Gigi Kroll & Doug McConnaughey, Concierge MDs
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Recurrent Bladder Infections

Recurrent Bladder Infections
April 23, 2026NCWHBlog

Recurrent bladder infections are one of the complications of the “genitourinary syndrome of menopause” or GUSM for short.

This occurs because the bladder, urethra, vulva,and vagina have an extensive amount of estrogen receptors. As estrogen declines and becomes absent, the tissue actually becomes thinner the pH changes and the ability of bacteria to migrate into the bladder becomes easier.

This is especially true after intercourse due to the added friction.

Recurrent bladder infections especially after intercourse can greatly affect a woman’s sexual health. They also can lead to more serious conditions such as a kidney infections and overall sepsis.

All women should be offered treatment to avoid this problem. The primary treatment is vaginal estrogen. This generally is applied twice a week and comes in multiple forms.

Using a silicone base lubricant can also decrease friction.

Hydration with water and emptying your bladder after intercourse should be performed.

Consideration should also be given to postcoital prophylaxis where a single low-dose of an antibiotic can prevent an infection from setting up in the first place.

If you or someone you know has this problem get on vaginal estrogen. It will make a world of difference!

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