For many people, UTI and menopause go hand-in-hand. But why is post-menopausal UTI a thing? Can estrogen help for recurrent UTI? And is estrogen cream safe?
We get a lot of questions about hormones, hormone therapy and the possible connection to recurrent UTIs.
Many people who reach out to us have noted they experience UTI symptoms at certain times of their menstrual cycle or that the frequency of UTIs increased at the onset of menopause. Others found starting or stopping the contraceptive pill had an impact.
So is there a link between hormones and recurrent UTI, and can we do anything about it?
Jump To Section:
- UTI and menopause: The vaginal and urinary microbiomes. >>>>
- How a healthy vaginal microbiome impacts recurrent UTI. >>>>
- Recurrent UTI and menopause may be linked by estrogen levels. >>>>
- Estrogen vs. antibiotics for UTIs. >>>>
- How estrogen impacts the bladder. >>>>
Why Did My Doctor Prescribe Hormones For My UTIs?
You might be surprised to find out that if you are post-menopausal and have recurrent UTIs, your doctor might prescribe hormone replacement therapy (HRT).
This could be estrogen in either systemic form (a pill that is taken orally) or topical form (a cream that is applied inside the vagina).
Why would estrogen help when it comes to UTI and Menopause? Let’s start with how the vagina and urinary tract are linked.
UTI And Menopause: The Vaginal And Urinary Microbiomes
The relationship between UTI and menopause has a few layers. First, let’s just confirm something many people are not yet aware of…
Contrary to long-held beliefs, urine is not sterile. The bladder has its own unique microbiome, even in a healthy state.
To be fair, the discovery of the female urinary microbiome was fairly recent, but the consequences of this research are already making ripples through everything we thought we knew about UTIs.
When we mention that the bladder has its own microbiome, most people think of what they have learned about the gut microbiome. This conjures images of a complex network of millions of bacteria all living and working together.
The bladder is very different from the gut; its function is to store and remove waste products.
It is a low biomass niche, meaning instead of billions of bacteria, a healthy person’s bladder may only have a few thousand. And instead of a community of different bacteria, a healthy person tends to have one or two dominant bacteria.
|“You could think of the gut microbiome kind of like a rainforest, filled to the brim with different species of plants and animals. If the gut is a rainforest, the bladder is a desert. It has a microbiome, but it’s low biomass, meaning there are relatively few bacteria to be found there.”|
UTI And Menopause: The Interconnected Urinary And Vaginal Microbiomes
Based on the knowledge that the bladder and the vagina have their own microbiomes, you may be asking yourself whether the two can influence one another.
It does look like the bladder and vaginal microbiomes are interconnected. The same types of bacteria are found in both anatomical sites (Lactobacillus, Gardnerella, Staphylococcus, Streptococcus, etc).
And the exact same strain of bacteria have been found in both sites of individual females. Therefore it is possible for a population of Lactobacillus to live in both the vagina and bladder at the exact same point in time.
Read about Cindy’s experience of UTI during menopause here.
The Microbial Communities Of The Urinary Tract, Vagina And Gut
This means that at the species level it is possible that these microbiomes are connected, but when we look at the microbial community of each location as a whole, we still find differences.
|“Talking about finding the same strains of bacteria in both the vagina and the bladder is like saying that we found a species of evergreen tree growing in the lush river valley and high up on the dry mountainside. We all know that there are other plants that will not normally grow in both environments. So does the presence of the evergreen tell us more about the tree, or the environment in which it grows? And can we take those same lessons and apply it to an invasive species?”|
These are the types of questions we’re still trying to answer, with regard to the urinary microbiome.
How Organisms Move From Your Gut To Your Urethra
As you may know, the main theory about how recurrent UTIs occur, goes something like this…
Organisms that exist within the digestive tract can end up very close to the opening of the vagina, thanks to our bowel movements and wiping habits.
