{"id":1388,"date":"2025-05-26T08:17:58","date_gmt":"2025-05-26T08:17:58","guid":{"rendered":"https:\/\/urolistic.com\/?p=1388"},"modified":"2025-05-27T08:07:04","modified_gmt":"2025-05-27T08:07:04","slug":"la-importancia-del-ph-y-las-hormonas-en-las-infecciones-de-orina-en-la-mujer","status":"publish","type":"post","link":"https:\/\/urolistic.com\/en\/blog\/2025\/05\/26\/la-importancia-del-ph-y-las-hormonas-en-las-infecciones-de-orina-en-la-mujer\/","title":{"rendered":"The importance of pH and hormones in urine infections in women"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"1388\" class=\"elementor elementor-1388\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a91a8e7 e-flex e-con-boxed e-con e-parent\" data-id=\"a91a8e7\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bbb6aa elementor-widget elementor-widget-text-editor\" data-id=\"bbb6aa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<p>The composition of the vaginal microbiota is a factor closely related to urinary tract infections, and changes over the course of a woman's life, depending on her hormonal status. The thickness of the vaginal mucosa, its glycogen (sugar) content and menstrual cycles influence the type of germs that predominate at any given time, as lactobacilli feed on cells shed from the vaginal wall and the glycogen they contain. This is why the incidence of cystitis increases with age, especially after the menopause, as the absence of oestrogen (female hormones) stimulus thins the vaginal wall and means that the cells are less glycogen-loaded. With less nourishment, the concentration of lactobacilli decreases and, consequently, the production of lactic acid. This is why the application of hormonal gels in the vagina, which improve the condition of the vaginal wall, has proven to be an effective measure against urinary tract infections in post-menopausal women. This also helps to understand why some young patients often suffer from infections in the days before menstruation or ovulation: at these times, there is a sharp drop in oestrogen levels in the blood, and thus a thinning of the vaginal wall, with a consequent decrease in vaginal lactobacilli. Thus, there is less protection against uropathogenic germs during these days.<\/p>\n\n<p>In addition to hormonal changes and changes in the vaginal microbiota, there are other factors that can alter the vaginal pH and promote urine infections in women: sexual intercourse and excessive intravaginal hygiene, as well as vaginal douching. It is very common to find patients who suffer from UTIs almost systematically after sexual intercourse. The short length of the female urethra and the \"rubbing\" that occurs during intercourse have always been blamed. What many people do not know, however, is that semen is much more alkaline than the vagina, with a pH between 7.2 and 8 generally, sometimes even higher. Because of this, intravaginal ejaculation can quickly raise the pH and thus encourage the development of uropathogenic bacteria. Similarly, although it may seem paradoxical, excessive use of alkaline pH soaps (which are the majority) or douching in the genital area can also alter vaginal acidity and cause an imbalance in the vaginal microbiota. If you want to know more about the genito-urinary microbiota, I recommend you read this article: <strong>\u00a0<a href=\"https:\/\/urolistic.com\/en\/blog\/2025\/03\/10\/la-microbiota-urogenital\/\">The Urogenital Microbiota<\/a><\/strong><\/p>\n\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size wp-elements-203083d460e1f51a89d80dbaccad1aad\"><em>Bibliography:<\/em><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f29d6c biblio elementor-widget elementor-widget-text-editor\" data-id=\"1f29d6c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\" data-no-translation=\"\" data-no-auto-translation=\"\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Medical Student Curriculum: Adult UTI. https:\/\/www.auanet.org\/ education\/auauniversity\/for-medical-students\/medical-students-curriculum\/medical-student-curriculum\/adult-uti<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Bonkat, G. et al. EAU guidelines on urological infections. 22-26 (European Association of Urology, 2017).<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Nicolle LE, et al. Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America.\u00a0Clin. Infect. Dis.\u00a02019;68:1611\u20131615.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Colgan R, Nicolle LE, McGlone A, Hooton TM. Asymptomatic bacteriuria in adults.\u00a0Am. Fam. Physician.\u00a02006;74:985\u2013990.