UTI and Hormones: Menstrual Cycle and Peri-Menopause with Dr. Rachel Rubin (Part 2)

In this video, Dr. Rachel Rubin, a board-certified urologist and sexual medicine specialist, discusses the following:
● While some people report a change in UTI symptoms as they move through their menstrual cycle, it’s unlikely that studies have been conducted to detect changes in bladder lining over the course of cycles.
● At the patient level, it might be worth documenting personal changes in UTI symptoms and then comparing that to elements that can be tested, such as fluctuating hormone levels. This may assist in determining which elements to supplement.
● Testing hormone levels, and pH levels, can be an effective method to keep patients motivated about their treatment but it should not become obsessive.
● When it comes to urinary symptoms during menopause-including perimenopause where patients are still menstruating-the first action should be to commence vaginal hormones which are safe and proven effective.
● If people are experiencing UTI symptoms immediately after sex, Dr. Rubin reminds us that bacteria don’t work that swiftly and what could be causing the burning and frequency is actually chaffing of the vulvar vestibule which is composed of bladder tissue.
● While difficult to prove, sexual partners having incompatible microbiomes or having allergies to bodily fluids is possible. In these cases some experimentation and detective work may be required utilizing things like female condoms or partner testing.
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Check out the playlist for the entire interview: • Dr. Rachel Rubin
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About Dr. Rachel Rubin:
Dr. Rachel Rubin is a board-certified urologist and sexual medicine specialist. She is an assistant clinical professor of Urology at Georgetown University and recently started her own private practice in the Washington DC region. She is one of only a handful of physicians fellowship trained in male and female sexual medicine. Dr. Rubin is a clinician, researcher, and vocal educator in the field of sexual medicine. In addition to being education chair for the International Society for the Study of Women’s Sexual Health (ISSWSH), she also serves as an Associate Editor for the Journal Sexual Medicine Reviews.
Follow Dr. Rubin @drrachelrubin
About Live UTI Free
Live UTI Free is a patient advocacy and research organization. We do not endorse specific treatment approaches, clinicians or diagnostics methods. The content of this video does not provide medical advice. It is intended for informational purposes only. The medical and/or nutritional information is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen. liveutifree.com/
Post-production: Melissa Wairimu / kreativlee_