09/23/2026
If you keep getting UTIs, treating each infection is only half the conversation. At some point, we need to talk about how to stop the cycle.
My top 3 places to start:
1. Hydrate. I typically recommend aiming for about 2 liters of water a day. An easy check? Your urine should generally be pale yellow throughout the day.
2. If you’re in perimenopause or menopause, ask about va**nal estrogen. Declining estrogen changes the tissues of the va**na and urinary tract—and can make recurrent UTIs much more common. Vaginal estrogen can be one of our most effective prevention tools for the right woman.
3. Pay attention to what happens around the “riskiest” events: s*x and bowel movements. Use plenty of lubrication with s*x—and if s*x starts to hurt, stop and add more. I’m also a fan of an inexpensive bidet for gentle cleaning after bowel movements.
A few bonus strategies I discuss with my patients: fermented/probiotic foods, avoiding unnecessary irritants, and looking more closely at urine pH.
If that’s you, you don’t necessarily need another round of “here’s an antibiotic, call us if it happens again.” You need a prevention plan. Save this post and send it to a woman who keeps getting UTIs.
