07/26/2025
**Ageless Integrative Medicine & Laser Skin Care**
📍 926 W Oakland Ave, Ste 208, Johnson City, TN
📞 (423) 952-5300
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💧Recurrent Urinary Tract Infections (UTIs): An Integrative Treatment Guide
Recurrent UTIs can significantly affect your quality of life. An integrative approach can reduce frequency, support healing, and prevent further infections—naturally and effectively.
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🔑 Core Treatment Strategies
# # # 1. **Vaginal Estrogen (for postmenopausal women)**
* **Why**: Restores the vaginal tissue’s natural acidity and microbiome, which reduces UTI-causing bacteria.
* **How**: Low-dose estrogen cream, tablet, or ring applied vaginally 2–3 times per week.
* **Benefits**: Reduces UTI risk without systemic hormone effects.
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2. **D-Mannose**
* **What**: A naturally occurring sugar that binds to *E. coli*, preventing it from sticking to the bladder wall.
* **How to Use**:
* **Prevention**: 500–2000 mg daily
* **During Infection**: 1000–2000 mg twice daily
* **Notes**: Safe for most people and well tolerated.
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3. **Herbal Biotic (Heron Botanicals)**
* **What**: A blend of antimicrobial herbs including berberine, echinacea, and thyme.
* **How to Use**:
* Short-term during early infection or at first sign of symptoms.
* Sometimes used preventively under supervision.
* **Caution**: Consult your provider if you're pregnant, nursing, or on other medications.
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4. **Pelvic Floor Physical Therapy**
* **Why**: Tight or dysfunctional pelvic floor muscles can contribute to urinary symptoms and incomplete bladder emptying.
* **What It Involves**: Manual therapy, biofeedback, muscle retraining, and relaxation techniques.
* **Results**: Improved bladder function and reduced UTI frequency.
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🌿 Additional Options
5. **Probiotics**
* **Type**: Oral and vaginal probiotics containing *Lactobacillus* strains.
* **Benefit**: Helps restore healthy vaginal flora and prevent bacterial overgrowth.
6. **Hydration + Urination Habits**
* **Tips**:
* Drink enough fluids (at least 2–3 liters/day).
* Don’t hold in urine.
* Always urinate after s*x.
7. **Botanical Medicine for Immune Support**
* Herbs such as **Astragalus**, **Uva Ursi**, and **Goldenseal** may be used under supervision.
* Anti-inflammatory and antimicrobial herbs support immune defenses.
8. **Avoid Irritants**
* Limit synthetic underwear, fragranced soaps, douches, and spermicides.
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🧬 Lab Testing & Other Considerations
* **Urine cultures** help target treatment to the right bacteria.
* **Rule out underlying causes**: Diabetes, anatomical abnormalities, or immune suppression.
* Consider **hormone testing** if UTIs began during perimenopause or after menopause.
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When to Seek Help
* Fever, back pain, or nausea may indicate a kidney infection—seek medical care immediately.
* If you're having >3 UTIs per year, an evaluation with your provider is recommended.
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**You're not alone.** Recurrent UTIs are common, but relief is possible with a comprehensive approach.
👉 **To schedule a consultation, call (423) 952-5300
