Skip to content

Vaginal Estrogen for Urinary Tract Infections (UTI): Does it help?

Vaginal Estrogen for Urinary Tract Infections: Does it work?

Iโ€™m so pleased to share a comprehensive critical review of the top randomized controlled trials about vaginal estrogen vs. placebos in preventing or treating UTIs in postmenopausal women. ~Tracy Sher, PT, MPT, DPT (2022)

๐——๐—ผ๐—ฒ๐˜€ ๐˜๐—ต๐—ฒ ๐—จ๐˜€๐—ฒ ๐—ผ๐—ณ ๐—ฉ๐—ฎ๐—ด๐—ถ๐—ป๐—ฎ๐—น ๐—˜๐˜€๐˜๐—ฟ๐—ผ๐—ด๐—ฒ๐—ป ๐——๐—ฒ๐—ฐ๐—ฟ๐—ฒ๐—ฎ๐˜€๐—ฒ ๐—จ๐—ฟ๐—ถ๐—ป๐—ฎ๐—ฟ๐˜† ๐—ง๐—ฟ๐—ฎ๐—ฐ๐˜ ๐—œ๐—ป๐—ณ๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป๐˜€ (๐—จ๐—ง๐—œ๐˜€) ๐—ผ๐—ฟ ๐—จ๐—ฟ๐—ผ๐—น๐—ผ๐—ด๐—ถ๐—ฐ ๐—ฆ๐˜†๐—บ๐—ฝ๐˜๐—ผ๐—บ๐˜€ ๐—ถ๐—ป ๐—ฃ๐—ผ๐˜€๐˜๐—บ๐—ฒ๐—ป๐—ผ๐—ฝ๐—ฎ๐˜‚๐˜€๐—ฎ๐—น ๐—ช๐—ผ๐—บ๐—ฒ๐—ป?โฃ

โฃ
This is available to you as a FREE downloadable ebook!

UTIs are the most common bacterial infection in (cisgender) women and they increase significantly during menopause (Raz, 2011)โฃ
โฃ
The prevalence of UTIs is 3x times higher in those diagnosed with GSM than controls (Rubin, et al., 2020)โฃ
โฃ
Adding vaginal estrogen treatment has been found to lower vaginal pH, increase lactobacillus in the epithelium of the vagina, and decrease colonization of Enterobacteriaceae (Stavridis, 2013)โฃ
โฃ
There are various types vaginal estrogen treatments – creams, suppositories, rings, and pills (or prasterone DHEA is another option). They are not the same as oral pills or patches- they directly help the local tissue inside the vagina and at the urethra (and parts of the vulva).โฃ
โฃ
Vaginal estrogen can take 2-3 months to work and sometimes specific placement of it is beneficial (at the opening, urethra, or fully inside, etc)


Why isnโ€™t this discussed more? Why isnโ€™t this prescribed more? There was an erroneous black box warning on ALL estrogens and it is taking a long time to reverse.โฃ
โฃ
For a more detailed explanation and the study reviews, please download the full ebook/pdf. โฃ

I wish everyone knew about this

Using antibiotics over and over again may not even be needed if we prevent these issues!โฃ
โฃ
You can ask your GYN about it. This is certainly not individual medical or health advice.โฃ


Thanks so much for reading! Please talk to your doctor (or if you’re a medical provider, talk to your patients) about this important topic. 


Also, remember that so often the way we get this information is through talking to friends and family. Speak up for those you know who are struggling with recurrent UTIs and see if this could help improve their quality of life. 


Thanks. 


~Tracy

Want more amazing resources like this one?

There are so many incredible resources available to you as a member of the Global Pelvic Health Alliance.

The Global Pelvic Health Alliance Membership is a wealth of resources just waiting for you!ย 

  • Growing expert webinar library
  • Growing anatomy illustration collection
  • Growing patient education handouts collection
  • Supportive online community of experts
  • Members-only podcast access
  • Accountability progress pods
  • So much more!

ย 

Leave a Comment