia. Internal Review Board approval was obtained for this study (STUDY20211407). Results Of the 610 women contacted, 65 (10.7%) responded. Outside the context of UTI, 52 (80%) women reported some degree of pelvic pain (Figure 1) and 40 (62%) women reported dyspareunia. The presence of pelvic pain was significantly associated with dyspareunia (90% with dyspareunia vs 64% without, p Conclusions PFD is highly prevalent among premenopausal women with rUTI, and screening for pelvic pain and dyspareunia should be performed in this population. Patients who report pelvic pain are more likely to have dyspareunia. Further investigation is needed to evaluate causation between PFD and rUTI in premenopausal women. Disclosure No