Recurrent Cystitis: The Overlooked Role of the Vaginal Microbiome

“Why do I keep getting bladder infections?”

• “I was on antibiotics almost every month for a bladder infection…”

• “But it kept coming back. Why?”

• The truth is, the vagina and external genital area often serve as bacterial reservoirs!

Why Does Cystitis Keep Recurring?

Many standard urology and gynecology consultations overlook key factors in treating recurrent bladder infections.

• The typical approach: “Check urine bacteria → Prescribe antibiotics”

• But if cystitis keeps coming back, the root cause isn’t being addressed!

• One major cause: Vaginal microbiome imbalance

Common Causes of Vaginal Microbiome Imbalance

• Atrophic vaginitis (postmenopausal or hormone-deficient changes)

• Decreased vaginal lactobacilli, leading to loss of natural protective mechanisms

• Chronic inflammation around the urethral opening, increasing susceptibility to infection

How to Improve the Genital Environment and Prevent Recurrent Cystitis

1️⃣ Local Hormone Therapy (Estriol, etc.)

• Restores vaginal tissue health and self-cleaning function

2️⃣ Laser Therapy

• Improves blood flow and strengthens the mucosal barrier

3️⃣ Vaginal Microbiome Support

• Probiotics (lactobacillus supplements) to restore balance

4️⃣ Avoid Overwashing

• Harsh soaps and body washes disrupt the natural microbiome

Success Story: 1 Year Without Cystitis!

• “I was constantly on antibiotics, but now it feels like a miracle!”

• “I no longer live in fear of getting another infection every month.”

Key Takeaways

✅ Antibiotics alone are not the solution!

✅ If the vagina and genital area act as bacterial reservoirs, treating the vaginal environment is key.

✅ There are non-antibiotic treatments that address the root cause!

✅ Chronic infections should be monitored carefully – recurrent cystitis may sometimes be a sign of bladder cancer.

🔎

• Recurrent UTI treatment without antibiotics

• Vaginal microbiome and bladder infections

• Atrophic vaginitis and recurrent cystitis

• How to prevent UTIs naturally

• Estriol for postmenopausal vaginal health

• Chronic cystitis alternative treatments