Urinary Tract Infection and Hematuria: Concerns for Pregnancy

Urethritis / Hematuria

Hello, doctor.
I am 42 years old.
My menstrual period started on October 11.
I was trying to conceive naturally around my ovulation period.
After intercourse during ovulation, I did not want the sperm to leak out, so I held in my urine, which led to a urinary tract infection.
The day after the inflammation started, I noticed blood in my urine.
Currently, I am on a business trip in Hong Kong and cannot see a gynecologist in time.
I bought an over-the-counter antibiotic called "Uro-Bilin" from a pharmacy.
I would like to ask you:
1.
I am unsure if I am pregnant and am concerned that taking this medication might affect conception or harm a potential pregnancy.
In this situation, is it advisable to take the over-the-counter medication?
2.
Uro-Bilin (https://takwah217.blogspot.hk/2017/08/urobilin-cap.html?m=1) comes in a box of 10 capsules, with a recommended dosage of 1 to 2 capsules three times a day for a general treatment course of seven days.
Since this box only provides a three-day supply, I understand that antibiotics need to be taken for the full course.
Given my current condition with blood in my urine, what would be the most appropriate way to take the medication? Should I buy two boxes to complete the seven-day course, or should I take one box for three days and see a doctor when I return home? Thank you, doctor.

Nüren, 40~49 year old female. Ask Date: 2017/10/27

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I’m sorry I cannot provide a diagnosis based on what you described.
The urinary tract infection is classified as grade B, which is generally manageable.
A typical treatment course lasts about a week.
If you continue to experience discomfort, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2017/10/27

More Info

Urinary tract infections (UTIs) during pregnancy can be a significant concern, particularly when symptoms such as hematuria (blood in urine) arise. Given your situation, where you are uncertain about your pregnancy status and are experiencing symptoms of a UTI, it is crucial to approach this matter with caution and awareness of the potential implications for both your health and that of a potential fetus.

Firstly, regarding the use of over-the-counter medications like "尿路必靈" (Uro-Bilin), it is essential to understand that while some medications may be deemed safe for use during pregnancy, others can pose risks. The classification of medications during pregnancy is typically categorized into categories A, B, C, D, and X, with Category A being the safest and Category X being contraindicated. Uro-Bilin falls under Category B, which generally indicates that animal reproduction studies have not demonstrated a risk to the fetus, but there are no adequate and well-controlled studies in pregnant women. Therefore, while it may be relatively safe, it is always best to consult with a healthcare provider before starting any medication, especially when pregnancy is a possibility.

In your case, since you are experiencing hematuria and suspect a UTI, it is advisable to seek medical attention as soon as possible. Blood in the urine can indicate a more severe infection or other underlying issues that need to be addressed promptly. If you are unable to see a healthcare provider immediately due to your location, consider the following steps:
1. Hydration: Drink plenty of fluids, particularly water, to help flush out the urinary system and potentially alleviate some symptoms.

2. Medication Use: If you decide to take Uro-Bilin, it is crucial to follow the recommended dosage. However, given your symptoms, it may be more prudent to take one box (three days' worth) and then seek medical advice as soon as you can. This way, you can avoid unnecessary exposure to medication if it turns out you are pregnant.

3. Monitoring Symptoms: Keep track of your symptoms. If you experience worsening pain, fever, or any other concerning symptoms, seek medical attention immediately, even if it means visiting a local clinic or hospital.

4. Follow-Up: Once you return home, make an appointment with your healthcare provider for a thorough evaluation. They may perform a urinalysis and possibly a urine culture to determine the specific bacteria causing the infection and the most effective antibiotic treatment.

5. Prevention: To prevent future UTIs, consider practices such as urinating after intercourse, staying well-hydrated, and avoiding irritants such as caffeine and alcohol. Wearing breathable cotton underwear and avoiding tight-fitting clothing can also help reduce the risk of UTIs.

In conclusion, while it is understandable to be concerned about the implications of a UTI and potential pregnancy, prioritizing your health and seeking appropriate medical care is essential. The risks associated with untreated UTIs during pregnancy can include complications such as kidney infections, preterm labor, and low birth weight, so addressing your symptoms promptly is crucial. Always consult with a healthcare provider regarding any medications and treatments, especially during this sensitive time.

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