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Darouiche RO, et al. Pilot trial of bacterial interference for preventing urinary tract infection.\u00a0Urology.\u00a02001;58:339\u2013344.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Sunden F, Hakansson L, Ljunggren E, Wullt B.\u00a0<em>Escherichia coli<\/em>\u00a083972 bacteriuria protects against recurrent lower urinary tract infections in patients with incomplete bladder emptying.\u00a0J. Urol.\u00a02010;184:179\u2013185.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Hull R, et al. Urinary tract infection prophylaxis using\u00a0<em>Escherichia coli<\/em>\u00a083972 in spinal cord injured patients.\u00a0J. Urol.\u00a02000;163:872\u2013877.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Darouiche RO, Thornby JI, Cerra-Stewart C, Donovan WH, Hull RA. Bacterial interference for prevention of urinary tract infection: a prospective, randomized, placebo-controlled, double-blind pilot trial.\u00a0Clin. Infect. 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ISBN 978-94-92671-13-4<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Buettcher M, Trueck J, Niederer-Loher A, Heininger U, Agyeman P, et al. Swiss consensus recommendations on urinary tract infections in children. Eur J Pediatr. 2021 Mar;180(3):663-674.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Flores-Mireles AL, Walker JN, Caparon M, Hultgren SJ. Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nat Rev Microbiol. 2015 May;13(5):269-84.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Schwaderer AL, Wolfe AJ. The association between bacteria and urinary stones. Ann Transl Med. 2017 Jan;5(2):32.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Struve C, Bojer M, Krogfelt KA. Characterization of Klebsiella pneumoniae type 1 fimbriae by detection of phase variation during colonization and infection and impact on virulence. Infect Immun. 2008 Sep;76(9):4055-65.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Ravel J, Gajer P, Abdo Z, Schneider GM, Koenig SS, et al. Vaginal microbiome of reproductive-age women. Proc Natl Acad Sci U S A. 2011 Mar 15;108 Suppl 1(Suppl 1):4680-7.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Blethyn AJ, Jenkins HR, Roberts R, Verrier Jones K. Radiological evidence of constipation in urinary tract infection. Arch Dis Child. 1995 Dec;73(6):534-5. doi: 10.1136\/adc.73.6.534. PMID: 8546513; PMCID: PMC1511452.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Thurmon KL, Breyer BN, Erickson BA. Association of bowel habits with lower urinary tract symptoms in men: findings from the 2005-2006 and 2007-2008 National Health and Nutrition Examination Survey. J Urol. 2013 Apr;189(4):1409-14. doi: 10.1016\/j.juro.2012.10.008. Epub 2012 Oct 11. PMID: 23063806; PMCID: PMC3693946.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\"><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/constipation\">https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/constipation<\/a><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Anger J, Lee U, Ackerman AL, Chou R, Chughtai B, et al. Recurrent Uncomplicated Urinary Tract Infections in Women: AUA\/CUA\/SUFU Guideline. J Urol. 2019 Aug;202(2):282-289.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Kontiokari T, Nuutinen M, Uhari M. Dietary factors affecting susceptibility to urinary tract infection. Pediatr Nephrol. 2004 Apr;19(4):378-83.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Foxman B, Frerichs RR. Epidemiology of urinary tract infection: II. Diet, clothing, and urination habits. Am J Public Health. 1985 Nov;75(11):1314-7.\u00a0<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Hoen LA, Bogaert G, Radmayr C, Dogan HS, Nijman RJM, Quaedackers J, Rawashdeh YF, Silay MS, Tekgul S, Bhatt NR, Stein R. Update of the EAU\/ESPU guidelines on urinary tract infections in children. J Pediatr Urol. 2021 Apr;17(2):200-207.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>The composition of the vaginal microbiota is a factor strongly related to urinary tract infections, and it changes throughout life, depending on<span class=\"excerpt-hellip\"> [...]<\/span><\/p>","protected":false},"author":1,"featured_media":1564,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-1388","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v26.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>La importancia del pH y las hormonas en las infecciones de orina en la mujer | Urolistic<\/title>\n<meta name=\"description\" content=\"Redescubre el bienestar con Urolistic, el proyecto de la Dra. 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