New research is challenging the idea that persistent urinary symptoms are always about infection. What if hormones, vestibular health, and pelvic floor dysfunction are part of the story? Androgens matter. This paper raises important questions and highlights the need for prospective research in perimenopausal women experiencing recurrent urinary symptoms.

Agrawal, Aboubacar Kaba, Ryan Nasseri, Clemens An, Lindsey A Burnett, Maria Uloko, The association between hormonally mediated vestibulodynia and persistent urogenital symptoms: a retrospective chart review, The Journal of Sexual Medicine, Volume 23, Issue 3, March 2026, qdag029, doi.org/10.1093/jsxmed/…