Can Menstrual Blood Flow from the Urethra? Your Symptoms

Can menstrual blood flow out of the urethra?

Hello doctor, for the past six months, I have noticed that during my menstrual cycle, the blood flow seems to come from different positions; sometimes it feels like it's coming from the front, and other times from the middle.
Initially, I thought it was due to my posture causing the menstrual blood to flow forward, but upon closer observation, I realized that sometimes it flows from the vagina and other times from the urethra.
Each time, the amount is significant, and bleeding from the urethra only occurs during my menstrual period; I do not experience this when urinating normally.
Is this possible? Should I see a urologist or a gynecologist?

Ann, 40~49 year old female. Ask Date: 2017/06/23

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the source of the bleeding may need to be examined, so it is recommended to see a gynecologist first.
Wishing you good health.

Reply Date: 2017/06/23

More Info

Menstrual blood should not flow from the urethra, as menstruation is a process that occurs in the uterus and the blood is expelled through the vagina. However, the symptoms you are describing—blood appearing to flow from the urethra during your menstrual cycle—can be concerning and may indicate an underlying issue that needs to be addressed.

Firstly, it is essential to understand the anatomy involved. The urethra is the tube that carries urine from the bladder to the outside of the body, while the vagina is the canal that connects the external genitals to the uterus. In a typical menstrual cycle, menstrual blood is expelled from the uterus through the cervix and into the vagina. If you are experiencing blood from the urethra during your menstrual period, it could be a sign of several potential issues.

One possibility is that you may be experiencing a condition known as "urethral bleeding," which can occur due to various reasons, including urinary tract infections (UTIs), urethritis (inflammation of the urethra), or even trauma to the urethra. In some cases, the presence of blood in the urine (hematuria) can be mistaken for menstrual blood, especially if you are menstruating at the same time. This can happen if there is irritation or injury in the urinary tract.

Another consideration is the possibility of a gynecological issue, such as endometriosis, where endometrial tissue grows outside the uterus, potentially affecting the bladder or urethra. This can lead to unusual bleeding patterns and discomfort during menstruation. Additionally, conditions like fibroids or polyps in the uterus can also cause abnormal bleeding.

Given the complexity of your symptoms, it is advisable to consult with a healthcare professional who specializes in women's health, such as a gynecologist. They can perform a thorough examination, including a pelvic exam and possibly imaging studies, to determine the source of the bleeding. If necessary, they may refer you to a urologist to rule out any urinary tract issues.

In summary, while menstrual blood should not flow from the urethra, the symptoms you are experiencing warrant further investigation. It is essential to seek medical advice to ensure that any underlying conditions are identified and treated appropriately. Keeping a detailed record of your symptoms, including when the bleeding occurs and any associated pain or discomfort, can be helpful for your healthcare provider in diagnosing the issue.

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