{"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\/es\/blog\/2025\/05\/26\/la-importancia-del-ph-y-las-hormonas-en-las-infecciones-de-orina-en-la-mujer\/","title":{"rendered":"La importancia del pH y las hormonas en las infecciones de orina en la mujer"},"content":{"rendered":"\t\t
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La composici\u00f3n de la microbiota vaginal es un factor muy relacionado con\u00a0 las infecciones de orina, y se modifica a lo largo de la vida, seg\u00fan los\u00a0 diferentes estados hormonales de la mujer. El grosor de la mucosa vaginal,\u00a0 su contenido en gluc\u00f3geno (az\u00facar) y los ciclos menstruales influyen el\u00a0 tipo de g\u00e9rmenes que predomina en cada momento, pues los lactobacilos\u00a0 se alimentan de las c\u00e9lulas que se desprenden de la pared vaginal y del\u00a0 gluc\u00f3geno que contienen. Es por ello que la incidencia de las cistitis\u00a0 aumenta con la edad, y sobre todo a partir de la menopausia, pues la\u00a0 ausencia del est\u00edmulo de los estr\u00f3genos (hormonas femeninas) adelgaza\u00a0 la pared vaginal y hace que las c\u00e9lulas est\u00e9n menos cargadas de\u00a0 gluc\u00f3geno. Al tener menos alimento, la concentraci\u00f3n de lactobacilos\u00a0 disminuye y, por consiguiente, la producci\u00f3n de \u00e1cido l\u00e1ctico. Y es por ello\u00a0 que la aplicaci\u00f3n de geles hormonales en la vagina, que mejoran el estado\u00a0 de la pared, ha demostrado ser una medida eficaz contra las infecciones de\u00a0 orina en las mujeres post-menop\u00e1usicas. Tambi\u00e9n, esto permite\u00a0 comprender por qu\u00e9 algunas pacientes j\u00f3venes suelen padecer infecciones\u00a0 en los d\u00edas previos a la menstruaci\u00f3n o la ovulaci\u00f3n: en esos momentos, se\u00a0 produce una ca\u00edda brusca en los niveles de estr\u00f3genos en la sangre, y por\u00a0 ello, un adelgazamiento de la pared vaginal, con la consiguiente\u00a0 disminuci\u00f3n de los lactobacilos vaginales. De esa manera, en esos d\u00edas\u00a0 hay una menor protecci\u00f3n frente a los g\u00e9rmenes uropat\u00f3genos.<\/p>\n\n

Adem\u00e1s de los cambios hormonales y las modificaciones de la\u00a0 microbiota vaginal, existen otros factores que puede alterar el pH vaginal y\u00a0 favorecer las infecciones de orina en la mujer: las relaciones sexuales y la\u00a0 excesiva higiene intravaginal, as\u00ed como las duchas vaginales. Es muy\u00a0 frecuente encontrar pacientes que padecen infecciones de orina casi\u00a0 sistem\u00e1ticamente tras las relaciones sexuales. Siempre se ha atribuido la\u00a0 culpa a la corta longitud de la uretra femenina y al \u201cfrotamiento\u201d que se\u00a0 produce durante la relaci\u00f3n. Sin embargo, lo que mucha gente desconoce,\u00a0 es que el semen es mucho m\u00e1s alcalino que la vagina, con un pH entre 7,2\u00a0 y 8 generalmente, a veces incluso m\u00e1s alto. Debido a ello, una eyaculaci\u00f3n\u00a0 intravaginal puede subir r\u00e1pidamente el pH y favorecer de esta manera el\u00a0 desarrollo de bacterias uropat\u00f3genas. De la misma manera, aunque\u00a0 parezca parad\u00f3jico, la utilizaci\u00f3n excesiva en la zona genital de jabones\u00a0 con pH alcalino (que son la mayor\u00eda) o las duchas vaginales pueden\u00a0 tambi\u00e9n alterar la acidez vaginal y causar un desequilibrio de la microbiota\u00a0 vaginal. Si quieres conocer m\u00e1s cosas sobre la microbiota g\u00e9nito-urinaria\u00a0 te recomiendo que leas este art\u00edculo: \u00a0La Microbiota Urogenital<\/a><\/strong><\/p>\n\n

Bibliograf\u00eda:<\/em><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Bonkat G et al. EAU guidelines on urological infections 2021. ISBN 978-94-92671-13-4<\/p>\n

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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

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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

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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

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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

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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

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https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/constipation<\/a><\/p>\n

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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

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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

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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

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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>\n\t\t","protected":false},"excerpt":{"rendered":"

La composici\u00f3n de la microbiota vaginal es un factor muy relacionado con\u00a0 las infecciones de orina, y se modifica a lo largo de la vida, seg\u00fan [\u2026]<\/span><\/p>\n","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":"\nLa 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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