The Complete Menopause UTI Prevention Guide

Everything you need to know about preventing urinary tract infections after menopause—with tracking sheets and doctor discussion tools. Full Downloadable PDF -  GOOD KITTY CO. | UTI Tracking Resource Sheet

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Introduction: You Don't Have to Live With Recurrent UTIs

If you're dealing with recurring UTIs after menopause, you've probably been told "it's just part of getting older."

That's bullshit. While UTIs are more common after menopause, they're not inevitable—and you don't have to accept them as your new normal.

This comprehensive guide gives you everything you need to:

• Understand why UTIs happen after menopause
• Track your infections to identify patterns
• Implement proven prevention strategies
• Have productive conversations with your healthcare provider
• Advocate for the treatment you deserve

Let's get started.

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Part 1: Understanding Postmenopausal UTIs

What Happens to Your Body During Menopause? Menopause = the permanent end of menstruation.

Technically, you've reached menopause after 12 consecutive months without a period. Everything before that is perimenopause (the transition), and everything after is postmenopause.

The hormonal shift:

• Estrogen levels drop by 90% or more
• Progesterone declines significantly
• Testosterone decreases (though more gradually)

This hormonal shift affects your entire body, including your urinary and vaginal health.

Why Estrogen Matters for UTI Prevention

Estrogen is your urinary tract's best friend. Here's what estrogen does:

Maintains tissue health:

• Keeps vaginal and urethral tissues thick, elastic, and moist
• Prevents thinning (vaginal atrophy)
• Reduces dryness and irritation
• Protects against micro-tears

Strengthens urethral muscles:

• Maintains muscle tone
• Prevents bacterial migration
• Supports complete bladder emptying
• Reduces residual urine (where bacteria breed)

Supports healthy vaginal microbiome:

• Promotes Lactobacillus bacteria growth
• Maintains acidic pH (3.8-4.5)
• Crowds out harmful bacteria like E. coli
• Creates protective barrier against infection

Enhances immune function:

• Improves blood flow to pelvic tissues
• Increases immune cell activity
• Speeds tissue repair
• Strengthens local immune response

When estrogen drops, all these protective mechanisms fail.

The UTI-Menopause Connection

Statistics you should know:

• Up to 25-30% of postmenopausal women experience recurrent UTIs
• Risk of UTIs increases significantly after menopause
• 50% of women will have at least one UTI in their lifetime
• 20-30% of women who have one UTI will have another
• Without treatment, recurrent UTIs often get worse, not better

Why postmenopausal UTIs are different:

Before menopause, UTIs are often related to:

• Sexual activity
• New partners
• Spermicide use
• Certain birth control methods

After menopause, UTIs are primarily caused by:

• Estrogen deficiency
• Tissue thinning
• Microbiome disruption
• Weakened urethral muscles

This is why the prevention strategies that worked before menopause may not work now.

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Part 2: Recognizing UTI Symptoms

Classic UTI Symptoms

Know the signs:

• Burning or pain during urination (dysuria)
• Urgent need to urinate suddenly
• Frequent urination with little output
• Feeling like you need to pee even after just going
• Cloudy, dark, or strong-smelling urine
• Blood in urine (pink, red, or brown)
• Lower abdominal pressure or pain
• Pelvic discomfort

Warning Signs of Kidney Infection

Kidney infections are serious and require prompt treatment. Seek immediate medical attention if you have: 

• High fever (above 100.4°F/38°C)
• Chills or shaking
• Severe back or side pain (especially under ribs)
• Nausea and vomiting
• Confusion or disorientation
• Blood in urine with fever

Symptoms That Might Confuse You

Not every urinary symptom is a UTI. Other conditions that can cause similar symptoms:

Interstitial cystitis (IC) / Painful bladder syndrome:

• Chronic bladder pain without infection
• Urgency and frequency
• Pain during bladder filling
• Relief after emptying
• Requires different treatment than UTIs

Overactive bladder (OAB):

• Sudden strong urges to urinate
• Frequency without infection
• May include incontinence
• Related to bladder muscle dysfunction

Vaginal atrophy (Genitourinary syndrome of menopause):

• Burning during urination
• Vaginal dryness and irritation
• Painful sex
• Not an infection—hormone deficiency

Bladder stones:

• Pain and difficulty urinating
• Blood in urine
• Frequent UTIs
• Requires imaging to diagnose

If symptoms persist despite treatment, ask your doctor to investigate other causes.

