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Role of estrogen for Urinary Tract Infections

9 March 2020

Many women suffer from recurrent urinary tract infections (rUTIs) which can be a cause of great discomfort and misery. While it has been recognised for some time that menopausal estrogen deficiency can increase the risk of urinary tract infections in postmenopausal women, the role of estrogen to reduce the risk of infections is not widely recognised nor promoted.

Recently published guidelines from the American Urological Association have recommended the use of vaginal estrogen, stating that "Vaginal estrogen therapy with no contraindications should be recommended to perimenopausal and postmenopausal women with rUTIs to reduce the risk of future UTI". It is hoped that this guideline will be widely shared and followed.

Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline. J Urol 2019

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