why does my vagina hurt when i pee
AFP IssuesAFP By Topic Collections AFP CME QuizAFP Community BlogSubscribe to AFP Please note: This information was updated at the time of publication. But medical information is always changing, and some information given here may be out of date. For regular updates on various health issues, visit the AAFP patient education website. Please Note:Family Information Causes of Painful urine Am Fam Physician. 1998 1;57(9):2169-2170. See related article about . Why does it sometimes hurt when you pee? If you have an infection or vaginal inflammation, you may feel pain when the urine passes over the inflated tissue. And if the urethra is swollen, it could feel pain while the urine passes through it. (The urethra is the tube that carries urine from the bladder.) You can be sensitive to chemicals in tissues, vaginal lubricants, soap or odor toilet paper. It can also be sensitive to the contraceptive or sponge foams. You will find out if you are sensitive to these products if it hurts to urinate after you have used them. The urine can hurt if the bladder is swollen. This may occur even if you do not have an infection. Something that presses against the bladder (such as an ovarian cyst) or irritation of a kidney stone that is glued near the entrance of the bladder can also cause painful urination. Certain drugs, such as some used in cancer chemotherapy or radiation treatments in the pelvic area, can inflate the bladder and cause painful urination. What do I need to tell my doctor? You should tell your doctor if you have had urinary tract infections before, how many you have had and how they were treated. How well he responded to that treatment is also important information. You should tell your doctor if you had urinary tract infections as a child. Your doctor should know about any other medical condition you may have, such as diabetes mellitus or acquired immunodeficiency syndrome (AIDS), because this could affect your body's response to infection. Tell your doctor any known anomaly in your urinary tract or the possibility that you are pregnant is also important. Tell your doctor if procedures have been performed in your urinary tract or if you were recently hospitalized (less than a month ago) or you stayed in an elderly asylum. What kind of tests will I have to do? Your doctor will often be able to say what is causing your pain for your urine pattern description and symptoms, along with a physical exam. Testing your urine for white blood cells, red blood cells, and chemical by-products can also help your doctor identify what type of infection you have. A sample of your urine is usually taken in your doctor's office and sent to a laboratory to check for a bacterial infection. If your doctor thinks that your pain may be of vaginal inflammation, you can clean your vagina's coating with a hysop to collect mucus. The mucus will be looked under a microscope to see if it has yeast and other organisms. If your pain is from an infection in your urethra, your doctor may change it to look for white blood cells and test bacteria. If an infection cannot be found, the doctor may suggest other tests, such as pressure measurements within the bladder or cytoscopy (cytoscopy is a way to see the lining of the bladder with a very thin tube inserted through the urethra). What can I do to stop or prevent these symptoms? Most women who have a urinary tract infection do not receive another one and do not need to be in a prevention program. All they need is a few days of treatment with an antibiotic. Some women, however, receive these infections over and over, and may receive some relief from preventive efforts. Drinking 12 ounces of blueberry juice or blueberries every day decreases your chance of getting an infection. If you tend to get urinary tract infections after sexual intercourse, go to the bathroom right after intercourse or take a single dose of an antibiotic may decrease your risk. Frequent urinary tract infections may come from changes in the types of bacteria that live in the vagina. These changes can facilitate urinary tract infection. Antibacterial vaginal tissues, spermicides and certain oral antibiotics can cause this change in the vaginal bacteria. Avoid using these elements, if possible, if you still have urinary tract infections. Menopause can also cause changes in vaginal bacteria that increase the risk of urinary tract infection. Taking estrogen usually corrects this problem. How are urinary tract infections treated? If you are a healthy adult woman who is not pregnant, a three-day treatment of oral antibiotics is usually effective. It is important to tell your doctor if you have symptoms such as back pain and fever (especially fever over 101°F, which might mean that the infection has spread in your kidneys. It is also important to take your antibiotics exactly as prescribed by your doctor, as the missed dose can make the treatment less effective and can allow a kidney infection to develop. What if I still have urinary tract infections even after taking antibiotics? Some women continue to receive urinary tract infections, even after preventive measures. If you are having three or more urinary tract infections every year, your doctor may want to start a preventive antibiotic program. A small dose of antibiotics taken after having sex will help reduce infections that occur after intercourse. A small dose of an antibiotic taken every day helps to reduce infections not associated with coitus. Read the full article. Read the full article. Already a member/subscriber? Purchase Access: Already a member or subscriber? Best value! Get full access from $140 Access This Issue$39.95 Already a member or subscriber? The best value! Get full access This problem This brochure is provided to you by your family doctor and the American Academy of Family Doctors. Other health-related data are available in the online AAFP. This information provides a general overview and may not apply to all. Talk to your family doctor to find out if this information applies to you and for more information on this topic. Copyright © 1998 by the American Academy of Family Physicians. This content is owned by AAFP. A person who sees it online can make an impression of the material and can use that impression only for his personal and non-commercial reference. This material cannot be downloaded, copied, printed, stored, transmitted or reproduced in any medium, either now known or later invented, except as authorized in writing by AAFP. Contact for copyright questions and/or permission requests. You want to use this article somewhere else? MOST RECENT ISSUEMar 1, 2021Mar 1, 2021Access to the last number of American Family PhysicianEmail Alerts Don't miss a single problem. Subscribe to the AFP free content table. Browse this articleContinue reading Previous: Previous: Next: / / / / Causes of painful urine Copyright © 2020 American Academy of Family Physicians. All rights reserved.
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