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Part 3: UTI Tracking System

Why Tracking Matters

Tracking your UTIs helps you:

• Identify patterns and triggers
• Determine if infections are truly recurrent
• Provide concrete data to your healthcare provider
• Evaluate whether prevention strategies are working
• Advocate more effectively for treatment

What to Track

For each UTI, record:

Date and time:

• When symptoms started
• When you sought treatment
• When symptoms resolved

Symptoms:

• Which symptoms you experienced
• Severity (mild/moderate/severe)
• How long each symptom lasted

Potential triggers:

• Sexual activity (date and time)
• Travel
• Stress levels
• Diet changes
• New medications
• Hormonal fluctuations

Treatment:

• Antibiotic prescribed
• Duration of treatment
• How quickly symptoms improved
• Any side effects

Prevention methods used:

• Supplements (cranberry, D-mannose, etc.)
• Vaginal estrogen (type and frequency)
• Lifestyle modifications
• Other interventions

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Downloadable UTI Tracking Sheet

Downloadable Monthly UTI Summary 

Part 4: Prevention Strategies Quick Reference Guide

The Triple Defense Approach

The most effective UTI prevention combines three strategies:

1. Address the root cause (hormone replacement)
2. Prevent bacterial adhesion (supplements)
3. Optimize behaviors (lifestyle modifications)

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Prevention Strategies Comparison Chart

LIFESTYLE MODIFICATIONS CHECKLIST 

HYDRATION

• 8-12 glasses water daily
• Urine is pale yellow
• Water bottle always accessible
• Glass with each meal

VOIDING HABITS

• Pee when you feel urge (don't hold it)
• Urinate every 2-4 hours during day
• Double-voiding technique (pee, wait, try again)
• Take your time (don't rush)
• Urinate within 30 minutes after sex

HYGIENE

• Wipe front to back always
• Wash genital area with water/gentle soap before and after sex
• No douches (ever)
• No scented products in genital area
• Unscented, dye-free laundry detergent for underwear

CLOTHING

• Cotton underwear
• Avoid tight pants/leggings
• Change out of wet swimsuits/workout clothes promptly

SEXUAL ACTIVITY

• Empty bladder before sex
• Take 2 UTI Biome Shield capsules 30-60 min before or immediately after
• Use plenty of water or silicone-based lubricant
• Avoid spermicides
• Never anal-to-vaginal contact without washing
• Urinate within 30 minutes after sex
• Cleanse external area with water after

DIET

Foods that may help:

• Cranberries/blueberries
• Probiotic-rich foods (yogurt, kefir, sauerkraut)
• Plenty of vegetables
• Adequate protein

Foods to limit:

• Excessive sugar
• Artificial sweeteners (if irritating)
• Caffeine (if irritating)
• Alcohol
• Spicy foods (if irritating)

Part 5: Medical Treatment Options Quick Reference

WHEN TO CONSIDER EACH OPTION

PROPHYLACTIC ANTIBIOTIC OPTIONS

Duration: Typically 6-12 months, then attempt to discontinue and continue other prevention methods

Important: Always take with probiotics to protect gut health. Not addressing root cause (estrogen deficiency) but can be effective bridge treatment.

TESTING GUIDE

Part 6: Talking to Your Doctor

Preparing for Your Appointment - Bring your tracking sheets.

Concrete data is more powerful than vague descriptions of "getting UTIs a lot."

What to Prepare:

Your UTI history:

• Number of UTIs in past 6 months
• Number of UTIs in past 12 months
• Dates and treatments
• Pattern recognition

Current symptoms:

• What you're experiencing right now
• How long symptoms have lasted
• Severity

Prevention methods tried:

• What you've already attempted
• How long you tried each method
• Results (did it help? not help?)

Your goals:

• What you want from treatment
• What would "success" look like
• Your preferences (e.g., prefer non-antibiotic options)

Your questions:

• Write them down beforehand
• Bring the list to appointment

DOCTOR DISCUSSION GUIDE  QUESTIONS ABOUT DIAGNOSIS

•  Can we do a urine culture to confirm this is a UTI and identify the specific bacteria?
•  Are there other conditions that could be causing these symptoms?
• Do I need any additional testing (ultrasound, cystoscopy)?
• Should we test for interstitial cystitis or other bladder conditions?

