A Patient's Guide to Recurrent Urinary Tract Infections

1) Post-Menopause:

As you get older, hormonal changes cause alterations to your vagina and its contents, predisposing you to urinary tract infections. Topical estrogen applied inside the vagina can reduce the risk of infections. Your doctor will decide if this treatment is right for you.

2) Sexual Activity:

Some women find that urinary tract infections coincide with sexual intercourse. Avoid the use of spermicide compounds as these have been associated with increased risk of infections. It may be helpful to urinate after intercourse to reduce the risk of infection.

3) Fluid Intake:

Drink at least 2 to 3 liters of fluids per day to help flush out any bacteria that might be sitting in your bladder and urinary tract.

4) Cranberry Products and D-Mannose:

Some people find that taking these products may reduce the number of urinary tract infections. They work by preventing bacteria from sticking to your urinary tract.

5) Antibiotic Prophylaxis:

Antibiotics can be used to prevent urinary tract infections in some people. If your infections are not adequately controlled by lifestyle changes, then a low dose oral antibiotic may be right for you. If your infections typically occur after sexual activity, then you can take a single dose of an oral antibiotic after sex.

6) Urologist:

Your doctor may recommend that you see a urologist to assess if there are any structural or functional problems with your urinary tract. The urologist may need to perform a cystoscopy, a procedure where a small camera is inserted through the urethra into your bladder to look for any problems that might be causing your infections.