Podcast Show Notes



Joanna Macmeikan - Recurrent UTIs and the Vaginal Microbiome

In this episode, we’re talking about UTIs and why the bacteria around your vagina and bladder are essential for good health. I’m chatting with registered Chinese medicine practitioner Joanna Macmeikan about all things UTIs and bacterial vaginosis and why antibiotics are not always the answer. Now you may have heard of the gut microbiome before, it’s a collection of literally trillions of tiny micro-organisms that are thought to have a powerful effect on your overall health. But did you know that there is also a collection of bacteria in the female reproductive tract? Yep, our vagina, our bladder and our urethra are all full of good bacteria and just like in our gut, they play a huge role in keeping us healthy. 

But the relationship can get a little more complicated when these levels of good bacteria become a bit wonky and bad bacteria dominates. And sometimes, things that we do in our daily lives can disturb this delicate environment and then we can be at risk of urinary tract infections, an imbalance of bacteria called bacterial vaginosis. And even though you may never have heard of BV before, it’s more common than thrush. Sometimes these types of concerns are one-off problems that can be fixed with a quick trip to the GP, a cream or a course of antibiotics. But for some women, it’s not that simple. The problem keeps coming back and life gets miserable.

And that’s where my friend Joanna Macmeikan comes in.


  • What is a recurrent or chronic UTI and how is it different to a one-off UTI?

  • How do we treat a recurrent UTI?

  • What are some problems with the current medical approach for recurrent/chronic UTI? 

  • Other than antibiotics, what else can cause an imbalance in the vaginal microbiome?

  • Are there any other conditions that we might mistake for a UTI but there’s actually something more going on?

  • How would women know if they have a recurrent/chronic UTI Bacterial Vaginosis?


Learn more about Joanna:

Visit her website HERE

Stalk her on Instagram HER


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