Concerns About Blood in Urine Before Marriage: What to Know

A person who is about to become a wife?

Hello, Doctor: I am a woman who is about to get married at the end of the year, and there is something that has been bothering me a lot.
I would like your assistance.
I have been in a relationship with my fiancé for 8 years, and our sexual life has always been fine.
However, last month, after we had intercourse, I noticed that when I took a shower standing up, I urinated blood.
My menstrual period had ended on the 16th, so logically, there shouldn't have been any blood.
The next morning, when I went to the bathroom, the issue was gone.
A week later, after having intercourse again, I experienced the same problem.
I observed this for almost a month before consulting a gynecologist.
Initially, they said it was cervical erosion, which scared me.
Later, the doctor prescribed medication for me to use for 3 days (and I also had a Pap smear done at that time).
A week later, when I returned for the results, another doctor performed an internal examination and said everything looked fine, questioning how there could be erosion.
The report indicated slight inflammation of the uterus, and the doctor prescribed some medication, which resolved the issue.
However, a week later, I went to another clinic, and that doctor said there was only slight inflammation, prescribing medication for me to use for 6 days for observation.
An ultrasound showed a 3 cm cyst in the uterus, but another clinic said it was soft and not a cyst.
Last week, when I had intercourse with my fiancé in the woman-on-top position, I felt a sensation similar to holding in urine for a long time, which was somewhat uncomfortable and sore.
After intercourse, I still noticed blood in my urine.
What should I do? I am getting married at the end of the year, and I am worried about potential infections or infertility.
Is it safe for my fiancé to have intercourse with me?

Ya Ya, 20~29 year old female. Ask Date: 2004/07/06

Dr. Shi Chengyang reply Obstetrics and Gynecology

Please visit our hospital for a detailed examination before proceeding with the appropriate treatment.

Reply Date: 2004/07/06

More Info

It sounds like you're experiencing a concerning situation, especially with your upcoming marriage. The presence of blood in your urine after sexual intercourse can be alarming, and it's understandable that you're feeling anxious about it. Let's break down the potential causes and what you should consider moving forward.

Firstly, it's important to note that blood in urine, known as hematuria, can have various causes. In your case, since the bleeding seems to occur after sexual activity, it could be related to several factors, including:
1. Irritation or Trauma: Sexual intercourse can sometimes cause minor trauma to the vaginal or urethral tissues, especially if there is insufficient lubrication or if certain positions put pressure on sensitive areas. This could lead to bleeding, which might explain why you notice it after intimacy.

2. Infections: Urinary tract infections (UTIs) or sexually transmitted infections (STIs) can cause inflammation and bleeding. If you have any accompanying symptoms such as burning during urination, increased frequency of urination, or unusual discharge, it would be wise to get tested for these conditions.

3. Cervical Issues: You mentioned that a doctor initially suggested cervical erosion (cervical ectropion), which can cause bleeding after intercourse. This condition occurs when the cells from the inside of the cervical canal are present on the outside of the cervix, making it more sensitive and prone to bleeding. If this is the case, it may require monitoring or treatment.

4. Fibroids or Polyps: The mention of a 3 cm cyst or fibroid could also be relevant. While many fibroids are benign and may not cause symptoms, they can sometimes lead to bleeding or discomfort, particularly during intercourse.

5. Inflammation: You noted that doctors have mentioned inflammation. This could be due to various reasons, including infections or other underlying conditions that need to be addressed.

Given your situation, here are some recommendations:
- Follow-Up with Your Doctor: Since you've already seen multiple doctors, it might be beneficial to have a comprehensive evaluation with a gynecologist who specializes in pelvic health. They can perform a thorough examination, including imaging studies if necessary, to rule out any serious conditions.

- Avoid Sexual Intercourse Until Cleared: Until you have a clearer understanding of the cause of the bleeding, it may be wise to avoid sexual intercourse. This will help prevent any potential irritation or further complications.

- Monitor Symptoms: Keep track of any additional symptoms you may experience, such as changes in urination, abdominal pain, or unusual discharge. This information can be helpful for your healthcare provider.

- Consider a Urology Consultation: If the bleeding persists or if you have concerns about your urinary health, consulting a urologist may provide further insights, especially since they specialize in urinary tract issues.

- Stay Informed: Educate yourself about your body and any conditions you may have. Understanding your health can empower you to make informed decisions and communicate effectively with your healthcare providers.

In conclusion, while it’s understandable to feel anxious about these symptoms, many causes of blood in urine are treatable. With the right medical guidance and follow-up, you can address these concerns and move forward with your plans for marriage with peace of mind. Remember, your health is paramount, and seeking clarity from healthcare professionals is the best course of action.

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