How to Prevent Urinary Tract Infections (UTIs) During Hormone Changes
- Dr. Rachel Winstedt, ND
- Jun 4
- 2 min read
Urinary tract infections (UTIs) are prevalent, particularly among women, and can lead to significant discomfort and health complications if not addressed promptly. Implementing effective prevention strategies is crucial for maintaining urinary tract health and overall well-being.
What causes UTIs?

UTIs occur when bacteria, most commonly Escherichia coli, enter the urinary tract through the urethra and multiply in the bladder. Hormone changes during perimenopause and menopause and a women’s own anatomy can increase the risk of developing a UTI:
Anatomical Considerations: Women have a shorter urethra, which allows bacteria quicker access to the bladder.
Menopause: Decreased estrogen levels can alter the urinary tract, making it more susceptible to infections.
Smart Simple Strategies to prevent UTIs:
1. Maintain Adequate Hydration
Drinking plenty of fluids, especially water, helps dilute urine and ensures frequent urination, which flushes bacteria from the urinary tract. Aim for at least 6-8 glasses of water daily.
2. Practice Proper Hygiene
Wipe Correctly: Always wipe from front to back after using the toilet to prevent bacteria from the anal region from spreading to the urethra.
Avoid Irritants: Refrain from using douches, powders, or sprays in the genital area, as they can irritate the urethra.
3. Urinate Regularly and After Intercourse
Don't Hold Urine: Urinate when you feel the urge to prevent bacterial buildup.
Post-Intercourse Urination: Urinating after sexual activity helps flush out bacteria introduced during intercourse.
4. Choose Appropriate Birth Control Methods
Some contraceptives, like diaphragms or spermicidal agents, can increase UTI risk. Consult with a healthcare provider to select a method that doesn't elevate your risk.
5. Wear Breathable Underwear
Opt for cotton underwear and avoid tight-fitting clothing to keep the area around the urethra dry and prevent bacterial growth.
6. Consider Probiotics
Probiotics can help maintain a healthy balance of bacteria in the urinary tract. Incorporate probiotic-rich foods like yogurt into your diet or discuss supplements with your healthcare provider.
7. Use Vaginal Estrogen (Postmenopausal Women)
For postmenopausal women, topical vaginal estrogen may help maintain the health of the urinary tract and reduce UTI risk. Consult a healthcare provider for appropriate options.

Lifestyle Choices to Reduce UTI Risk
Dietary Choices: Incorporate foods rich in antioxidants and vitamin C to boost immune function. Limit processed foods and sugary foods which suppress the immune systems activity.
Physical Activity: Regular exercise can enhance immune response and overall health.
Stress Management: Chronic stress can weaken the immune system; Get adequate sleep, practices like meditation and yoga can help manage stress levels.

When to Seek Medical Attention
If you experience symptoms such as a strong, persistent urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, or pelvic pain, consult a healthcare provider promptly. Early intervention can prevent complications and ensure effective treatment.
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