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The Menopause-UTI Connection: Understanding the why behind recurrent urinary tract infections 

Author: Emerson Ramjattan, Pharmacist and Product Specialist at Szio+ Inc

For many women, menopause brings with it a range of physical changes, some of which can increase the likelihood of experiencing recurrent urinary tract infections (UTIs). It’s not uncommon for women in their 50s and beyond to report more frequent UTIs, particularly after sexual activity. This can be both frustrating and disruptive, impacting daily life and intimacy.

Recurrent UTIs are typically defined as having three or more infections within a year, or two or more within six months. While UTIs can affect women of any age, those who are postmenopausal face unique challenges due to changes in their bodies.

The Role of Estrogen in Vaginal Health

In premenopausal women, estrogen plays a crucial role in maintaining a healthy vaginal environment. This hormone supports the growth of beneficial bacteria, such as Lactobacillus, which helps maintain an acidic vaginal pH. This acidic environment is key to keeping harmful bacteria in check, reducing the risk of UTIs.

However, during and after menopause, estrogen levels decline, which can lead to a decrease in Lactobacillus populations and a rise in vaginal pH. This shift creates a more favorable environment for harmful bacteria to thrive, increasing the risk of UTIs.

Physical Changes and Increased UTI Risk

Aside from hormonal changes, menopause often brings about physical changes that can contribute to recurrent UTIs. These include:

  • Thinning of Vaginal Tissue: The loss of estrogen also leads to thinning and drying of the vaginal tissues, making them more susceptible to irritation and infection.
  • Pelvic Organ Prolapse: This condition, where the bladder or other pelvic organs drop from their normal position, can interfere with the ability to fully empty the bladder, leaving behind urine that can become a breeding ground for bacteria.
  • Urinary Incontinence: Incontinence can lead to prolonged exposure to moisture in the vaginal area, promoting bacterial growth.
  • Incomplete Bladder Emptying: Difficulty in completely emptying the bladder can leave residual urine, increasing the risk of bacterial growth and subsequent infection.

Preventing Recurrent UTIs

Fortunately, there are several strategies that can help reduce the risk of recurrent UTIs during menopause:

  • Stay Hydrated: One of the simplest yet most effective strategies is to drink plenty of water. Adequate hydration helps dilute the urine, reducing the concentration of bacteria and flushing them out of the urinary tract. One of our supporting urogynecologists, Dr. Susan Oakley reminds us, “dilution is the solution to pollution.”
  • Practice Good Urination Habits: Take your time when using the bathroom to ensure that your bladder is completely emptied. Relaxing the pelvic floor muscles can help in starting the urine stream and fully emptying the bladder.
  • Post-Sex Hygiene: It’s beneficial to urinate after intercourse to help flush out any bacteria that might have been introduced into the urinary tract.
  • Use a Vaginal Moisturizer: Regular use of a vaginal moisturizer can help maintain the natural moisture balance of vaginal tissues, reducing dryness and irritation. This can make the vaginal environment less susceptible to infections.
  • Take a Quality Cranberry Supplement: For example: Utiva UTI Control contains 36 mg of proanthocyanidins (PACs), a compound clinically proven to prevent urinary tract infections. This supplement helps reduce bacterial adherence to the urinary tract lining, lowering the risk of infection.

Consulting Your Healthcare Provider

If you’re experiencing recurrent UTIs, it’s important to consult with your healthcare provider. They can assess your condition, check for underlying issues like pelvic organ prolapse, and recommend appropriate treatments. By taking proactive steps, you can manage your bladder health and continue to enjoy an active and fulfilling lifestyle, free from the worry of recurrent infections.

This blog was written in partnership with Szio+ Inc and Utivahealth  https://szioplus.com/

Meet Szio+Inc at the National Menopause Show at Booth 424

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