Can Severe Cystitis Cause Vaginal Bleeding? Your Symptoms - Obstetrics and Gynecology

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I would like to ask?


I'm sorry to bother you, doctor.
I have seen a gastroenterologist and my urine test confirmed that I have a urinary tract infection.
I have started medication for treatment.
I would like to ask, in severe cases of urinary tract infection, can there be vaginal bleeding in addition to hematuria? My menstrual cycle is regular and I just finished my period a little over a week ago, so I'm really confused.
Thank you.

Yu, 20~29 year old female. Ask Date: 2016/09/15

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Miss Yu: Severe cystitis typically does not present with vaginal bleeding, aside from hematuria, frequent urination, and dysuria, unless there is an underlying condition causing menstrual irregularities, which is unlikely.
It is also possible that this is coincidental.
You may want to monitor your situation for a few more days.

Reply Date: 2016/09/15

More Info


Severe cystitis, which is an inflammation of the bladder, can indeed lead to a variety of symptoms, including urinary frequency, urgency, and pain during urination. While the most common symptom associated with severe cystitis is hematuria, or blood in the urine, it is important to understand the potential for other symptoms, including vaginal bleeding.

In your case, the presence of vaginal bleeding alongside symptoms of cystitis raises several considerations. First, it is essential to differentiate between bleeding that originates from the urinary tract versus that which may come from the vaginal canal. In some instances, the inflammation and irritation caused by cystitis can lead to increased sensitivity and irritation in the pelvic region, which may result in minor bleeding from the vaginal area. This is particularly true if there is concurrent inflammation of the urethra or if there has been any trauma or irritation to the vaginal tissues.

Moreover, if you are experiencing significant discomfort or pain in the pelvic area, it could be indicative of a more complex issue, such as a urinary tract infection (UTI) that has spread or other gynecological conditions. Conditions such as pelvic inflammatory disease (PID), endometriosis, or even cervical issues could also contribute to abnormal bleeding.
It is also worth noting that hormonal fluctuations, particularly if you are on medications like Metformin for polycystic ovary syndrome (PCOS), can influence menstrual cycles and lead to unexpected bleeding. Since you mentioned that your menstrual cycle is regular and you are currently not due for your period, any unusual bleeding should be evaluated further.

Given your symptoms and the complexity of your situation, it is advisable to consult with a healthcare provider who can perform a thorough examination. This may include a pelvic exam, urine analysis, and possibly imaging studies to rule out any underlying conditions. It is crucial to provide your healthcare provider with a complete history of your symptoms, including the timing of your bleeding in relation to your cystitis symptoms, any recent sexual activity, and any other relevant medical history.

In summary, while severe cystitis can lead to vaginal bleeding, it is essential to consider other potential causes and seek medical evaluation to ensure an accurate diagnosis and appropriate treatment. Your health and well-being are paramount, and addressing these symptoms with a healthcare professional will help clarify the situation and guide you toward effective management.

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