Recurrent Urinary Tract Infections - Vaginal Estrogen

This video discusses use of vaginal estrogen for prevention of urinary tract infection - not only in women after menopause (GSM), but in younger women with hormonal reasons for low vaginal estrogen levels. We typically think of UTIs as annoying and disruptive, but in fact they can lead to sepsis, hospitalization, and death. Vaginal estrogen prescription is associated with lower rates of serious adverse events in all age groups. Recent guidelines by the American Urological Association, Canadian Urological Association, Society of Urodynamics and Female Pelvic Medicine, and the American Urogynecologic Association recommend vaginal estrogen for recurrent urinary tract infection (recurrent UTI) and assure us it does not cause breast cancer, cardiovascular disease, or stroke. The Guidelines on Genitourinary Syndrome of Menopause discuss use of vaginal estrogen in women who have a history of breast cancer, including women on Tamoxifen and Aromatase Inhibitor medications. Watch this video and others in the playlist to learn more about urinary tract infection (UTI) and recurrent urinary tract infection (rUTI), how to interpret laboratory testing for UTI, antibiotic resistance, what causes UTI, catheter associated UTI, danger signs (red flags), how to prevent UTI including vaginal estrogen, cranberry, and methenamine, and what could be causing UTI symptoms if you have a negative culture.