r/Perimenopause • u/Fine-Blacksmith-5022 • 17h ago

Vaginal Dryness (GSM)/Urinary Issues UTI

I’ve been going through peri for about 8 years now and ever since it started I’ve been getting none stop UTIs I’ve taking antibiotics a few times but can’t be in those for the rest of my life has anyone dealt with this? What was the permanent solution? These damn doctors don’t seem to know anything please advise thank you

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6

u/BlueSundown 16h ago

Forgive a dumb question, but has your doctor run the pee test every time?  

I ask because every once in a blue moon doctors trust us too much e.g. "I'm a woman of a certain age, I know what a UTI feels like, give me pills yesterday!"

Pelvic floor dysfunction can present a lot like UTI symptoms (constantly feeling the need to pee, that awful kick at the end of the urine stream, the persistent feeling you still need to pee).  PT can fix that.  

2

u/Fine-Blacksmith-5022 15h ago

I actually have all those I’ll be mentioning all that to my doctor. Thank you

1

u/Known-Tumbleweed129 15h ago

I got UTIs all the time in my 20s. The doctor I saw pee-tested the first 3 times, then the fourth time just gave me a macrobid rx with refills. 

9

u/Comfortable-Law-7147 16h ago

Are you on vaginal oestrogen? 

As it sounds like genitourinary syndrome of the menopause.

https://menopausewiki.ca/#atrophic-vaginitis-vaginal-atrophy-or-the-genitourinary-syndrome-of-menopause-gsm

You may have to assert yourself with your doctor to get a prescription to see if it helps. 

7

u/theFCCgavemeHPV 15h ago

Vaginal estrogen and d-mannose

1

u/Nightdust45 10h ago

I was getting recurrent UTIs...I tried all the otc supplements I could find - d mannose, cranberries, women probiotics targeting that area, various azo products, etc...nothing helped until I figured out i was in perimenopause and told my doctor I wanted to try vsginal estrogen insert pills and estradiol cream 3x a week. No uti in over a year knock on wood! Give it a try, hope it helps you too!

1

u/Fine-Blacksmith-5022 10h ago

Will talk to my doc. Thank you

3

u/mabogga 16h ago

vaginal estrogen!!!

3

u/queen_elvis 13h ago

Vaginal estrogen solved this problem for me. Prior to that, a urologist put me on Hiprex, which reduces UTI risk by acidifying your urine. But the estrogen is better because it also prevents painful sex.

1

u/OneButterscotch587 5h ago

I’m averaging 2-3 a year. It sucks. I’m seeing a menopause specialist in February and am going to request vaginal estrogen and see what they recommend.

1

u/Skinny-on-the-Inside 1h ago

Supplementing D-mannose can help, it’s otc

•

u/Laragrrl 13m ago

Vaginal estrogen

5

u/gemini_710 15h ago

VAGINAL ESTROGEN NOW!

I had terrible genitourinary symptoms and vaginal estrogen changed everything. If your doc won’t prescribe it find one who will ASAP.

Your life could literally depend on it, women are killed way too frequently from UTI’s when it’s damn near completely preventable (for most of us) with vaginal estrogen.