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How To Prevent Uti In Menopause

Consider Adding Some Cranberry To Your Diet

UTIs during menopause & why they keep coming back

Research supports the benefit ofcompounds found in cranberries, known as;proanthocyanidins , for reducing the risk of getting a UTI. If given a chance, bacteria that enter the urinary tract will attach themselves to the inside surface of the bladder wall.;

Studies have shown that it takes36 mg ofproanthocyanidins;to;help fend off bacteria from sticking to your bladder wall before they have a chance to hang around and cause an infection.;You can get this level of PACs in 8-10 oz of 27% cranberry juice, 1 ½ cups of fresh cranberries, ½ cup of cranberry sauce, and 1 ounce of sweetened dried cranberries.

Effects On The Bladder And Vagina

As you grow older, you may notice some changes to your nether regions that adversely affect your intimate life. What might you expect as you approach menopause? How does the change in hormones at menopause affect your vagina, urinary tract, and sexual health, and what can you do to manage these unpleasant side effects?

The changes in our urinary tract and vagina, not to speak of generalized changes such as hot flashes, are not always a welcome introduction to the late summer and autumn of your life. Yet, for each of these symptoms, there are often several possible solutions which can reduce the impact they have.

Urinary Tract Infections And Urinary Incontinence

We know it all too well peeing a little when we cough, sneeze, exercise, or laugh.Although urinary incontinence is common during perimenopause and beyond, it does not have to be an inevitable part of aging and should not be considered normal or simply accepted.

Laughing or sneezing puts extra pressure on your bladder, which can cause whats called stress incontinence, or when you accidentally pee yourself. But why is it so much worse with uti and menopause? It can be partially due to weakened muscles from aging and repeat pregnancies, but decreasing hormones play an important role. Most of the time leakage is a few drops of urine, but it can become a full loss of control. Losing the muscle strength that controls your bladder is not only embarrassing, but it is a medical problem that can be treated.

Although women can experience urinary incontinence and urinary tract infections throughout their lives, the frequency of UTIs and UI tend to occur more often as we age.; With age, the hormones estrogen, progesterone, and testosterone decrease and cause real changes in how our urinary tract works and how often infections occur. Leaking urine, or incontinence, is a common symptom of menopause.;

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Progesterone And Testosterone Levels

Progesterone and testosterone levels should be checked as these too can impact on the bladder and general health. Whilst some women experience relief using oestrogen, others find relief using progesterone especially if oestrogen dominant.

The sacral nerve which controls the pelvis and its organs is full of oestrogen receptors. Research published in The International Urogynecology Journal in 1993 showed a change in hormone levels, in particular that of progesterone, may affect the excitability of the nerves and make you feel like you have to urinate more frequently. This may also be the reason for frequent urination during the second half of the menstrual cycle as progesterone levels are higher than those of oestrogen.

Testosterone after the age of 50 has been noted in a research paper published in 2011 in the Global Library of Womens Medicine;to reduce because of declining production within the ovaries. It is vital to bone density, muscle mass, energy levels, libido and general mood but is often overlooked with concentration on oestrogen and progesterone HRT supplementation.

Avoid Holding Your Pee

Pin on Menopause

Avoid holding in your urine, as this can encourage bacterial growth. Try not to wait more than 3 to 4 hours to pee, and completely empty your bladder each time.

This is even more important if youre pregnant as pregnancy puts you at an increased risk for a UTI. Holding your pee can further increase the risk.

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Rethink Your Birth Control

Some types of birth control may contribute to bacterial overgrowth and recurrent UTIs. Diaphragms, spermicidal products, and non-lubricated condoms could cause your UTIs because they change bacteria in your vagina, so talk to our team about other effective options for birth control.

Similarly, irritating feminine products can disrupt the natural balance of bacteria inside your vagina. Avoid using scented pads, tampons, soaps, or powders. When cleaning your genital area, use gentle, unscented cleansers.

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 .

This could be estrogen in either systemic form or topical form .

Why would estrogen help when it comes to UTI and Menopause? Lets start with how the vagina and urinary tract are linked.

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New Solutions For Menopause

    Menopause is the time in a womans life when she stops having menstrual periods and can no longer get pregnant. It results from a decline in the production of the reproductive hormones estrogen and progesterone.

    Although some women sail through menopause with few or no discomforts, shifting hormone levels cause some women to experience a variety of symptoms. These can include vaginal dryness, painful intercourse, chronic urinary tract infections , and changes in urinary habits.

    If youre coping with chronic menopause-related UTIs, our providers at Womens Healthcare of Princeton can provide help that goes beyond just antibiotics. We offer a range of treatment options, including some new solutions that may surprise you.

    Keeping Your Urinary Tract Healthy After Menopause


    Urinary tract infections are the most common bacterial infection in women. When bacteria enter the urethra and then the bladder, this can cause an infection. UTIs can be a chronic problem, especially for postmenopausal women.

    This article discusses the reasons why postmenopausal women are at an increased risk for UTIs. Then, we share some strategies for recurrent UTI prevention after menopause.