Given the proximity, it can be very easy for these organisms to attempt to colonize the vagina.
If they successfully colonize the vagina, they’re then in a good position to do the same in the urinary tract.
It may be the case for some people, that an imbalance in the vaginal microbiome causes a continuous flow-on effect to the urinary tract, resulting in frequent UTIs.
How A Healthy Vaginal Microbiome Impacts Recurrent UTI
There are a few different types of bacteria that live in the vaginal tract. The most common are Lactobacillus species such as Lactobacillus crispatus, Lactobacillus gasseri, Lactobacillus jensenii, Lactobacillus iners, however other Lactobacillus species can routinely be detected.
Other organisms are also commonly found, and include Gardnerella vaginalis, Corynebacterium, Aerococcus, Atopobium, Streptococcus, Staphylococcus, Peptostreptococcus, Prevotella, Pseudomonas, Megasphaera, Sneathia, and many others .
Which Bacteria Are Good And Which Are Bad?
There is debate in the scientific community whether any of these bacteria can be considered pathogenic (disease-causing) in the vaginal tract.
This is a fairly new field, but is seems that healthy women with different ethnic backgrounds tend to have different vaginal bacteria, suggesting that there is a wide range of microbiome profiles for healthy women. Meaning that there isn’t one single bacteria or bacterial community that is right for everyone.
However, the prevailing medical dogma still considers the most beneficial of these bacteria to be Lactobacillus – those listed above.
These bacteria grow to high numbers and produce lactic acid and hydrogen peroxide as a byproduct. These byproducts make it really hard for uropathogens, such as E. coli, to grow in the vagina.
This means, when Lactobacillus is present in high enough numbers, E. coli cannot ascend from the gut into the vagina. If E. coli can’t get that far, then it therefore isn’t anywhere near the urethra, and is less likely to reach the bladder.
Recurrent UTI And Menopause May Be Linked By Estrogen Levels
So where does estrogen come in? How are UTI and menopause linked?
It is thought that estrogen increases the stores of glycogen on the surface of the vaginal epithelial cells (vaginal lining).
Glycogen acts as a food source for Lactobacilli. The more glycogen that is available, the more the Lactobacilli eat, and the more they multiply. And as mentioned above, abundant Lactobacilli provide a lactic acid rich, protective environment.
When females go through menopause and the levels of estrogen are reduced, this food source also diminishes, and so do the Lactobacilli and accompanying protective acid.
UTI And Menopause May Be Directly Linked To Lactobacillus In The Vaginal Microbiome
What happens after menopause? Studies have shown that post-menopausal females tend to lose Lactobacillus and their vaginal microbiomes become more diverse2-4.
This change can be influenced by Hormone Replacement Therapy (HRT).
Studies have shown that post-menopausal females who have been on HRT for years tend to have more of a Lactobacillus dominant community compared to females of the same age not on HRT.
Estrogen vs. Antibiotics For UTIs
In the late 90s and early 2000s, a series of studies was done around UTI and menopause. They compared estrogen therapy (applied vaginally) to prophylactic antibiotics (preventative antibiotics every day).
The studies looked at which therapy was more effective at preventing recurrent UTIs after menopause.
One study in particular looked at the use of topical estrogen cream vs. prophylactic antibiotics in post-menopausal females.
This study found that without any treatment, the participants experienced an average of 5.9 UTI episodes per year. With estrogen treatment, that dropped to 0.5 episodes per year compared to 0.8 episodes per year with an antibiotic.
How Estrogen Impacts The Bladder
Despite the research that has already been completed around UTI and menopause, there is a lot that is still not understood about the link between estrogen and the urinary tract. And therefore the link between UTI and menopause.
First of all, we don’t know the effect that estrogen has on the bladder microbiome.
It’s one thing to demonstrate that estrogen in post-menopausal females may reduce the recurrence of UTI. It’s another thing entirely to completely understand why this happens, and the long-term impact of its use.
