Recurrent UTIs

Recurrent UTIs can be a problem that affects women of all ages. In many cases, women will start to experience recurrent UTIs after they become sexually active. As women have urethras that are much shorter than men, they are at an increased risk of developing UTIs. During penetrative intercourse, it is possible that bacteria that typically dwells on the outer skin can be pushed up the urethra and into the bladder, causing a UTI.
In postmenopausal women, this risk is even greater as menopause causes estrogen to drop. This alters the vaginal microbiome that works to keep your vagina healthy. This makes it harder for the body to prevent infections from taking route.

Presentation of recurrent UTI

The clinical presentation of recurrent UTI can be very different for each patient. Frequency of UTIs, symptoms associated with UTIs, and UTI triggers may all vary. A proper patient assessment can be done to determine an individualized strategy for each patient.

 

Treatment Options:

  • Post-coital antibiotics: A low-dose antibiotic can be taken after penetrative intercourse prophylactically. 
  • Supplements: D-Mannose and Cranberry supplements can both help prevent UTIs
  • Bladder Instillations: Bladder instillations can be done to fill the bladder with gentamicin to prevent bacterial colonies from forming in the bladder.
  • Vaginal Estrogen: Vaginal estrogen cream can be applied to revitalize the vaginal skin and undo the effects of decreased estrogen levels following menopause.
  • Vaginal and vulvar laser treatments: Fractional CO2 laser can be used on the vaginal epithelium to help restore the normal vaginal flora helping to prevent vaginal and urinary tract infections.

Don't let recurrent UTIs disrupt your life any longer.

Schedule a consultation with our specialists to explore effective treatment options for recurrent UTIs.