QUESTIONS ABOUT VAGINAL ESTROGEN

• Am I a good candidate for vaginal estrogen?
• What form do you recommend (cream, tablet, or ring) and why?
• How long before I should see results?
• What are the risks vs. benefits for me specifically given my medical history?
• Is it safe for me given [any cancer history, blood clots, etc.]?
• How long can I use it? Is long-term use safe?
• What side effects should I watch for?

QUESTIONS ABOUT SUPPLEMENTS

•  "Can I combine vaginal estrogen with cranberry supplements or D-mannose?"
•  "Are there any interactions with my current medications?"
•  "What dose of cranberry PACs would you recommend?"
•  "Should I take a probiotic? What strains?"

QUESTIONS ABOUT ANTIBIOTICS

•  "Do I need prophylactic antibiotics, or should we try other prevention first?"
•  "If we use antibiotics, what's the plan for eventually stopping them?"
•  "How do we minimize the risk of antibiotic resistance?"
•  "What are the side effects I should watch for?"
•  "Should I take daily or post-coital antibiotics?"

QUESTIONS ABOUT FOLLOW-UP

•  "When should I follow up with you?"
•  "What should I do if symptoms return before my follow-up?"
•  "How will we know if the prevention plan is working?"
•  "What's our timeline for evaluating effectiveness?"
•  "When should I consider seeing a urogynecologist?"

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WHAT TO SAY IF YOU'RE NOT BEING HEARD

If your doctor dismisses your concerns:

"I understand UTIs are common, but I've had [NUMBER] infections in [TIMEFRAME], and it's significantly affecting my quality of life. I'd like to discuss evidence-based prevention options like vaginal estrogen."

If they say "it's just part of aging":

"I've read that vaginal estrogen can reduce UTI risk by over 75% in postmenopausal women. Can we discuss whether that would be appropriate for me?"

If they're reluctant to prescribe vaginal estrogen:

"Can you help me understand your concerns? The research I've seen shows vaginal estrogen is safe and effective for UTI prevention. Is there a specific reason it wouldn't work for me?"

If you're still not satisfied:

"I'd like a referral to a urogynecologist who specializes in recurrent UTIs."

FINDING THE RIGHT DOCTOR

RED FLAGS 🚩

• Dismisses your concerns
• Says UTIs are "just part of aging" and nothing can be done
• Refuses to discuss prevention options
• Only offers antibiotics without addressing root cause
• Makes you feel rushed or unheard
• Dismisses research you bring
• Won't consider specialist referral

GREEN FLAGS ✓

• Takes your concerns seriously
• Asks about your medical history and goals
• Discusses multiple prevention options
• Willing to try conservative approaches first
• Follows up to see if treatment is working
• Treats you as a partner in your care
• Provides education and resources
• Open to specialist referral if needed

If your current doctor isn't working:

• Consider seeing a urogynecologist (specializes in pelvic floor and urinary issues)
• Ask for recommendations in menopause support groups
• Look for doctors affiliated with university medical centers
• Check online reviews (look for mentions of good listening skills)

Find a urogynecologist: American Urogynecologic Society directory at augs.org

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Part 7: Troubleshooting Common Issues

"I'm using vaginal estrogen but still getting UTIs"

Not enough time:

• Vaginal estrogen takes 8-12 weeks for full benefits
• Don't give up before 3 months

Dosing may be insufficient:

• Some women need more frequent application
• Discuss with your doctor about increasing frequency

Need combination approach:

• Add UTI Biome Shield or other supplements
• Address lifestyle factors (hydration, voiding habits)
• Consider adding prophylactic antibiotics temporarily

Other factors at play:

• Diabetes (uncontrolled blood sugar increases risk)
• Incomplete bladder emptying (may need pelvic floor therapy)
• Structural issues (prolapse, bladder stones)
• Immunosuppression

What to do:

• Give it full 3 months before deciding it's not working
• Track carefully to identify any remaining triggers
• Discuss adding additional strategies with your doctor
• Consider referral to urogynecologist

"I can't use vaginal estrogen due to medical history"

If you have history of hormone-sensitive cancer: Talk to your oncologist (not just your primary care doctor) about vaginal estrogen. Many oncologists approve low-dose vaginal estrogen even for breast cancer survivors because systemic absorption is so minimal.

