Menopause and Urinary Tract Infections (UTIs)

When a woman’s body decreases its estrogen production, as in menopause, it also alters the protective surface layer on the bladder that prevents bacteria from adhering to its lining, thus creating a perfect environment for bacteria to multiply and cause a urinary tract infection (UTI). Menopausal women may also experience a “dropped bladder” (cystocele), which occurs when the wall between a woman's bladder and her vagina weakens, causing the bladder to droop into the vagina. These cystoceles can also trigger an inability to empty the bladder fully and encourage the growth of infection-causing bacteria.

Here are some ways to control or prevent urinary tract infections (UTIs) associated with menopause:

• Stay Hydrated: Drinking plenty of water promotes regular urination, so it is very important to stay hydrated in order to help flush out bacteria from the urinary tract.
• Kick it up with Kegels: Kegel exercises can help strengthen the pelvic floor muscles, which aid in proper urination. To identify which muscles these are, stop the flow of your urine by squeezing mid-stream – the muscles used to contract in this situation are the same muscles that you would contract for your Kegel exercises. Strengthening these muscles is of great benefit for your urinary health. Try to perform a set of 10 Kegel exercises at least three times a day – you can do them while driving in the car or watching TV!
• Stave it off with Cystex®: If you are prone to urinary tract infections (UTIs), talk to your physician about taking Cystex® as a preventative, as it is the only over-the-counter urinary tract medication that contains methenamine, an antibacterial agent that attacks bacteria and helps prevent it from adhering to the cell wall lining of the bladder.
• Lube it for Love: The declining amount or lack of estrogen in peri- and post-menopausal women will often lead to lack of vaginal lubrication. So, make sure that there is proper lubrication used during sexual activity to keep any irritation to the urethral opening to a minimum. Look for a water-based lubricant or vaginal moisturizer.