Abdominal Discomfort and Urgency During Menstruation

During menstruation, experiencing bloating in the lower abdomen and a frequent urge to urinate?

On January 14, I had sexual intercourse with my boyfriend (with a condom).
That night, I noticed blood in my urine.
The next day, my period started, and by the second day, I felt bloated in my lower abdomen and had the urge to use the restroom, but I could only pass a drop or two.
When I do urinate, I feel a slight soreness in my lower abdomen towards the end.
This is the first time I've experienced this after using the restroom, so I wanted to consult a gynecologist first.
Thank you.

W, 20~29 year old female. Ask Date: 2024/01/20

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description of symptoms, it is more likely to be a urinary tract infection.
I recommend drinking plenty of water and avoiding holding in urine.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2024/01/20

More Info

When it comes to understanding abdominal discomfort and urgency during menstruation, particularly in the context of recent sexual activity, there are several factors to consider. Your symptoms of blood in the urine, abdominal bloating, and urgency to urinate can be indicative of various underlying conditions, and it’s important to approach this situation with a comprehensive understanding.

Firstly, the presence of blood in the urine (hematuria) can be concerning and may suggest a urinary tract infection (UTI), especially if accompanied by urgency and discomfort. UTIs are common, particularly in sexually active individuals, and can cause symptoms such as frequent urination, a burning sensation during urination, and abdominal discomfort. The timing of your symptoms, coinciding with the onset of your menstrual period, could also suggest that the hormonal changes associated with menstruation might be exacerbating any underlying urinary issues.

Additionally, the sensation of bloating and the urge to urinate could be linked to menstrual cramps, which are caused by the contraction of the uterus. These cramps can sometimes radiate to the lower abdomen and may create a sensation of pressure that mimics urinary urgency. It’s also worth noting that during menstruation, the body experiences changes in fluid retention and hormonal fluctuations, which can contribute to feelings of bloating and discomfort.

Given your recent sexual activity, it’s also prudent to consider the possibility of sexually transmitted infections (STIs), which can lead to symptoms such as abdominal pain, changes in urinary habits, and even bleeding. While the use of condoms significantly reduces the risk of STIs, they are not 100% effective, and it’s important to be aware of this possibility.

In light of these symptoms, it is advisable to consult with a healthcare provider, preferably a gynecologist or a urologist, who can perform a thorough evaluation. This may include a urinalysis to check for signs of infection, as well as a pelvic examination to assess for any gynecological issues. If necessary, imaging studies such as an ultrasound may be ordered to rule out any structural abnormalities in the reproductive or urinary systems.

In summary, while your symptoms could be attributed to common menstrual discomfort or a urinary tract infection, it is essential to seek medical advice to rule out any serious conditions. Prompt evaluation and treatment can help alleviate your symptoms and address any underlying issues effectively. Remember, it’s always better to err on the side of caution when it comes to your health, especially when experiencing new or concerning symptoms.

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