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UTIs in women: Causes, symptoms, risks & how to prevent them

Urinary tract infections (UTIs) are one of the most common infections affecting women, with nearly every woman experiencing at least one to two episodes in her lifetime. Though common, UTIs can be uncomfortable and, if left untreated, may lead to more serious complications. 

What is a UTI?

A UTI typically occurs when bacteria enter the urinary tract, infecting the bladder (cystitis) or urethra (urethritis). The infection often begins with symptoms such as:

  • A burning sensation during urination (dysuria)
  • Increased urgency and frequency of urination
  • Difficulty fully emptying the bladder (urinary hesitancy)
  • Urinary incontinence in some cases

These symptoms can range from mild to severe and tend to develop quickly.

Why do UTIs happen more often in women?

UTIs are significantly more common in women due to anatomical differences in the urinary tract. The urethra, vagina, and anus are located closely together, which makes it easier for bacteria — particularly Escherichia coli (E. coli), a common bacterium found in the gastrointestinal tract — to enter the urinary tract.

Additional risk factors include:

  • Sexual activity – Intercourse can introduce bacteria into the urethra.
  • Poor hydration – Not drinking enough fluids may reduce the body's ability to flush out bacteria.
  • Weakened immune system – Illness, stress, or poor nutrition can compromise the body's natural defenses.
  • High-sugar diet – Excessive sugar consumption can promote bacterial growth.
  • Menopause – Hormonal changes may affect urinary tract health.
When infections climb

If a UTI is not treated promptly, the bacteria can move beyond the bladder to the kidneys, leading to a more serious infection known as pyelonephritis. This is why early detection and treatment are essential.

Preventing UTIs: Practical tips

Many women, especially those who experience recurrent UTIs, can benefit from targeted prevention strategies:

  • Urinate before and after intercourse – This helps flush out any bacteria that may have entered the urethra.
  • Stay hydrated – Drink plenty of water daily to help cleanse the urinary system.
  • Consider natural supplements – Daily cranberry supplements or probiotics may support urinary tract and immune health.
  • Post-coital antibiotics – For women with frequent post-intercourse UTIs, a provider may recommend a single dose of antibiotic after sexual activity. This approach, known as post-coital prophylaxis, can help prevent recurrent infections.
When to seek medical attention

If you experience symptoms of a UTI — especially pain with urination, frequent urges to urinate, or cloudy or strong-smelling urine—consult your healthcare provider. With timely care, most UTIs are easily treatable and complications can be avoided.


Learn more about the Northside Center for Urogynecology.

 

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Dr. Stephen Tugbiyele picture

Dr. Stephen Tugbiyele

Specialties: Urogynecology

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Dr. Stephen Tugbiyele is a board-certified physician in obstetrics and gynecology, as well as female pelvic medicine and reconstructive pelvic surgery, at Northside Center for Urogynecology. He specializes in robotic and non-robotic minimally invasive surgery, in addition to non-surgical treatments for pelvic organ prolapse, urinary and fecal incontinence, interstitial cystitis, bladder infections, fibroids, overactive bladder and menopausal symptoms.

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