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Click for alternate routes. November 07, By: Dr. Matthew Love. Urinary tract infections: Fact of life or severe health risk? Women become more prone to developing urinary tract infections UTIs as they grow older, and those who are postmenopausal are most vulnerable. One in 10 women aged 65 and older report having at least one UTI a year, according to the National Library of Medicine. Nearly one-third of women older than 85 experience one annually.

For many of these women, the infection creates health risks well beyond the urinary tract. Now is an appropriate time to understand the serious side effects of UTIs among older women — November is National Family Caregivers Month , an observance of the caregivers in our lives and a reminder to look out for the elders we love. Untreated, a UTI can spread from the bladder to the kidneys and bloodstream, and cause confusion that can lead to injury or distress. If you or someone you care for is an older woman, recognizing the symptoms can make the difference between over-the-counter medicinal treatment or long-term hospital care.

UTIs become more serious as women age because the good bacteria that fight infections in our bladders and urinary tracts — part of the microbiome — can weaken with time.

This inability to fight infection occurs for a number of reasons. A decline in the female hormone estrogen is a major factor because its acidic presence in the vagina discourages bad bacterial growth and makes good bacteria healthier. After menopause, estrogen levels drop, and the tissue between the urethra and vaginal opening lose that acidity. Without that acidic barrier, bad bacteria can more easily grow and work its way up the urinary tract.