In addition to hormonal treatments, several non-hormonal interventions and strategies can be explored to manage urinary symptoms associated with genitourinary syndrome of menopause (GSM) and reduce the risk of recurrent urinary tract infections (UTIs). These include:
Lifestyle Modifications: Encouraging women to adopt healthy lifestyle changes, such as maintaining proper hydration, practicing good hygiene, and avoiding irritants like caffeine and alcohol, can help reduce urinary symptoms and the risk of UTIs.
Pelvic Floor Exercises: Kegel exercises can strengthen pelvic floor muscles, improving bladder control and reducing urinary incontinence, which may be exacerbated by GSM.
Dietary Adjustments: Incorporating a diet rich in antioxidants and probiotics may support urinary tract health. Foods such as cranberries, which are known for their potential to prevent UTIs, can be beneficial.
Topical Moisturizers and Lubricants: While not hormonal, vaginal moisturizers and lubricants can alleviate dryness and discomfort during intercourse, indirectly supporting urinary health by reducing irritation.
Alternative Therapies: Some women may benefit from acupuncture or herbal remedies, although these should be approached with caution and discussed with a healthcare provider to ensure safety and efficacy.
Education and Awareness: Increasing awareness about the connection between GSM and urinary symptoms can empower women to seek timely treatment and adopt preventive measures.
By exploring these non-hormonal strategies, healthcare providers can offer a more comprehensive approach to managing urinary symptoms associated with GSM, ultimately improving the quality of life for affected women.