Do you initiate vaginal estrogen for recurrent UTI prevention without a urology referral in a postmenopausal woman with no anatomic or structural risk factors?

Do you routinely initiate vaginal estrogen for recurrent UTIs without a urology referral in a postmenopausal woman?

• Yes, it is a low risk intervention
• No, I would defer to urology
• Sometimes, but I would still refer to urology
• Other