We do know that estrogen can improve the bladder epithelium (the lining of the bladder). But studies are still ongoing to see if estrogen has a similar effect on the bladder microbiome as we see with the vaginal microbiome.
Secondly, we don’t entirely understand how the Lactobacillus is getting access to the glycogen in the vaginal tract. So it is possible that estrogen is doing something other than simply providing a food source.
Thirdly, for women who go from a high diversity vaginal microbiome without estrogen to a Lactobacillus dominant microbiome on HRT, we don’t know where the Lactobacillus is coming from. How is it getting re-populated?
Finally, we don’t know why some women who have perfectly good estrogen levels still get UTIs.
Is Estrogen Cream Safe?
As with all medications, the first thing you need to do is check with your doctor. Based on your medical history and risk factors, estrogen therapy may not be the best choice for you.
However, for the majority of people, a topically applied cream or pessary is perfectly safe. These forms of medication keep the hormones to a localized area, so carry fewer risks than a pill (which circulates the hormones throughout your body).
Watch our interview with Dr. Rachel Rubin on vaginal estrogen therapy to learn more about safety, efficacy and long term benefits:
What The Estrogen UTI Link Means For Recurrent UTI Sufferers
For those who experience recurrent UTI post-menopause, it may be worth raising the topic of estrogen therapy with your doctor.
We’ve linked the references for this article above, so you can review any relevant studies and share them with your doctor if you’d like to.
For pre-menopausal sufferers of recurrent UTI, the link between the vaginal and urinary microbiomes is still likely to be important.
For this reason, we’ve covered current research into the use of vaginal probiotics for recurrent UTI, and we’re working on some content specifically about this topic.
It’s also significant that a link between hormones and recurrent UTI has been established. We look forward to further research that will help enlighten us on how this link may impact pre-menopausal sufferers of recurrent UTI.
Learn more about UTI and hormones in our expert video series.
If you have questions or comments about UTI and menopause, you’re welcome to share them below. To get answers to other commonly asked questions about chronic and recurrent UTI, visit our FAQ page.
I have been suffering with chronic uti’s since the age of 18. I am now 63. I am very interested in seeing Dr. Rachel Rubin. I think the missing piece for me is seeing a specialist that treats women’s sexual health. I am currently take the Uromune vaccine, vaginal estrogen cream, progesterone and I see a urologist for embedded infections in Louisana. I am dealing with vaginal bacteria and I can’t find a doctor that really understands the correlation between vaginal health and uti’s. Does Dr. Rubin see patients virtually? If not, is there someone that has her training near the state of Connecticut?
Hi Robin, we don’t have any information yet about whether Dr. Rubin offers telemedicine. You might like to reach out to her office to ask. At the moment I don’t have any additional names to add to the list for Connecticut that we sent you in September. Sorry I can’t be of more help at this stage. Melissa
Already tried Harmone therapy
Hi Donna, I saw you also sent us an email so I’ve replied there with more information. Melissa
My 83 year old mother who I am caring for at home has moderate to advanced.
She is continuously having UTI
Last year the doctor prescribed on teaspoon of antibiotic a day to prevent infections as she was recovering from an infection and then 2 weeks later getting another.
It did work but taking antbiotics all the time is dangerous so recently she was taken off them. Low and behold the UTI infections have come back.
I take bio identicals with an estrogen gel which is helpin me through menopause- could mum take something similar or a specific vaginal cream?
A pesary inserted would be difficult to do with her so a cream through the skin the best option for us?
Hi Judy, sorry for the delayed response. A cream may be possible, but it’s best to speak with a clinician about this. I may be able to share relevant information about UTI specialists. Can you please send me a direct message to let me know where your mother is based? Melissa
I have been troubled with recurrent UTIs all my married life despite cystoscopies and almost constant antibiotics. 13 years ago a GP who was not my usual doctor prescribed Ovestin cream and since that time I have only had two bouts of infection. It has saved my life. I only need it once a week.
