Does vaginal oestrogen therapy treat recurrent urinary tract infections?

Lower oestrogen levels can make vaginal and urethral tissues thinner and drier, and can alter the local balance of bacteria. These changes may make repeated infections more likely for some people. Vaginal oestrogen works locally to improve tissue health over time; it is different from antibiotic treatment for symptoms that are happening now.

A clinician may consider this option when infections keep returning, particularly around or after menopause. It is not suitable for everyone, so your medical history, bleeding pattern, breast health and other treatments should be reviewed.

Arrange an assessment if urinary infections recur so a clinician can confirm the diagnosis and check whether another problem is causing the symptoms. If vaginal oestrogen is prescribed, use it exactly as directed and allow time for its preventive effect to develop. Report unexpected vaginal bleeding, irritation or worsening urinary symptoms.

Seek prompt medical care for fever, pain in the side or back, vomiting, confusion, or feeling very unwell with urinary symptoms, because these can signal infection beyond the bladder. Seek urgent help for heavy bleeding or severe pain. Burning or frequency without these warning signs still merits clinical review when symptoms persist or return.

Ask whether your symptoms have been confirmed as recurrent urinary tract infections, whether vaginal oestrogen fits your health history, how to use it, and what warning signs should prompt a review.