Discomfort in the Clitoris During Urinary Tract Infections - Obstetrics and Gynecology

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Urinary tract infection (UTI)


I would like to ask the doctor why a urinary tract infection can also cause discomfort in the clitoral area.
Thank you for your response, doctor.

anonym, 40~49 year old female. Ask Date: 2017/08/08

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Why can a urinary tract infection cause discomfort in the clitoral area? Answer: The bulbocavernosus reflex (S2 to S4): anal sphincter contraction triggered by pressure on the glans penis or clitoris.
You may not understand, but it generally refers to a neural reflex.

Reply Date: 2017/08/08

More Info


Urinary tract infections (UTIs) can indeed cause discomfort not only in the bladder and urethra but also in surrounding areas, including the clitoris. This discomfort can be attributed to several factors related to the infection and the body's response to it.

Firstly, UTIs typically involve inflammation of the urinary tract, which includes the urethra, bladder, and sometimes the kidneys. When the urethra is inflamed, it can lead to a sensation of discomfort or pain that may radiate to nearby structures, including the clitoris. The clitoris is highly sensitive and has a rich supply of nerve endings, which means that any irritation or inflammation in the surrounding areas can easily lead to discomfort in the clitoral region.

Secondly, the presence of bacteria in the urinary tract can lead to the release of inflammatory mediators. These substances can sensitize nerve endings in the area, causing heightened sensitivity and discomfort. This is particularly true during urination, when the act of passing urine can exacerbate the inflammation and lead to a painful or burning sensation that may be felt in the clitoris as well.

Moreover, the pelvic floor muscles, which support the bladder and other pelvic organs, can become tense or spasm in response to pain or discomfort from a UTI. This tension can contribute to a feeling of discomfort in the clitoral area, as the pelvic floor muscles are interconnected with the structures surrounding the urethra and clitoris.

It's also worth noting that women may experience changes in their vaginal flora during a UTI, which can lead to additional symptoms such as itching or irritation. This can further complicate the sensation of discomfort in the clitoral area, as the vaginal and urethral environments are closely linked.

In terms of treatment, addressing the underlying UTI is crucial. Antibiotics are typically prescribed to eliminate the infection, and as the infection resolves, the associated discomfort should gradually diminish. However, if discomfort persists even after the UTI has been treated, it may be necessary to explore other potential causes, such as vulvodynia or other pelvic floor disorders.

In summary, discomfort in the clitoris during a urinary tract infection can be attributed to inflammation, nerve sensitivity, pelvic floor muscle tension, and changes in vaginal flora. If you are experiencing such symptoms, it is important to consult with a healthcare provider for a thorough evaluation and appropriate treatment. They can help determine the best course of action to alleviate your discomfort and address any underlying issues.

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