Hi Julie, it’s so great to hear that it has made such a difference for you! Melissa
I’ve had 3 UTI’s in less than 12 months. I’m 38, pre-menopausal, not yet peri-menopausal I don’t think, and my (new) urogynecologist prescribed vaginal estrogen as a UTI preventative. Why?? I’m reluctant to use it. She thinks I may have Overactive Bladder as well. Should I seek a second opinion?
Hi Sara, we have heard from some other specialists that there are cases when topical estrogen may be suggested, outside of perimenopause or menopause, but it’s always best to seek another opinion if you’re uncertain. It may help to speak with someone who specialises in recurrent UTI. If you would like more information on this, you can send me a direct message and let me know where you are based. Melissa
Hello I’m a 56 year old lady who had a hysterectomy thirteen years ago but the last three years I keep getting UTIs , I eat berries and have soya milk to drink and have flax seeds every day on my cereal , I try to eat healthy and never smoked or drink alcohol. I drink five to six pints of water a day plus herbal teas, I’m on nitrofaurtion low dose but when I come off them I get another infection, I’ve tried topical hrt but when it gets in my system I get faint and nearly pass out and dizzy spells so now I’m at a loss what to do, I’m afraid to have sex with my lovely husband and I’m under a urologist but he says it’s my Estrogen level, I’m scared that I will be on antibiotics forever or worse bladder cancer, please can you advise me I’m so fed up , many thanks.
Hi Mandy, I just sent you an email with links to some resources that I hope you find helpful. Melissa
The way I got rid of my UTI /I am post menopausal also. It was difficult. I fasted immediately for periods of time. No food until late afternoon. During this time I drank Linden berry tea that had cooled. I used the actual leaves from the countryside. I then took lactobaccillus pills, ate fermented pickles, sour kraur, vit. c., hemp seeds ground myself and goat yogurt and loads of diluted cranberry and pomegranate juice. At the end of 2 to 3 weeks, I took collodial silver 30ppm *tsp in 8 ounces of water with all the fermented food. It left slowly but surely! I am staying on the fermented food train because it also gave me loads of energy.
Hi Laura, it’s great to hear you found something that worked for you! Melissa
I was just diagnosed with pelvic prolapse. Which aggravates my tendency to get UTIs I think. Trying physical therapy for the prolapse. The E-String estrogen causes pelvic pain and had a reaction to the estrogen cream. Are there natural bioidentical estrogens that can help?
Hi Jan, we have heard from a handful of people that switching to a different cream has helped, however, it’s always best to speak with your clinician about alternatives. Melissa
What about estrogen dominance?
Hi Catherine, that is a really great question. As far as we know there hasn’t been any work done regarding estrogen dominance and the microbiome. We’ll certainly keep an eye out for new research in this space and let you know if we find anything! Susy
My urologist would like me to start Hiprex for frequent UTI’s. I am skeptical about drug as heard it turns urine to formaldehyde? Any comments about this drug?
Melissa, Can you please send me the info on Hiprex as well? I am on it, and it concerns me. Also, for what it’s worth, I reacted strongly (passed out) to the estrogen cream when applied into the vagina with an applicator. I just had a urogynocologist advise me to apply a dab twice a week around my urethra instead. Hope this will work!
Hi Denise, I just emailed you some further information. I hope your new approach provides some relief from your symptoms. Melissa
Hi Jean, it is true that Hiprex goes through a process that forms formaldehyde in the urine, and that this contributes to its known antimicrobial properties. Hiprex is commonly used as part of one long term treatment protocol utilised in the UK. I just sent you an email with some notes on this. I hope it helps. Melissa
I am post menopausal, have BV and IC with a high PH in my vagina. My IC symptoms are lower abdominal pain and severe urethral burning. I am due to do the urine broth test next month to check for embedded bacteria . I have discussed oestrogen therapy with my specialist ( Dr Anderson, I live in the UK) who has said it is my choice whether to start this before the broth test. I am very unsure what to do first, oestrogen or treatment for bacteria, if found ? Any thoughts ?
