A 50-year-old woman presents to the GP with recurrent urinary tract infections (4 in the past year). She is postmenopausal and has vaginal dryness. Sh...

Question

A 50-year-old woman presents to the GP with recurrent urinary tract infections (4 in the past year). She is postmenopausal and has vaginal dryness. She is not on HRT. Which is the single most appropriate preventive strategy?

Accepted Answer

Topical vaginal oestrogen to reduce recurrent UTIs by restoring vaginal flora and pH

Answer

Long-term low-dose prophylactic antibiotics as the only option

Answer

Cranberry capsules as first-line prevention

Answer

Increase fluid intake only

Answer

Refer for cystoscopy before considering any treatment

uk-drcog MCQ (SBA): Vaginal Oestrogen for Recurrent UTIs

A 50-year-old woman presents to the GP with recurrent urinary tract infections (4 in the past year). She is postmenopausal and has vaginal dryness. She is not on HRT. Which is the single most appropriate preventive strategy?