Menopausal women are more prone to urinary tract infections (UTIs). The primary symptoms are painful urination or a need to urinate and void frequently. This problem is encountered more frequently after the age of 60 (i.e., after menopause) but may occur earlier. UTIs may be brought on by loss of estrogen and the resulting skin and glandular thinning around the urethra. Estrogen replenishment or local estrogen treatment may reduce the likelihood of urinary tract infections.