Thanks very much
What an EXCEPTIONAL piece of work! Thank you for your time and great efforts!
Thank you! 🙂
Hi Susan, I just sent you an email as I’m not sure if you’re receiving comment notifications. Melissa
I am using estriol/ovestin cream. How long can I use it and can I use it everyday? I have been having recurrent UTIs. Thanks
Hi Rose, the studies linked to above indicate that its use should be safe for most people but it’s best to speak with your prescribing doctor about this. Melissa
I suffer from recurring UTIs. My question is: how long can I safely continue using Hormone therapy if I apply it daily
Hi Mary, that’s a great question. I have added it to our list for the experts. We share expert insights by email whenever we can. If you’d like to join our mailing list so you can stay informed, you can sign up here. Melissa
I have at least a 15 year history of recurrent uti’s and have tried everything. The only long periods without infection have been when I am on a long term low dose antibiotic but as soon as I stop the uti’s return. I am currently on macrobid which my ob feels is safe because it mainly effects the bladder and not the whole body. I am also on Premarin applied to the urethra. I have been feeling great the past few months but read that low dose antibiotics have bad effects over time. Can you comment on this strategy?
I have been on macrobid and always get a bout of colitis while I am on it
Hi Pat, we do hear from some people that antibiotics cause digestive issues for them, however it varies from person to person, so it’s best to work with a practitioner through your options. If you’re looking for a practitioner, send us a direct message with your location and we can share some names. Susy
Hi Nita, as we aren’t clinicians we can’t comment specifically on a strategy, but we have covered the research into prophylactic antibiotic use here, if you’d like to read more. Melissa
I had recurrent UTIs for about 3 years after menopause. I started using Premarin vaginal estrogen cream and haven’t had a UTI since. It’s been at least four years since my last one. My question is, how long can I safely continue? I’m going to be turning 60 in a couple months. If I eventually stop using the HRT will the UTIs return? I’m not sure I could live through that again. I was getting them every 3 months, almost like clockwork. But, I don’t want to put my long term health in jeopardy.
Hi Marie, as mentioned in the article, it does appear that use of topical estrogen is safe for the majority of people, however, it’s always best to discuss with a doctor. The link shared above leads to a systematic review of research into the use of vaginal estrogen, so it has a lot of helpful information. Melissa
Thank you, Melissa!
I’m desperate for help, these reoccurring UTI’s are taking over my life and making me miserable constantly. I’ll take an antibiotic, feel good and then it’s back again, try another regimen of antibiotics and back. Sometimes I’ll go for a routine checkup and won’t have symptoms but a uti shows up anyways. I’ve had a bladder lift 10 years ago. I’m 51 and have been in menopause for a while.
Hi Michelle, I sent you an email with some information. You might also like to read our article about recurrent vs. chronic UTI, if you haven’t already. Melissa
I am wondering of any more holistic ways to treat infections. Currently with a bad bug Klebsella Pneumonae.. I have been on and off abx this year which I feel has killed my gut.. Looking for hope… also of any success stories with the use of tge Urmune vaccine
Hi Shannon, we aren’t aware of how the Uromune vaccine can be accessed in the US. If you have information on that can you please let us know by direct message? Many people will be interested. We have heard some success stories with the vaccine from Europe. I saw you also sent us an email so I’ve replied there with more information. Melissa
Thanks so much for the great article. Since menopause I unfortunately suffer from UTIs, mostly after intercourse. I try to stay away from antibiotics and use D mannose which helps me quite a bit. I’m wondering if probiotic pills would also be helpful as a preventative measure?
