I received this information via a press release the other day. Many menopausal women are not aware that loss of estrogen can affect their urinary tract. One more thing to worry about! But, forewarned is forearmed, so let's see what else the release has to say...
When a woman’s body decreases estrogen production, it alters the protective surface layer on the bladder that prevents bacteria from adhering to its lining, creating a perfect environment for bacteria to multiply and cause a urinary tract infection (UTI). Menopausal women may also experience a dropped bladder (cystocele), which occurs when the wall between a woman's bladder and her vagina weakens. Cystoceles can trigger an inability to empty the bladder fully and encourage the growth of UTI infection-causing bacteria.
According to Dr. Larrian Gillespie, retired urologist and author of the books, "You Don't Have to Live with Cystitis" (HarperCollins) and "The Menopause Diet" (Healthy Life Publications), there are ways to control or prevent the recurrence of UTIs associated with menopause:
1. Drinking plenty of water promotes regular urination, so it is very important to stay hydrated to help flush out bacteria from the urinary tract.
2. If you are menopausal and prone to UTIs, Dr. Gillespie recommends taking Cystex as a preventative, as it is the only OTC urinary tract medication that contains methenamine, an antibacterial agent that attacks bacteria and helps prevent it from adhering to the cell wall lining of the bladder.
3. When exercising, try to maintain good form while lifting weights or on exercise machines to avoid back injury, which can add to the problems mentioned. If you suspect a back problem may be contributing to your UTIs, ask your doctor to give you a “uroflow” exam to assess whether or not you are voiding efficiently.
4. “Holding it in” does not directly cause an infection, but it can cause overdistension that can damage the lining of the bladder, making it more vulnerable to bacteria. (So when nature calls, don't put that call on hold!)
5. Talk to your doctor about a low-dose estradiol treatment. Not only does estrogen therapy help build up the bladder lining, but when coupled together with the therapies above (i.e. Cystex), it will help reduce the incidence of UTIs altogether.
Some useful information to keep in mind. I wonder if men have similar bladder-infection problems when they get past a certain age? Well, I imagine I'll get a press release on that, too, eventually!