Blood in Urine After Intercourse: When to Seek Medical Help? - Urology

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Hematuria in women during urination?


Hello, doctor.
I had sexual intercourse two days ago, and now I have hematuria when I urinate.
Will this condition heal on its own? If I need to seek medical attention, should I see a urologist or a gynecologist? Thank you.

Mi Ya, 20~29 year old female. Ask Date: 2012/08/23

Dr. Jiang Yini reply Urology


If symptoms do not improve, it is recommended to schedule an appointment with a urologist.

Reply Date: 2012/08/23

More Info


Experiencing blood in urine (hematuria) after intercourse can be concerning and may indicate an underlying issue that requires medical attention. While some cases of hematuria may resolve on their own, it is essential to understand the potential causes and when to seek medical help.

Possible Causes of Hematuria After Intercourse:
1. Trauma or Injury: During intercourse, there may be trauma to the urinary tract or genital area, leading to bleeding. This could be due to vigorous activity or insufficient lubrication.

2. Urinary Tract Infection (UTI): UTIs can cause inflammation and irritation in the urinary tract, leading to blood in the urine. Symptoms may include a burning sensation during urination, frequent urination, and lower abdominal pain.

3. Kidney Stones: If there are stones in the urinary tract, they can cause bleeding, especially if they move or are passed during intercourse.

4. Sexually Transmitted Infections (STIs): Certain STIs can cause inflammation and bleeding in the genital area or urinary tract.

5. Other Medical Conditions: Conditions such as cystitis (bladder inflammation), urethritis (inflammation of the urethra), or more serious issues like tumors in the urinary tract can also lead to hematuria.

When to Seek Medical Help:
You should seek medical attention if:
- The blood in your urine persists or worsens.

- You experience pain or burning during urination.

- You have fever, chills, or other systemic symptoms.

- You notice any unusual discharge or have other concerning symptoms.

Which Specialist to See:
For blood in urine, it is generally advisable to see a urologist, as they specialize in the urinary tract and male reproductive system. If you suspect that the bleeding may be related to a gynecological issue (such as trauma to the vagina or cervix), it may also be appropriate to consult a gynecologist. In some cases, both specialists may need to be involved in your care.

Conclusion:
While some cases of hematuria may resolve without treatment, it is crucial to monitor your symptoms closely. If you have any concerns or if the bleeding continues, do not hesitate to seek medical help. Early evaluation can help identify the cause and ensure appropriate treatment, preventing potential complications. Remember, your health is paramount, and addressing these symptoms promptly is the best course of action.

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