Hi Ruth, research indicates that certain strains of probiotics may be beneficial and that these strains may be different for pre- and post-menopause. We’ve covered this in more detail and you can read more here. Melissa
The estrogen cream was terrible for me. I’d completed menopause almost twenty years previously. After using the estrogen cream for about ten days my vulva swelled up like a cauliflower, causing horrible pain. It took well over two weeks after I stopped the cream for it to return to normal. For a week I could actually feel my uterus, as if I had resumed menstrual cramps. I think maybe it would work better in women who still had estrogen in their systems.
I’ve e had utis throughout my life. I have been through breast cancer in last year which put me into menopause. I am taking tamoxifen for next 5 years. As my oestrogen levels deplete i am experiencing constant pressure on my bladder that often leads to utis. The samples sent to lab often come back negative but i am given antibiotics anyway and it feels like an infection. I am taking vaginal oestrogen but this doesn’t seem to make any difference to getting infections. I dont want to face a future with this its debilitating and i worry about becoming resistant to antibiotics. I would love to hear about your regime… I take d-mannose tablets too
Hi Emma, can you send me a direct message and let me know where you’re based so I can email you relevant information? Thanks! Melissa
My.mother is suffering from recurrent utis..its not curing..we have done everything..and now my mother is antibiotic sensitive..my mother have e.coli..which is not eliminating..if someone have sure shot solution plz plz plz rply me..its very imp for the life of my mom..plz helo
Hi Singh, there is no sure shot solution but I hope we can share information that will help. I just sent you an email. If you don’t see it, please check your spam folder. Melissa
Hi Tobi, sorry to hear you experienced that! I also got your direct message so I’ve replied by email with more information. Melissa
I’m new to utis. I’ve gone through 3 courses of antibiotics and it has come back again. I’m nervous about this. Any advice would be appreciated. I think I’m very close to menopause.
I’ve suffered with UTI since a teenager. I always get given antibiotics but they always say no bacteria. I’ve been clear for a good few years now but had a UTI in December. Thought it had cleared and had another beginning of June. Had antibiotics but gp said culture was clear. I take probiotics and gp has agreed to use vaginal oestrogen. I am on day ,8 of the initial two week dose. It was all good until today when my symptoms returned. I’m hoping it’s just a glitch
Hi Sharon, if you haven’t already, you might like to read our information on why UTI test results could be negative, even when you have a UTI. Melissa
Hi Kimberly, can you send us a direct message and let us know where you’re based, so we can share any appropriate resources via email? Melissa
My doctor had me on estrogen but stop it when I was still getting UTI’s even on the estorgen
vagifem vaginal suppository twice weekly seems to keep the utis under control. However switching to generic form did not work!
Hi Ellen, that’s great to hear you’ve found something that works for you. If you have any questions, you can always reach out directly. Melissa
I use estrogen pessaries twice a week but am suffering with recurrent UTIs. This has gone on for nearly 3 years since I had a bladder repair following VVF after hysterectomy. Urologist wants me to try Hiprex for 6 months. Does anyone have any experience of this medication? Also I was told I had painful bladder syndrome but urologist now wants to do cystoscopy under GA to rule this out. I’m so fed up. I just want to be symptom free!
Hi Liz, I just emailed you some information about Hiprex. I hope it helps. Melissa
I am new to this UTI issue, and the fact you went 4 years is beyond crazy. It all started with UTI symptoms urgency, pain, burning, and a horrible yeasty smell urine. No blood in the UTI. I want to my Gyno Dr. My apt was fine pee in cup get Pap test. But when I was leaving he did not give me a prescription for a UTI he said the dipstick did not show one but they were sending out to lab. I should take OTC AZO drug that causes your pee to be bright orange. This did not work. I finally called the Dr office back after 2 weeks and they said I did have an infection they called in a prescription. Sulfa but it was only oddly a 5 day prescription which seemed very short. It worked but came back I called my Dr to get more medicine. The tinge of UTI still lingers and burning.
