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Recurrent UTIs

Podcast Episode 6 transcript.

Listen on: Apple, Spotify, Website


Today, I’m talking about recurrent urinary tract infections, or UTIs, that can occur during menopause.


UTIs are already a common concern for women, but during menopause, hormonal shifts can further complicate matters.


Women are more prone to recurrent UTIs during menopause, particularly because of the decrease in estrogen levels. Estrogen plays a crucial role in maintaining the health of the urogenital tissues. As these levels decline, the genital tissues become more susceptible to infection, and the protective flora in the urinary tract diminishes, making it easier for bacteria to thrive.


Understanding the factors contributing to recurrent UTIs during menopause is the first step towards proactive management. Here are some key insights and tips to help you.


Firstly, hydration is vital. Adequate water intake helps flush out bacteria from the urinary tract. So, make sure you're drinking water throughout the day. 


It is very important to reduce the amount of sugar you consume. Sugar increases the acid level of urine, creating a better environment for bacteria, which encourages infection. Be aware of hidden sugar in processed food.


Supplements like Cranberry and Mannose have been evidenced to help prevent UTIs and can also be helpful additions to your routine. Please keep in mind that these supplements only work for some.


Maintaining good hygiene is crucial. Ensure proper wiping techniques, always opting from front to back. Wear breathable cotton underwear to reduce moisture and prevent the growth of bacteria.


Incorporate probiotics into your diet to support a healthy balance of bacteria. This is especially important if you are taking any antibiotics. Probiotics can be obtained as supplements or foods like yoghurt and fermented products like kimchi or sauerkraut.


We also need to consider the importance of regular pelvic floor exercises. Strengthening these muscles can help improve bladder control and reduce the risk of UTIs. We have attached an NHS link to pelvic floor exercises to this podcast for you to look into, but we will discuss this subject in a separate podcast.


If you find yourself experiencing recurrent UTIs, it's crucial to consult with your healthcare provider. They can offer guidance, prescribe appropriate medications, and rule out any underlying issues that may be contributing to the infections.

There is strong evidence that shows regular use of Vaginal Oestrogen helps reduce the number of infections during menopause, so it is important to reach out and not suffer in silence. Try this before considering long-term antibiotics, which is sometimes necessary.


I hope you enjoyed this episode on Recurrent UTIs and are now more aware of what might cause these infections, the importance of reaching out for support, and what medications and supplements you want to try.


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