151 - Unpicking UTIs and the role of hormones with Dr Rajvinder Khasriya

The Dr Louise Newson Podcast

Dr Louise Newson

Health & Fitness, Mental Health, Medicine

4.8 • 798 Ratings

🗓️ 10 May 2022

⏱️ 29 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr Rajvinder Khasriya is a urogynaecologist who leads the Lower Urinary Tract Symptoms clinic at the NHS Whittington Hospital in North London, and is also involved in research work at University College London. In this episode, the experts discuss urinary tract infections (UTIs) and the role a lack of hormones play in their occurrence and ongoing recurrence. Dr Khasriya explains how common and debilitating UTIs can be for women in the peri/menopause, why traditional methods of testing and treatment are often unsuccessful, and she outlines the benefits of using vaginal hormonal treatments as part of a holistic approach for managing UTIs. Dr Khasriya’s tips for women with UTIs: As always, do your own research and find patient groups for support and information. Understand all the factors that can contribute to UTIs such as weight gain, your general health, your diet and stress levels, as these are also important. Be generous when using your vaginal estrogen, it is completely safe to use and in the long term. Trust yourself, you know your body best. The patient groups: Embedded/Chronic UTI Support Group Do you suffer from reoccurring UTIs? Many of us have been previously incorrectly diagnosed with Interstitial Cystitis (IC) and have come to learn our condition is actually an embedded or chronic UTI... Home - CUTIC 1 in 3. women will have a UTI by the age of 24 1. 90%. of chronic urinary tract infections are missed by the standard MSU culture test 2. 70%. the risk of recurrence within a year 3. Bladder Health UK Women asked if bladder drug should be available to buy. A pill to help treat an overactive bladder - which affects millions of women - could soon be available to buy in the UK without prescription.

Transcript

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0:00.0	Hello, I'm Dr. Louise Newsome and welcome to my podcast. I'm a GP and menopause specialist and I run the Newsome Health Menopause and Wellbeing Centre here in Stratford-Bron-Avon. I'm also the founder of the Menopause charity and the Menopause support app called Balance.
0:29.9	On the podcast, I will be joined each week by an exciting guest to help provide evidence-based
0:36.5	information and advice about both the perimenopause and the
0:40.9	menopause. Today on the podcast, I'm very delighted to introduce to you Raj Kassira,
0:50.1	who is a Eurogynecologist. I've known about her work for a while and I'm really excited to have
0:56.8	some time picking her brains and talking about urine and urinary tract infections. So welcome today.
1:03.2	Thank you so much, Louise. And thank you for inviting me to do this podcast. It's just so
1:07.7	important for so many women. Yeah, absolutely. And I've said on the podcast many times before,
1:13.6	and I will say it again, I wish I was a GP again, and I wish I could go back in time, because
1:19.8	you and re-tract infections are really, really common. And they're far more common in women. And on a
1:27.4	Monday morning, when I used to turn up at
1:29.3	8 o'clock to my general practice, I could guarantee that there'd be at least six women outside
1:33.7	queuing with their urine containers that they'd got from the practice the week before, with a sample to
1:39.6	be tested. And I can also, 100% guarantee that those women would be told they haven't got an infection because their dipstick is negative.
1:47.2	Yeah.
1:47.5	So these women would, some of them would manage to get appointments and see me and just tell me how
1:52.3	disabling and distressing their symptoms were of recurrent cystitis, pain, getting up in the night, sometimes leaking. And I would sit there and say,
2:04.0	well, your urine test is negative. And half of these women couldn't get appointments because we were so
2:08.4	busy. So they would go home and tell their partner how distressing their symptoms were.
2:13.2	And never once did I think, these are women. What's the difference between women and men?
2:18.6	Is it their hormones?
2:20.1	What could I do?
	...

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