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. And 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.

We talk about:

  • The symptoms to look out for

  • Prevention strategies, including hydration and double-voiding

  • Why test results aren’t always conclusive

  • The role of antibiotics

  • How beneficial bacteria might help

  • Whether cranberry and D-mannose can make a difference

  • The role of vaginal moisturisers and topical oestrogen

  • How to advocate for yourself with your GP

Helen shares some brilliant, practical advice — and it’s reassuring to know there are far more support options out there than many of us might have thought.

Show Notes

Find out more about the Urology Foundation:

UTI Information Service and Helpline – The Urology Foundation

Email Helen for advice: nurse@theurologyfoundation.org

Get involved in research – Join the PPIE Programme – The Urology Foundation

Check out the NICE guidelines on UTIs, to inform your conversation with your doctor

Follow the Urology Foundation on Instagram, Facebook, and Linked In

Follow Helen on Instagram and Linked In

For expert advice on vaginal dryness and moisturers, check out my podcasts with Kathy Abernethy and Samantha Evans.

Biography

Helen Lake RN, Urology Specialist Nurse and Clinical Lead, The Urology Foundation

Helen is an experienced Urology Specialist Nurse and Clinical Lead for the charity The Urology Foundation and its new UTI Information Service — a national nurse-led helpline providing support, education, and empowerment to people affected by urinary tract infections.

With a background spanning over 30 years with roles including NHS ward sister, specialist urology practice, and service development in the private sector, Helen has dedicated her career to improving care for people with bladder conditions. She has a particular interest in recurrent and chronic UTIs, catheter-associated infections, and the impact of bladder symptoms on quality of life.


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