Hi Heather, I see you also sent us a direct message so I’ve replied there. Melissa
Hi Dena, I hope you can find another solution. I see you also sent us an email and we’ve shared some more info there. Melissa
D-Mannose used to stop a bout of cystitis if I took it early enough. But now I’ve read that there might be side effects.
Hi Xenia, we’ve covered D-mannose in more detail here, if you’d like to read further information about it. Melissa
This article makes perfect sense to me. I have been supplementing with probiotics on a daily basis for many years now but it’s been a couple of months since I started getting flatulence so I included kombucha and enzymes in my diet thinking that i might have dysbiosis due to antibiotics that I’d taken for cystitis. I had been using Estradiol 25mcg 3 times a week for a couple of years then the doctor reduced it to 10mcg 3x a week and I noticed discomfort during intercourse. I had no idea that this could be related to more bouts of cystitis.
Hi Xenia, we hear from a lot people with similar experiences that have found estrogen cream helpful. It’s clear that we need more research into this area! Melissa
WOW. I have no history of UTIs and suddenly got one that I cannot get rid of. The bacteria that continuously coming back is enterococcus faecalis and it will not eradicate!!! I’ve been on 5 different rounds of antibiotics all of which it was supposed be sensitive to but it remains and my symptoms persist. Strangely, this happened two months after I got off my birth control pill that I had been on for years! Any advice for me? My husband and I were wanting to start a family but now… I feel I have to wait until I get healthy but the likelihood feels like it is slipping away…
Hi Lizzy, can you send us a direct message with this information and let us know where you’re based? Melissa
Great info here. What is the opinion on Utiva? Thank you.
Hi Sarah, we don’t provide information about specific products, though we do have some info about cranberry for UTI, which I believe Utiva is based on. Melissa
I used estrogen suppositories to soften the tissues of my Urethra, but found it to difficult to keep up with, so my doctor prescribed eString which is inserted and left inside the urethra. Could not decide whether that was helping much, but it had a bad effect on my mammograms, so I was told to remove the eString. I haven’t gone back to it, and want nothing more to do with estrogen.
Hi Emily, thanks for sharing your experience. More research is definitely needed into recurrent UTI treatment approaches and who they may or may not be suitable for. Melissa
Great article. Thank you! Could this apply to women with PCOS also?
Can having the Marina(I think that’s how you spell it !) coil fitted for menapausal problems be a cause of a U T I ?
Hi June, we haven’t seen any research into this, but we have received similar questions from others who are speculating whether it may be linked to symptoms they are experiencing. If you have any other questions, you can always get in touch directly. Melissa
Hi Antonia, that’s an excellent question. I haven’t seen any studies specifically linking this, so I’ve added it to our list of questions to ask an expert. Given the hormonal link to recurrent UTI, it seems plausible. Melissa
What is the role of testosterone treatment
( small daily dose of cream) in relation to UTI for post menopausal & naturethroid women /patients?!!
Hi Cathy, we don’t yet have any information regarding testosterone treatment for UTI. If you have any useful resources we can start looking into, can you send us a direct message? Thanks, Melissa
As always very informative and in a format that is understood,thank you
Can you tell me the differences with compounded estriol cream and the regular estrogen creams like estrace? I’m being treated for e faecalis and citrobacter in urine with antibiotics. Suffered with painful bladder syndrome for 7 years. Also given compounded estriol( I’ve had breast cancer) the estriol is weaker, I’ve been told so may take 3 months to work. My oncologist also told me about a new product Imvexxy which has a lower estrogen content than estrace and premarin. Obviously considering my history I want the lowest estrogen possible but still need it to work. Any thoughts? Thanks
Hi Lesley, that’s a great question and I’ve added it to our list for the experts. We share their answers periodically via our mailing list. If you’d like to join the list, you can do so above, at the bottom of the article. If you have any other questions, feel free to send them to us directly. Melissa
Hi Maria, thanks for your positive feedback! Melissa