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    Urinary Tract Infections In Middle

    Recurrent UTIs are common among both young healthy women and healthy women at midlife. Heres why. There are many types of bacteria that normally live in the vagina and happily coexist. And they keep each other in check, like a mini-ecosystem. The hormone estrogen allows the good bacteria called Lactobacillus to thrive. These bacteria produce acid, which lowers the pH in the vagina, which helps keep the bad bacteria in check.

    For women at midlife, the main culprits behind recurrent UTIs are physical changes, including thinning of vaginal tissue, pelvic organ prolapse, incontinence, and trouble completely emptying the bladder. The lower levels of estrogen after menopause are also a factor.

    Perhaps youre no stranger to urinary tract infections , or maybe youre the opposite, and youve been spared by the urinary health gods. Whichever the case, UTIs after menopause can happen to anyone. They are the second most common type of bacterial infections seen by healthcare providers.

    A urinary tract infection occurs when bacteria from the bowel enters and travels up the urethra. Women are fairly prone to urinary tract infections because of the shortness of their urethra and the close proximity of the urethra to the vagina and anus. Bacteria that live in this moist environment can spread to the urinary tract during sex or with the use of certain vaginal birth control methods.

    Help For All Your Menopause Symptoms

    At Womens Healthcare of Princeton, we understand how hard it can be to cope with menopause-related symptoms. Thats why we offer a full range of treatment options, including complementary and alternative therapies as well as traditional medical options.

    If you live in or around Princeton, New Jersey, and are tired of dealing with menopause symptoms such as chronic UTIs, call us for an appointment or book your visit online today.

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    Are There Herbal Remedies To Help Me

    It is possible to take herbal remedies to support home measures while easing your symptoms of a bladder infection. Uva-ursi, also known as bearberry, is a small plant found in Europe, and has flowers of similar shape to a bladder. However, it is for more than this coincidence that Uva-ursi is used to relieve the symptoms of a bladder infection. It is thought to have antiseptic properties and promotes excretion of bacteria in the urine.

    However, if you are looking for a herbal solution to support you throughout the stages of the menopause, and all the associated side-effects, then soy isoflavones which mimic the effect of oestrogen in the body can help to reduce unwanted symptoms. These can be found in herbal remedies, such as A.Vogelâs Menopause Support.

    What About Cranberry Juice

    5 Steps A Woman Should Take To Treat Or Prevent Urinary ...

    Thereâs no harm in trying it. But itâs not a proven fix.

    Over the years, a lot of studies have focused on a substance found in cranberries thatâs thought to prevent bacteria from sticking to the lining of the urinary tract. But none of these studies have shown how much of this substance it would take to help prevent UTIs.

    If you still want to give it a try, drinking cranberry juice or taking cranberry pills is probably fine to do. But there are some exceptions, like if you take a blood-thinning medication, a medication that affects the liver, or aspirin. Itâs always wise to talk to your doctor first, before you try any supplements.

    Cleveland Clinic: âUrinary Tract Infections,â âCan Cranberry Juice Stop Your UTI?â

    Urology Care Foundation: âUrinary Tract Infections in Adults: After Treatment,â âUrinary Tract Infections in Adults: How Are UTIs Treated?â

    Mayo Clinic: âUrinary Tract Infection .â

    JAMA Internal Medicine: âCranberry-Containing Products for Prevention of Urinary Tract Infections in Susceptible Populations: A Systematic Review and Meta-analysis of Randomized Controlled Trials.â

    National Institute of Diabetes and Digestive and Kidney Diseases: âUrinary Tract Infection in Adults.â

    JAMA: âEffect of Cranberry Capsules on Bacteriuria Plus Pyuria Among Older Women in Nursing Homes: A Randomized Clinical Trial,â âCranberry for Prevention of Urinary Tract Infection? Time to Move On.â

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    Why Some Women Get Recurrent Utis

    The infections are usually caused by Escherichia coli, a bacterium that lives in the intestinal system. If E. coli are carried from the rectum to the vagina, they can enter the urethra and infect the bladder.

    Risk factors for UTI vary with age. Before menopause, the most common risk factors are sexual intercourse and use of spermicides. It’s thought that sex increases the number of bacteria in the bladder, and many experts advise women to urinate after sex to flush them out. Spermicides may kill off Lactobacilli, beneficial bacteria in the vagina, making it easier for E. coli to move in.

    After menopause, certain physical changes help set the stage for UTIs. The numbers of Lactobacilli in the vagina naturally decline. The bladder also contracts less strongly than it once did, making it more difficult to empty it completely.

    In both premenopausal and postmenopausal women, genes play a role as well. Having a mother or sister who has frequent UTIs is also a risk factor.

    Drink Plenty Of Fluids

    Stay hydrated throughout the day. This will make you pee more frequently, which flushes bacteria out of your urinary tract.

    Water is the best choice. Aim for 6 to 8 glasses per day. If its hard for you to drink that much water, you can also increase your fluid intake by drinking sparkling water, decaffeinated herbal tea, milk, or smoothies made with fruits and vegetables.

    Try to limit or avoid alcohol and caffeinated drinks, which may irritate the bladder.

