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November 5, 2025 37 mins

Urinary tract infections — or UTIs — aren’t the most glamorous topic, but they’re incredibly important, and we just don’t talk about them enough. If you’ve ever had one, you’ll know how miserable they can be: the burning, the stinging, those endless trips to the loo, the pain, and that bone-crushing fatigue. They can really knock you sideways.

For many women, UTIs become more common — and more stubborn — during perimenopause and menopause.

In this episode, I’m joined by the brilliant Helen Lake, a specialist urology nurse, to help us understand why UTIs happen, why they mustn’t be ignored, and what you can do about them — from medical treatments to nutrition and supplements.

Helen explains everything you need to know about identifying, understanding, and managing UTIs — and hopefully banishing them for good. We cover the key symptoms, prevention strategies like staying hydrated and double-voiding, why test results aren’t always conclusive, and when antibiotics are needed. We also look at the role of beneficial bacteria, cranberry and D-mannose, vaginal moisturisers, topical oestrogen, and how to advocate for yourself with your GP.

If you’ve found this episode helpful, please share it with a friend who might benefit too. And if you love The Happy Menopause podcast, I’d be so grateful if you could leave a five-star rating and a quick review on Apple Podcasts — or wherever you like to listen.

And don’t forget to subscribe, so you don’t miss out on upcoming episodes. These small steps make a huge difference to the algorithm, and help more women find the show.

After all, every woman deserves to have a happy menopause.

Check out the full Show Notes for this episode on my website www.well-well-well.co.uk/podcast, where you'll find all the relevant links and references for each guest.

Learn how to build your own menopause diet to manage your symptoms with my book
The Happy Menopause: Smart Nutrition to Help You Flourish. And if you're tired of feeling tired and grappling with brain fog, check out my new book: The Happy Menopause Guide to Energy; Nutrition to Rejuvenate Your Brain & Body. It's available in all the usual places.

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