Alternatives if vaginal estrogen is truly contraindicated:

Aggressive supplement approach:

• UTI Biome Shield (cranberry PACs + D-mannose + immune support)
• Additional D-mannose (2 grams daily)
• Vaginal probiotics
• Vitamin D (if deficient)

Lifestyle optimization:

• Meticulous hydration
• Regular complete bladder emptying
• Post-sexual urination without fail
• Avoid all bladder irritants

Prophylactic antibiotics:

• May be necessary
• Discuss lowest effective dose
• Consider post-coital only if UTIs are sex-related

Methenamine hippurate:

• Non-antibiotic option
• Requires acidic urine (may need to supplement with vitamin C)

DHEA vaginal suppositories:

• Hormone precursor
• May have some benefit without direct estrogen
• Discuss with your doctor

"I'm experiencing side effects from vaginal estrogen"

Common side effects and solutions:

Vaginal irritation or burning:

• Often temporary (first week or two)
• Try reducing frequency temporarily
• Switch to different form (cream vs. tablet vs. ring)
• Ensure you're inserting correctly

Increased vaginal discharge:

• Normal—tissues are rehydrating
• Usually improves after initial weeks
• Wear panty liner if needed
• Not a reason to stop

Breast tenderness:

• Rare with vaginal application
• Usually mild if it occurs
• Discuss with doctor about dosing

Yeast infections:

• More common when first starting
• Treat the yeast infection, continue estrogen
• May need prophylactic antifungal initially

If side effects persist beyond 2-3 weeks, talk to your doctor about adjusting form or dose.

"Prevention is working but UTIs return when I stop"

This is normal and expected. Vaginal estrogen benefits last only as long as you're using it. When you stop, tissue thinning and microbiome disruption return.

Think of it like medication for any chronic condition:

• Blood pressure medication works while you take it
• Same with vaginal estrogen for UTI prevention

Most postmenopausal women need to continue vaginal estrogen long-term. This is safe: Low-dose vaginal estrogen can be used indefinitely in most women.

"I'm doing everything right but still getting occasional UTIs"

Even with perfect prevention, you may still get occasional UTIs. The goal isn't necessarily zero UTIs—it's:

• Significant reduction (from 6+ per year to 1-2)
• Less severe symptoms
• Faster resolution
• Better quality of life

If you're down from monthly UTIs to once or twice a year, that's success.

When to escalate treatment:

• Still getting 3+ UTIs in 6 months despite comprehensive prevention
• UTIs are worsening or more difficult to treat
• Significant impact on quality of life

Next steps:

• Referral to urogynecologist
• Additional testing (cystoscopy, imaging)
• More aggressive treatment (prophylactic antibiotics)
• Investigation of other contributing factors

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Part 8: Special Situations

UTIs and Diabetes

Diabetes significantly increases UTI risk because:

• High blood sugar in urine feeds bacteria
• Immune function is compromised
• Nerve damage can affect bladder emptying

If you have diabetes:

Blood sugar control is critical:

• Work with your doctor to optimize glucose management
• Target HbA1c <7% (or your individual target)
• Monitor blood sugar regularly

Extra vigilant prevention:

• All standard prevention strategies
• Even more critical to stay hydrated
• May need more aggressive treatment (prophylactic antibiotics)

Regular monitoring:

• Test urine at every doctor visit
• Treat asymptomatic bacteriuria (bacteria without symptoms)
• Don't wait if symptoms develop

UTIs and Pelvic Organ Prolapse

Prolapse can contribute to recurrent UTIs by:

• Preventing complete bladder emptying
• Creating pockets where urine pools
• Bacteria multiply in residual urine

If you have prolapse:

Pelvic floor physical therapy:

• Can improve bladder emptying
• Strengthens support structures
• Teaches techniques for complete voiding

Pessary:

• Device inserted vaginally to support prolapsed organs
• Can improve bladder emptying
• May reduce UTI frequency
• Requires proper fitting and maintenance

Surgery:

• If prolapse is severe
• If other measures haven't helped
• Discuss risks vs. benefits with urogynecologist

UTIs and Recurrent Yeast Infections

Some women get both UTIs and yeast infections frequently.

