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Recurrent Urinary Tract Infections in Postmenopausal Women

As estrogen levels decline in postmenopausal women, changes in urinary frequency, urgency and incontinence; thinning, drying and inflammation of the vaginal walls (atrophy); bladder inflammation (cystitis); and recurrent urinary tract infections can occur. Recurrent urinary tract infection (RUTI) is defined as three episodes of urinary tract infection (UTI) in the previous 12 months or two episodes in the last six months. Studies have shown that treatment with vaginal estrogens can reduce the number of UTIs and relieve common symptoms of vulvovaginal atrophy. Non-hormonal substances have also been shown to help prevent or reduce the frequency of UTIs. We encourage postmenopausal women with recurrent urinary tract infections to talk to our pharmacist and their doctors about treatment options. We’ll be happy to discuss any concerns, and work with your doctor to formulate medications that will meet your specific needs.

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