Q: I rarely used to get urinary tract infections, but as I near the half-century mark, I'm getting them more frequently. I practice good hygiene, so what could be causing them?
A: Unfortunately, one of the things that happens to women as they age is their estrogen levels drop, which can cause several problems. A decrease in estrogen can cause vaginal atrophy or thinning of the vaginal wall. This can result in painful intercourse, dryness, discharge and a change in the pH balance, which makes women more susceptible to infection such urinary tract infections (UTIs). Along with UTIs, women may experience urinary frequency or a bit of incontinence as their estrogen levels change.
There are remedies that can help with vaginal atrophy, including both oral and topical medications, physical therapy and even surgical procedures. The important thing is to have a frank discussion with your physician about your situation. It may include some questions you normally don't expect during a doctor's visit, but they are important in helping your doctor determine the best course of action for you. These changes are entirely normal and happen to most women, so you shouldn't feel uncomfortable talking with your doctor about them.
- Carson Kaeser, M.D., Erlanger Women's Health; Chattanooga-Hamilton County Medical Society member