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    Exercise Your Pelvic Floor Muscles

    Look at things like pelvic floor exercises and Pilates. These can be absolutely great for strengthening the bladder and keeping it in tip-top condition.

    If you go for Pilates instruction, they can teach you very specific exercises that will keep your bladder nice and strong and also help to maintain your pelvic floor muscles which is really important as you go through, and after, the menopause as well.

    Uti And Menopause: The Vaginal And Urinary Microbiomes

    Treating recurrent urinary tract infections with local hormone therapy

    The relationship between UTI and menopause has a few layers. First, lets 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 persons 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 its low biomass, meaning there are relatively few bacteria to be found there.

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    What Are Uti Symptoms For Women After Menopause

    UTIs may present themselves differently in postmenopausal women. The typical features of UTI should next be examined: urinary urgency, frequency, dysuria, hesitancy, and low back pain. Because postmenopausal women may not present to the clinician with typical UTI symptoms, it is important to investigate for atypical UTI presentations. Symptoms of increasing mental confusion, incontinence, unexplained falls, loss of appetite, and nocturia are atypical clinical manifestations that may occur in the older postmenopausal female:

    • Urosepsis or septic shock .
    • Have symptoms only of urinary incontinence or a combination of symptoms.
    • Mental changes or confusion, nausea or vomiting, abdominal pain, or cough, and shortness of breath.
    • A study of women aged 18 to 87 years revealed that a generalized sense of feeling out of sorts was frequent in adult women with acute uncomplicated lower UTI.

    Urinary Tract Infections In Perimenopause: Lets Talk About Them

    May 29, 2015 by Magnolia

    Yeah, I know. ;Who wants to talk about UTIs? Theyre not fun, for sure. ;But chances are youve had at least one in your life time. Most women do. ;In fact, statistically speaking, one in three women will experience their first UTI by age 25, and 50% of all of us will experience a UTI at some point in our lifetime

    Thankfully, I personally have not suffered with them too often. ;But, Ive known plenty of women who have. ;And it can be miserable to say the least.

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    How To Prevent Recurrent Utis

      Urinary tract infections can happen to anyone, but women are more likely to suffer these painful infections than men, due in part to anatomy. Bacteria in your bladder or urethra commonly cause UTIs, but infection can develop anywhere in your urinary system, including the kidneys or ureters.;

      UTIs often cause pelvic pain and the persistent urge to urinate, making them impossible to ignore. The good news is that treatment often eliminates the infection and symptoms within a few days. If you find yourself with a UTI, call Daniel McDonald, MD, , and our team at OB/GYN Specialists.

      Most women experience at least one UTI during their lifetime. Some factors, like sexual activity or menopause, make it more likely that youll experience recurrent UTIs, but these tips can help reduce your risk of these uncomfortable, bothersome infections.

      Two: Utis Caused By Anatomical Issues

      How to Prevent Post Menopausal UTIs

      The other UTIs, she says, are due to anatomical problems. Prolapse and weakened bladder muscles may stop the bladder from emptying completely in urination, and that can lead to recurrent UTIs.

      As we age, tissue can weaken; if the tissue between the bladder and the vagina weakens, the bladder may bulge into the vagina, causing a prolapse or cystocele. If the bladder drops enough, its no longer in an ideal position for voiding completely. Bulges may form pockets where urine pools and doesnt make it out.

      If bladder muscles are weak, they dont contract properly anymore, and again, a woman may not be able to empty her bladder completely.

      The urine that isnt expelled becomes a breeding ground for unhealthy bacteria, enough of the bad bacteria build up to overwhelm the good bacteria, and pretty soon, the woman finds herself with another UTI.

      How do you treat them?

      First, get a diagnosis from an ob/gyn, Dr. Rebecca says, so you know whats actually happening. Then, if appropriate, a physical therapist may be able to help strengthen weak bladder and pelvic floor muscles. Medication can help you empty your bladder more completely, and if the problem is a prolapse, surgery might be your best bet.

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      So How Does This Vaginal Microbiome Alter

      During menopause, the level of oestrogen declines in the vagina, bladder and pelvic floor. This in turn affects the growth of vaginal epithelial cells and the availability of glycogen. This reduction leads to the level of lactobacilli in the vagina decreasing alongside the production of lactic acid and hydrogen peroxide. The decreased oestrogen level also results in thinner, drier and less elastic genital tissues.

      When the level of lactobacilli is disrupted and the vaginal flora becomes imbalanced, the risk of developing an infection is increased. If the vagina is not acidic enough due to a shortage of lactobacilli, lactic acid and hydrogen peroxide, then fungi such as candida, vaginal infections such as bacterial vaginosis , aerobic vaginitis and bad bacteria such as coliforms, enterobacter, gardnerella, mycoplasma, streptococci and staphylococci are able to reproduce more than they usually would. Because glycogen is the main nutritional source for lactobacillus, this results in lower production of lactic acid and a higher more alkaline vaginal PH in which lactobacilli strains cannot survive.

      Additionally, the following can alter the vaginal microbiome:

      This may lead to an increase of UTIs and recurrent UTIs because of the proximity of the vagina to the urethra and bladder allowing easy bacterial transfer.


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