What to do for recurrent UTI?

Question

Hi doctor,

I am in menopause and have had bad issues with my hormones and my bladder. I am 51 years old. Is this something you can help?

Answer 1

Hi,

Welcome to icliniq.com.

Yes, definitely, I can help you. Kindly elaborate and let me know your problems.

Answer 2

Hi,

Welcome back to icliniq.com.

I went through your query and I can understand your concern.

Recurrent urinary tract infections are quite common during and after menopause. But, if properly treated, it should get resolved.
Most likely rather than treating for the hormonal issues, proper focus has to be given on treating UTI.
I recommend you to stop taking Macrobid and get a urine culture test after five days. You can take an alkalizer syrup (Syrup Citralka - Sodium hydrogen citrate) for symptomatic relief.
Once you get the urine culture report, you can be started on proper antibiotic therapy as indicated by the culture report. This antibiotic therapy has to be given for at least three weeks and then a repeat urine culture has to be done to check if UTI has been eradicated or not.

Answer 3

Hi,

Welcome back to icliniq.com.

Your doctor is right. UTI is due to low estrogen levels causing dryness. But, treatment with hormonal cream or pills will just normalize the hormone levels, but it will not cure the UTI.
In your case, UTI is persistent or recurrent because of improper and inadequate treatment of UTI and not just menopause and hormone issue.
So, you can either ask your doctor only for prescribing urine culture sensitivity test or you can meet a physician or internist or infectious disease specialist for this problem.

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