When you don’t use vaginal estrogen consistently your microbiome will change and you will lose the uti prevention benefits
If you treat urinary tract infections but
have never prescribed vaginal estrogen to prevent them
You are practicing against medical guidelines.
American Urological Association
Recurrent UTI guidelines
Genitourinary syndrome of menopause guidelines.
This prescription prevents
Hospitalizations
Sepsis
Death
Guidelines say to treat younger people as it’s not just about menopause!
How to prescribe:
Estradiol 10mcg vaginal inserts
2x per week
Til death do you part
Estradiol 0.01% cream
1g twice weekly rubbed into vaginal walls
TIL death do you part
Need free training?
I got you!
RachelRubinMD.com/education
Read the new Guidelines here: https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopause
USA TODAY article: https://www.usatoday.com/story/life/health-wellness/2026/09/22/menopause-uti-vaginal-estrogen-sepsis/91680008007/
an hour agosensualglow
Game changer!!!! I am so so happy! Hopefully less need for antibiotics, so far so good. Great for your sexual health as well. I use vagifem pills, synapause cream was not a great succes.
4 hours agoshanonhoffman
Is it ok to put my compounded vaginal estradiol on my neck and upper chest area too? I already use it on my face a couple (2-3) times a week.
8 hours agoashlaurell
My aging mother has persistent, recurring, and very serious UTIs. She also has mental health diagnoses that make consistency with a twice weekly treatment somewhat unrealistic for her. Are there any ways to get the prevention benefits without having to remember something twice/week?
12 hours agotttabbykayyy
Omg, what?! I’ve had so many uti’s and no one has ever even mentioned this as a solution, only ever antibiotics and probiotics 😭
12 hours agodr.natalielewis
And the UTI doesn’t necessarily present the same way you expect it to. You may not have burning frequent urination.
13 hours agoheirloomcoastal
Does anyone feel like the opposite has been true? The maintenance dose does nothing for me, it seems to irritate the tissue, ever since I started using it I have an odor that I never used to have, I spot when I use it. My gyno told me to stop using it to see if any of those things would clear up. Thoughts?
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