Frequent Urination During Ovulation: Causes and Solutions

During the ovulation period, there may be a sensation of increased urinary frequency?

Hello Doctor, my last menstrual period started on May 15 and ended on May 20, so I should be in my ovulation period now.
I have had cystitis twice in the past, so I am always overly sensitive about it.
For the past two months, I have experienced some frequency of urination after ovulation (sometimes I feel the need to go to the bathroom every hour).
I drink about 1500-2000 ml of water daily and I also take cranberry capsules regularly.
I would like to know if this mild frequency of urination could be caused by ovulation, or if it might be cystitis? (I sometimes experience lower abdominal pain around ovulation.) The discomfort in my bladder seems to disappear about 3-5 days after ovulation, followed by some premenstrual symptoms (my premenstrual syndrome can last nearly two weeks).
Is there any way to improve this? Although I feel that the likelihood of having cystitis is low, I still feel a bit anxious.
Thank you, Doctor.

Huang, 10~19 year old female. Ask Date: 2017/06/03

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The last menstrual period started on May 15 and ended on May 20, so these days should be around the ovulation period.
I have had bladder infections twice, so I am always overly sensitive about them.
For the past two months, I have experienced some mild urinary frequency after ovulation (sometimes feeling the need to urinate every hour).
I drink about 1500-2000 ml of water daily and regularly take cranberry capsules.

1.
Is it possible that the mild urinary frequency is caused by ovulation, or could it be a bladder infection? (I sometimes experience lower abdominal pain around ovulation.)
Answer: Mild urinary frequency is not necessarily indicative of a bladder infection.
2.
The discomfort in my bladder symptoms tends to disappear about 3-5 days after ovulation, followed by some premenstrual symptoms (my premenstrual syndrome can last up to almost two weeks).
What methods can help alleviate this?
Answer: A multivitamin (including vitamin E) may be effective.

Reply Date: 2017/06/03

More Info

Frequent urination during ovulation can be a perplexing issue, especially for those who have a history of urinary tract infections (UTIs) or bladder inflammation. Your symptoms, including the urgency to urinate and discomfort in the bladder area, can indeed be influenced by hormonal changes associated with the menstrual cycle, particularly during ovulation.

During the ovulatory phase of your cycle, which typically occurs around 14 days before your next period, estrogen levels peak. This hormonal fluctuation can lead to various physiological changes in your body, including increased blood flow to the pelvic region and changes in bladder sensitivity. The heightened sensitivity can make you more aware of your bladder's fullness, leading to the sensation of needing to urinate more frequently. Additionally, some women experience mild cramping or discomfort in the lower abdomen during ovulation, which can further contribute to the feeling of bladder discomfort.

However, given your history of bladder infections, it is crucial to consider the possibility of a UTI or bladder inflammation. Symptoms of a UTI can include frequent urination, urgency, discomfort during urination, and sometimes lower abdominal pain. The fact that your symptoms tend to resolve a few days after ovulation could suggest that they are related to hormonal changes rather than an active infection, but it is essential to rule out any underlying issues.

To address your concerns, here are some steps you can take:
1. Hydration: Continue to maintain a healthy level of hydration, as you are currently drinking 1500-2000 ml of water daily. This is beneficial for bladder health and can help dilute any potential irritants in your urine.

2. Cranberry Supplements: You mentioned taking cranberry capsules, which can be helpful in preventing UTIs due to their ability to inhibit bacterial adhesion to the bladder wall. Continue this practice, as it may provide some protective benefits.

3. Monitor Symptoms: Keep a diary of your symptoms, noting the frequency of urination, any associated pain, and the timing in relation to your menstrual cycle. This information can be valuable for your healthcare provider.

4. Consult a Healthcare Provider: If your symptoms persist or worsen, it would be wise to consult a healthcare provider. They may recommend a urinalysis to check for signs of infection or other abnormalities. Additionally, they can assess whether your symptoms are related to ovulation or if further investigation is needed.

5. Pain Management: For any discomfort you experience during ovulation, over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate symptoms. However, consult with your healthcare provider before starting any new medication.

6. Lifestyle Adjustments: Consider lifestyle factors that may contribute to bladder irritation, such as caffeine or alcohol consumption, and try to minimize these during your ovulation phase if you notice a correlation with your symptoms.

In summary, while frequent urination during ovulation can be a normal response to hormonal changes, your history of bladder issues warrants careful monitoring. By taking proactive steps and consulting with a healthcare provider, you can better understand your symptoms and find effective solutions. Remember, it’s always better to err on the side of caution, especially with a history of UTIs.

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