Why this happens:

• Antibiotics for UTIs kill good bacteria, allowing yeast overgrowth
• Vaginal estrogen can initially increase yeast risk
• Postmenopausal vaginal changes affect both bacteria and yeast balance

Prevention strategies:

During antibiotic treatment:

• Take probiotic (2 hours apart from antibiotic)
• Consider prophylactic antifungal
• Eat probiotic-rich foods

With vaginal estrogen:

• Yeast infections often improve once tissues are healthy
• May need antifungal during first few weeks
• Usually resolves after adjustment period

General yeast prevention:

• Cotton underwear
• Avoid tight clothing
• Reduce sugar intake
• Take probiotics with Lactobacillus strains

UTIs and Sexual Activity

If UTIs occur primarily after sex:

Prevention checklist:

Before:

• Empty bladder
• Take 2 capsules UTI Biome Shield 30-60 minutes before
• Apply lubricant generously

During:

• Use plenty of water-based or silicone-based lubricant
• Avoid spermicides
• Never go from anal to vaginal contact

After:

• Urinate within 30 minutes (set phone timer if needed)
• Gently cleanse external area with water
• Stay hydrated

If you're still getting UTIs after sex despite these measures:

• Consider post-coital prophylactic antibiotic
• Single dose taken within 2 hours after sex
• Highly effective for sex-related UTIs
• Discuss with your doctor

When Nothing Seems to Work

If you've tried everything and still have frequent UTIs:

See a urogynecologist:

• Subspecialist in pelvic floor and urinary issues
• More expertise than general ob-gyn
• Can do advanced testing

Additional testing may include:

• Cystoscopy (camera in bladder)
• Urodynamic testing (bladder function tests)
• Imaging (ultrasound, CT scan)
• Testing for interstitial cystitis
• Evaluation for bladder stones or structural abnormalities

Consider:

• Multidisciplinary approach (urogynecologist + pelvic floor PT + infectious disease specialist)
• Clinical trial participation
• Tertiary care center (university hospital)

Don't give up. Recurrent UTIs have solutions—sometimes it just takes finding the right specialist.

Part 9: FAQs

How long do I need to use vaginal estrogen?

Most women need to use it indefinitely. The benefits last only as long as you're using it. When you stop, estrogen deficiency returns, and so does UTI risk.

This is safe: Low-dose vaginal estrogen can be used long-term in most women with minimal risk.

Can I use vaginal estrogen if I've had breast cancer?

Many breast cancer survivors can safely use vaginal estrogen. Systemic absorption is minimal with vaginal application. However, you should discuss this with your oncologist, not just your primary care doctor.

Current evidence suggests: Low-dose vaginal estrogen doesn't increase breast cancer recurrence risk in most survivors.

Will cranberry juice work instead of supplements?

Cranberry juice is less effective than concentrated supplements. To get enough PACs from juice, you'd need to drink large amounts (8+ oz multiple times daily), which also means consuming a lot of sugar.

Concentrated cranberry supplements like those in UTI Biome Shield provide therapeutic doses without the sugar.

How quickly will prevention strategies work?

Timeline varies by method:

• Lifestyle changes: Immediate implementation, but may take 1-2 months to see reduced UTIs
• Supplements: Start working within hours, but full benefit takes 2-3 months of consistent use
• Vaginal estrogen: 8-12 weeks for full tissue restoration and maximum UTI reduction
• Prophylactic antibiotics: Immediate protection while taking

Be patient and give strategies adequate time before deciding they're not working.

What if I can't take antibiotics due to allergies or resistance?

Alternative approaches:

• Vaginal estrogen (even more important if can't use antibiotics)
• Aggressive supplement protocol (UTI Biome Shield + additional D-mannose)
• Methenamine hippurate (non-antibiotic option)
• Meticulous lifestyle optimization
• Consider IV antibiotics if oral antibiotics not tolerated (consult infectious disease specialist)

Can stress really cause UTIs?

Managing stress is an important part of comprehensive prevention. Stress doesn't directly cause UTIs, but it:

• Suppresses immune function
• May lead to behaviors that increase risk (dehydration, holding urine, poor sleep)
• Can reactivate latent bacteria

Do I need to see a specialist, or can my regular doctor handle this?

