Frequent Urination: Is It Linked to STDs? - Urology

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Frequent urination issues?


I would like to ask a question.
I saw online that if someone contracts a sexually transmitted infection (STI) such as syphilis, chlamydia, gonorrhea, or mycoplasma, they may experience frequent urination.
Is mycoplasma a common STI?

Xiao Qiang, 50~59 year old female. Ask Date: 2021/10/18

Dr. Du Shixi reply Urology


Hello: The term "ureaplasma" may be incorrect.
The sexually transmitted infection you mentioned is unlikely to present with only frequent urination without other urinary symptoms.
Wishing you good health.

Reply Date: 2021/10/18

More Info


Frequent urination can indeed be linked to sexually transmitted diseases (STDs), but it is essential to understand the broader context of urinary symptoms and their potential causes. STDs such as chlamydia, gonorrhea, and trichomoniasis can lead to urinary tract infections (UTIs) or inflammation of the urethra (urethritis), which may manifest as increased urinary frequency, urgency, or discomfort during urination.

Chlamydia and gonorrhea are among the most common STDs and are caused by bacteria. Chlamydia, in particular, is often asymptomatic, meaning many individuals may not exhibit noticeable symptoms. However, when symptoms do occur, they can include frequent urination, pelvic pain, and abnormal discharge. Gonorrhea can similarly cause urethritis, leading to increased urinary frequency and discomfort.

Trichomoniasis, caused by a parasite, can also lead to urinary symptoms, although it is more commonly associated with vaginal discharge and irritation in women. In men, it may cause urethral irritation, leading to increased frequency of urination.

Regarding your question about "直原體" (likely referring to Mycoplasma genitalium), it is indeed a less common but significant STD. Mycoplasma genitalium is a type of bacteria that can cause urethritis in men and cervicitis in women. It has been increasingly recognized as a cause of urinary symptoms, including frequent urination, particularly in cases where other common STDs have been ruled out.

In addition to STDs, frequent urination can be caused by various other factors, including:
1. Urinary Tract Infections (UTIs): These are the most common cause of increased urinary frequency, especially in women. UTIs can result from bacterial infections and may present with symptoms such as urgency, burning sensation during urination, and sometimes fever.

2. Diabetes: Both diabetes mellitus and diabetes insipidus can lead to increased urination. In diabetes mellitus, high blood sugar levels can cause excessive thirst and urination as the body attempts to eliminate excess glucose.

3. Prostate Issues: In men, conditions such as benign prostatic hyperplasia (BPH) or prostatitis can lead to urinary frequency and urgency.

4. Bladder Conditions: Overactive bladder syndrome can cause frequent urination and urgency without an identifiable infection.

5. Medications: Certain diuretics or medications can increase urine production, leading to more frequent urination.

If you are experiencing frequent urination and suspect it may be related to an STD, it is crucial to consult a healthcare provider for proper evaluation and testing. They may recommend urine tests, swabs, or other diagnostic procedures to identify any underlying infections or conditions. Treatment will depend on the specific diagnosis and may include antibiotics for bacterial infections.

In summary, while frequent urination can be linked to STDs, it is essential to consider a comprehensive range of potential causes. Seeking medical advice is the best course of action to determine the underlying issue and receive appropriate treatment.

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