Polycystic Ovary Syndrome (PCOS) is a complex hormonal condition that affects millions of women worldwide. From irregular cycles to Insulin resistance and skin issues, PCOS has a wide spectrum of symptoms. But one lesser-discussed issue that many women with PCOS report is frequent Urinary Tract Infections (UTIs). While UTI is not officially listed as a classic PCOS symptom, the link between the two deserves attention.
In this blog, let’s explore how PCOS might increase the risk of UTIs, what the signs are, and how you can manage or prevent them effectively.
What is a UTIs: A Quick Refresher
A urinary tract infection (UTI) is an infection in any part of the urinary system—kidneys, bladder, ureters, or urethra. Women with PCOS may sometimes confuse PCOS-related pelvic pain with urinary symptoms.Here is what a UTI feels like:
- Burning or pain during urination
- Frequent sometime strong urge to urinate
- Cloudy , bloody or foul-smelling urine
- Lower abdominal or back pain or discomfort
- Fever with chills(severe infection)
- Nausea (in severe infections)
Though UTIs can affect anyone, compared to men ,women are more susceptible due to their shorter urethra and sitting down to pass urine.
Is There a Connection Between PCOS and UTI?
While PCOS doesn’t directly cause UTIs, several indirect factors associated with PCOS can contribute to increased UTI risk:
1. Insulin Resistance and High Blood Sugar
Many women with PCOS have insulin resistance or even prediabetes. High blood sugar can spill into the urine, creating an environment where bacteria thrive—especially E. coli, the most common cause of UTIs.
2. Hormonal Imbalance
Low estrogen levels (seen in some women with PCOS or those not ovulating regularly may affect the vaginal and urinary tract flora. A drop in protective Lactobacillus bacteria can make it easier for harmful bacteria to grow and travel into the urinary tract.
3. Obesity
Obesity is often associated with PCOS, and it is a known risk factor for recurrent UTIs. Increased skin folds, poor hygiene, and higher rates of insulin resistance can all play a role.
4. Irregular Periods or Long Cycles
Irregular menstruation may lead to prolonged exposure to unhygienic pads or liners, potentially increasing the risk of local infections that can migrate into the urinary tract.
5. Pelvic Floor Dysfunction
Though not exclusive to PCOS, chronic bloating, hormonal fluctuations, and insulin resistance can impact bladder control, leading to incomplete emptying—a known risk factor for UTIs.
Symptoms of a UTI (Urinary Tract Infection)
So, it’s important to look for specific signs like:
- Burning while urinating
- Sudden, strong urge to urinate
- Frequent urination in small amounts
- Fever, chills (in more severe infections)
- Lower abdominal or back pain
If you experience these frequently, it’s worth evaluating for both UTI and underlying metabolic imbalances.
How to reduce UTI with PCOS
Here’s how you can reduce your risk and manage UTIs effectively if you’re living with PCOS:
1. Control Blood Sugar and Insulin Resistance
Managing insulin resistance is key. A diet rich in fiber, low in refined sugars, and moderate in carbs can help. Medications like metformin (under medical supervision) may also be beneficial.
2. Hydration is Crucial
Drink plenty of water to flush out bacteria from your urinary tract. Aim for at least 2 to 2.5 liters daily unless advised otherwise by your doctor.
3. Support Vaginal and Urinary Flora
Probiotics (especially Lactobacillus strains) help maintain a healthy balance of flora and can reduce recurrence of UTIs.
4. Hygiene Matters
Wipe front to back, avoid harsh feminine washes, and don’t hold in urine for long periods. Change sanitary pads regularly during periods.
5. Address Hormonal Imbalances
Managing PCOS holistically—through lifestyle changes, medications, and weight management—can indirectly reduce UTI risk.
6. Seek Timely Treatment
Recurrent UTIs need proper evaluation. Urine cultures, imaging, and hormonal assessments may be required in stubborn or frequent cases.
When to See a Doctor
If you have frequent UTIs (more than 2 in 6 months or 3 in a year), it’s important to get evaluated. In women with PCOS, persistent infections may signal poorly controlled blood sugar or an imbalance in the urogenital flora.
Final Thoughts
While UTIs may not be a textbook symptom of PCOS, the metabolic and hormonal changes that come with it can increase your vulnerability. The good news? With mindful lifestyle changes and early intervention, you can prevent frequent infections and feel more in control of your health.
If you’re dealing with PCOS and recurring UTIs, don’t ignore the signs. It’s your body’s way of asking for a little extra care—and you deserve it.
I am participating in #BlogchatterA2Z where every letter tells a story.Find the whole series here – A to Z about PCOS
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