Managing Severe Menstrual Discomfort and Urinary Symptoms

Severe discomfort during menstruation?

Hello Dr.
Chang, I have had recurrent urinary tract infections seven times, but recently when I was examined by a doctor abroad, they said it might not necessarily be a urinary tract infection, yet they still prescribed antibiotics for me.
I have a steady sexual partner, and after intercourse (I always urinate afterward and clean myself a bit), I experience a burning sensation when I go to the bathroom.
Initially, I thought it was another urinary tract infection, but my urine alternates between cloudy and clear, and I still have the burning sensation (I drink at least 2000cc of water daily).
Recently, my menstrual symptoms have also worsened, and I have a noticeable acidic pain in the vagina.
I cannot go to a clinic for examination because my family advocates for natural therapies.
What can I do to alleviate my symptoms? Thank you.

Miss Ji, 10~19 year old female. Ask Date: 2020/04/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, if you are experiencing frequent infections, it may be necessary to consider whether there are other more serious underlying issues.
Daily precautions include: drinking at least 2000 cc of water each day, not holding in urine and using the restroom when you feel the urge, consuming cranberry products which have some efficacy in preventing urinary tract infections, increasing intake of acidic foods and those rich in vitamin C, wiping from front to back after using the restroom without going back and forth, maintaining cleanliness and dryness of the perineal area during menstruation, changing sanitary pads frequently during your period, taking showers instead of baths, and wearing cotton underwear while minimizing the use of tights and shapewear.
If you experience more than two recurrences within a year, or if treatment outcomes are not as expected, it is advisable to consult a urologist, gynecologist, or urogynecologist for relevant examinations (such as ultrasound, bacterial culture of secretions, microscopic examination, urinalysis, X-rays, blood tests, etc.) to address your health concerns.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2020/04/07

More Info

Managing severe menstrual discomfort and urinary symptoms can be quite challenging, especially when there is a history of recurrent urinary tract infections (UTIs) and other related symptoms. Based on your description, it seems you are experiencing a combination of urinary symptoms, including burning sensations and changes in urine clarity, alongside significant menstrual discomfort and vaginal pain. Here are some insights and recommendations that may help you manage your symptoms effectively.

Understanding Your Symptoms
1. Urinary Symptoms: The burning sensation during urination, especially after sexual intercourse, could indicate a few possibilities:
- Urinary Tract Infection (UTI): Even though recent tests may not have confirmed a UTI, the symptoms you describe are classic for one. It's important to note that UTIs can sometimes present with atypical symptoms or may not always show up in standard tests.

- Irritation or Inflammation: This could be due to various factors, including the use of certain soaps, hygiene products, or even the friction during intercourse. Additionally, hormonal changes during your menstrual cycle can lead to increased sensitivity in the vaginal and urinary tract areas.

- Vaginal Health: The acid pain you are experiencing in the vaginal area could be linked to changes in the vaginal flora, which can be influenced by hormonal fluctuations during your menstrual cycle or even by the antibiotics you have taken.

2. Menstrual Symptoms: Increased discomfort during menstruation can be due to several factors:
- Dysmenorrhea: This is the medical term for painful periods, which can be caused by various conditions, including endometriosis or fibroids.

- Hormonal Imbalances: Fluctuations in estrogen and progesterone levels can lead to increased cramping and discomfort.

Recommendations for Symptom Relief
1. Hydration: Continue to drink plenty of water, as you are already doing. Staying hydrated can help dilute urine and may alleviate some burning sensations.

2. Dietary Adjustments: Consider incorporating anti-inflammatory foods into your diet, such as:
- Fruits and Vegetables: Berries, leafy greens, and citrus fruits can help reduce inflammation.

- Healthy Fats: Omega-3 fatty acids found in fish, flaxseeds, and walnuts may also help.

- Avoid Irritants: Reduce intake of caffeine, alcohol, spicy foods, and acidic foods (like tomatoes and citrus) that may exacerbate urinary symptoms.

3. Natural Remedies: Since you prefer natural therapies, consider:
- Herbal Teas: Some herbal teas, such as chamomile or ginger, may help soothe menstrual cramps.

- Heat Therapy: Applying a heating pad to your abdomen can help relieve menstrual pain.

- Probiotics: These can help restore the natural balance of bacteria in your body, which may alleviate some of the vaginal discomfort.

4. Hygiene Practices: Ensure that you are practicing good hygiene, especially after sexual activity. Urinating after intercourse is a good practice to help flush out any bacteria that may have entered the urinary tract.

5. Monitoring Symptoms: Keep a diary of your symptoms, noting when they occur and their severity. This can help you identify patterns and triggers, which can be useful if you decide to consult a healthcare provider in the future.

6. Consultation: While you mentioned a preference for natural therapies, if symptoms persist or worsen, it may be beneficial to consult a healthcare professional. They can provide a thorough evaluation and may suggest alternative treatments or therapies that align with your preferences.

Conclusion
Managing severe menstrual discomfort and urinary symptoms requires a multifaceted approach that includes hydration, dietary adjustments, natural remedies, and good hygiene practices. While you may prefer to avoid conventional medical interventions, it is important to remain open to seeking professional advice if your symptoms do not improve. Keeping track of your symptoms and their triggers can provide valuable information for any future consultations. Remember, your health and comfort are paramount, and finding the right balance of treatments that work for you is essential.

Similar Q&A

Managing Menstrual Discomfort and Frequent Urination: Tips for Relief

Hello doctor, my period has started, and I have severe abdominal pain. I'm feeling very down and frustrated, but I keep needing to go to the bathroom, which affects my work. What should I do? I'm feeling really unhappy.

Dr. Lin Wenbin reply Obstetrics and Gynecology
Menstruation is the time when hormone levels in the body are at their lowest, which can lead to a decrease in mood. Therefore, analgesics or antispasmodics can be taken to alleviate menstrual pain.

Effective Strategies to Manage Menstrual Pain and Discomfort

Hello Dr. Peng: I experience severe pain every time I have my period and need to take painkillers to manage it. However, once the medication wears off, the pain returns and can last all day. Sometimes, the pain is so intense at night that it wakes me up. Heat therapy provides onl...

Dr. Peng Yiguo reply Obstetrics and Gynecology
Dysmenorrhea is a common gynecological condition and a leading cause of absenteeism or sick leave among young individuals. It is often accompanied by symptoms such as nausea, vomiting, headaches, fatigue, mood changes, and back pain. These symptoms typically occur 24-48 hours bef...

Understanding and Managing the Struggles of Premenstrual Syndrome (PMS)

Hello, Doctor: Every time my menstrual period arrives, it becomes a torment for both my body and mind, and each time the symptoms are different. Sometimes I experience several days of excessive sleepiness (with a high body temperature, but no night sweats), and other times I suff...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello: Your symptoms may be a combination of premenstrual syndrome and somatic symptom disorder. This condition is more commonly encountered in obstetrics and gynecology. It is recommended to have a detailed discussion with an obstetrician-gynecologist, who may prescribe progeste...

Understanding Severe Menstrual Pain: Causes and Relief Strategies

Hello, doctor! In the past few months, I've been experiencing severe pain on the first day of my menstrual period, to the point where I feel cold all over, break out in cold sweats, and feel completely weak, ultimately having to lie in bed and sleep, unable to do anything. I...

Dr. Li Guanghan reply Obstetrics and Gynecology
You must first go to the hospital to check for any pathological causes. If there are no pathological causes, you must adhere to the following guidelines: 1. Avoid cold foods one week before and after your menstrual period to maintain body temperature and prevent blood clots from ...