Your regular doctor can handle initial prevention:

• Prescribing vaginal estrogen
• Basic UTI treatment
• First-line prevention strategies

Consider a urogynecologist if:

• You've tried comprehensive prevention for 6 months without improvement
• You're still getting 3+ UTIs per 6 months
• You have complicating factors (prolapse, complex medical history)
• Your regular doctor isn't taking your concerns seriously

Is it normal to have UTI symptoms even when culture is negative?

Yes, this can happen and may indicate:

• Interstitial cystitis (painful bladder syndrome)
• Urethral syndrome (urethral inflammation without infection)
• Vaginal atrophy causing urinary symptoms
• Overactive bladder
• Low bacterial count (below detection threshold)

If symptoms persist despite negative cultures, ask for:

• Evaluation for interstitial cystitis
• Assessment of vaginal atrophy
• Referral to urogynecologist

Can I prevent UTIs naturally without medication?

Some women successfully prevent UTIs with lifestyle and supplements alone. However, if you're postmenopausal with recurrent UTIs, vaginal estrogen addresses the root cause (hormone deficiency) in a way that supplements and lifestyle cannot.

Think of vaginal estrogen as correcting a deficiency, not as "medication" in the traditional sense.

What's the difference between UTI Biome Shield and regular cranberry supplements?

Key differences:

UTI Biome Shield:

• 36mg of 100% bioavailable PACs (PACphenol™ technology)
• Multiple mechanisms: PACs + D-mannose + immune support
• Clinically researched dosing
• Pharmaceutical-grade quality

Regular cranberry supplements:

• Often don't list PAC content usually containing less than 2mg of active PACs
• May not be standardized
• Single-ingredient
• Variable quality
  
• Not Bioavailable

Part 10: Resources and Support

Where to Find Help

Medical specialists:

Urogynecology:

• American Urogynecologic Society: augs.org
• Find a provider directory

Pelvic Floor Physical Therapy:

• Section on Women's Health (APTA): womenshealthapta.org
• Pelvic floor therapists specialize in bladder issues

Menopause specialists:

• North American Menopause Society: menopause.org
• NAMS Certified Menopause Practitioners

Online Communities

Support groups:

• Menopause support groups (Facebook, Reddit)
• UTI prevention communities
• Women's health forums

Benefits of community:

• Share experiences and strategies
• Reduce isolation
• Learn what's worked for others
• Get recommendations for providers

Caution: Always verify medical advice with your healthcare provider. Anecdotal experiences don't replace professional medical guidance.

Educational Resources

Recommended reading:

• "The Menopause Manifesto" by Dr. Jen Gunter
• "Hormone Intelligence" by Dr. Aviva Romm
• North American Menopause Society patient resources

Reliable websites:

• womenshealth.gov
• mayoclinic.org
• menopause.org
• augs.org

Avoid:

• Websites selling products without scientific backing
• Social media health "influencers" without credentials
• Anecdotal blogs without medical expertise

When to Seek Emergency Care

UTIs can become serious quickly. When in doubt, seek medical attention. Go to emergency room if you experience:

• High fever (103°F/39.4°C or higher)
• Severe back or side pain with fever
• Inability to urinate despite urge
• Confusion or altered mental state
• Severe nausea/vomiting preventing oral intake
• Sepsis symptoms (rapid heart rate, rapid breathing, confusion, extreme weakness)

Conclusion: You've Got This

If you're reading this guide, you've probably been told at some point that recurrent UTIs are "just part of menopause" or "something you'll have to live with."

That's not true. You don't have to accept constant UTIs as your new normal. Effective prevention exists. The research is clear. The treatments work.

What you need:

• The right information (you now have it)
• A healthcare provider who listens (keep looking until you find one)
• Consistency with prevention strategies (it takes time to work)
• Self-advocacy (you deserve to be taken seriously)

Most importantly, you need to know this is NOT your fault.

You didn't cause these UTIs through anything you did or didn't do. Your body is responding to hormonal changes that are a natural part of aging.

But you can absolutely do something about it.

Start with the basics. Add vaginal estrogen if you're a candidate. Be patient as strategies take effect. Track everything. Adjust as needed.

And if you're still struggling after giving comprehensive prevention a fair shot, find a specialist who will dig deeper until you get answers.

You deserve to live without the constant fear and pain of UTIs.

You deserve to enjoy sex. To travel. To feel comfortable and confident in your body.

This guide is your roadmap. Now it's time to start the journey.

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— The Good Kitty Team

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Ready to start your UTI prevention journey?

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