Can menopause increase UTI risk?
Yes, menopause increases the risk of urinary tract infections (UTIs) due to decreased oestrogen, which thins vaginal tissue and alters the balance of protective bacteria.
Detailed Medical Explanation
After menopause, oestrogen levels drop, leading to changes in the vaginal and urinary tract environment. This can make it easier for harmful bacteria to thrive and for UTIs to develop. Vaginal dryness and incontinence may further increase risk. Local oestrogen therapy can reduce UTI frequency in postmenopausal women. NHS: UTI and menopause.
Clinical Context
Clinics often recommend local oestrogen for women with recurrent postmenopausal UTIs, alongside other preventive measures.
Evidence-Based Approaches
NHS and NICE include topical oestrogen as an option for recurrent UTI prevention in postmenopausal women.