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    uti's and menopause
    Anon_125866 posted:
    58 year old woman......third uti in 5 months......take cranberry supplements....drink water.....i cup of coffee a soda...on anti biotic right now....and its taking forever to work....what.s up with that...more menopause complications?
    Mary Jane Minkin, MD responded:
    Dear Anon_1125866,
    You are doing some good thinking. Indeed, as the vaginal tissue can get dry, so can the bladder tissue. Also as the vaginal tissue gets drier, some nastier bacteria can take up residence there (the good lactobacilli prefer tissue that's well estrogenized), and then annoy the bladder. So I would suggest speaking with your health care provider about a trial of vaginal estrogens; although you don't get any significant blood levels, because of the proximity of the bladder and urethra to the vagina, a bit will get absorbed into those tissues. Also, you will help get some more "good guy" bacteria into the vaginal flora.
    So keep up all the good stuff you've been doing, and see if adding a bit of vaginal estrogen will help you
    Good luck,
    Mary Jane

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