Question

A 48-year-old woman with recurrent uncomplicated UTIs (≥3 in the past year) seeks prevention. She is postmenopausal with vaginal dryness. What strategy has evidence and is guideline-supported?

Accepted Answer

Topical vaginal estrogen therapy

Answer

Chronic fluoroquinolone prophylaxis for 12 months

Answer

Cranberry products only

Answer

Nitrofurantoin continuously for all women regardless of preference

Answer

Self-start TMP-SMX for any urinary symptoms without culture

Practice question

A 48-year-old woman with recurrent uncomplicated UTIs (≥3 in the past year) seeks prevention. She is postmenopausal with vaginal dryness. What strategy has evidence and is guideline-supported?