Ten to twenty percent of all women have some kind of urinary discomfort or infection at least once a year.† Acute uncomplicated cystitis and recurrent cystitis are two important categories of urinary tract infections in adults.† Sexual intercourse, diaphragm use and a spermicide, possibly spermicide used alone, delayed post-coital urination, and a history of a recent urinary tract infection, all increase the risk of infection.
Women who present with painful urination usually have either acute cystitis; acute urethritis due to Chlamydia trachomatis, Neisseria gonorrhea, or herpes simplex virus; or vaginitis due to candida or trichomonas.† These problems can usually be differentiated on the basis of presenting symptoms, physical exam and urinalysis.† A urine culture, vaginal culture and Chlamydia testing may be needed to differentiate the location and type of infection.
Postmenopausal women may also have frequent infections and are often due to residual urine after voiding or the lack of estrogen causing marked changes in the vaginal microflora including loss of lactobacilli and increased colonization by E. coli. These women often benefit from the use of prescription vaginal estrogen cream.
For most bladder infections, a naturopathic approach is usually very effective and the infection resolves quickly and without recurrence or complications. The primary goals are to:
- Enhance internal defenses against the infection by providing immune support.
- Restore vaginal microflora
- Promote a proper pH
- Prevent bacteria from adhering to the bladder epithelium.
Increasing the urinary flow is important and easily accomplished by increasing the quantity of liquids.† Water and herbal teas related to the treatment goals are the most logical choices.† 64 ounces is the common recommendation. There are numerous herbal medicines specific to the urinary tract that can treat UTIs if the patient seeks treat early. Homeopathy is very effective as well. There are over 20 different homeopathic remedies for UTIís and need to be individualized to the womanís symptoms. Sometimes an antibiotic is required if the infection is severe.
Naturopathic treatments for urinary tract infections in women are very safe and effective once other causes of UTI symptoms are ruled out. If treated early and appropriately a urinary tract infection resolves quickly and without complications. Consult with your naturopathic doctor if you have any of these concerns.
Contributed by Dr. Marianne Marchese†