A 57yo woman presents with dysuria

A 57yo woman presents with dysuria, frequency and urinary incontinence. She complains of
dyspareunia. Urine culture has been done and is sterile. What is the most appropriate step?

a. Oral antibiotics
b. Topical antibiotics
c. Topical estrogen
d. Oral estrogen
e. Oral antibiotics and topical estrogen

Ans. The key is C. Topical estrogen. [There may be UTI like symptoms and dyspareunia in atrophic vaginitis for which topical oestrogen can be used].