Feeling of Incomplete Urination During Menstruation: Causes and Solutions - Urology

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The sensation of incomplete bladder emptying?


After my menstrual period starts, I feel like I have residual urine and that my bladder is not empty, but I can't urinate anymore.
Could this be an infection?

Ai Ai, 10~19 year old female. Ask Date: 2015/08/31

Dr. Li Yilun reply Urology


Doctors typically cannot make a diagnosis based solely on the characteristics of urine.
If you are experiencing issues, it is advisable to visit a nearby medical facility for a general urinalysis to check for signs of infection, proteinuria, glycosuria, or other abnormalities.
Urine is a waste product of the body's metabolism and is related to diet and lifestyle.
If you frequently consume greasy, salty, spicy, or acidic foods and do not drink enough water, you may be at a higher risk for infections.
It is recommended that if you notice any abnormalities in your body, you should consult a physician in person.
The doctor can provide a more accurate diagnosis through a detailed medical history, physical examination, and appropriate questioning.
It is important to note that a simple description is insufficient for determining a medical condition; a thorough assessment is necessary.
Therefore, it is still advisable to seek consultation and examination from a qualified physician.
Doctors often need to inquire about medical history, perform visual and physical examinations, and conduct tests to confirm a diagnosis and determine a treatment plan.
If you have any health concerns, you should seek evaluation and treatment from a urologist nearby.

Reply Date: 2015/08/31

More Info


The sensation of incomplete urination during menstruation can be a frustrating and uncomfortable experience for many women. This feeling, often described as a persistent urge to urinate or the sensation of residual urine, can arise from various factors, including hormonal changes, anatomical considerations, and potential underlying medical conditions.


Hormonal Influence
During menstruation, hormonal fluctuations, particularly the changes in estrogen and progesterone levels, can affect the bladder and urinary tract. These hormones can influence the bladder's sensitivity and capacity, leading to increased urgency or the feeling of incomplete emptying. Additionally, the physical changes that occur in the pelvic region during menstruation, such as increased blood flow and swelling of the tissues, may also contribute to this sensation.


Anatomical Considerations
The anatomy of the female urinary tract can also play a role. The bladder is located in close proximity to the uterus, and during menstruation, the uterus can expand and exert pressure on the bladder. This pressure can create a sensation of fullness or urgency, even if the bladder is not full. Furthermore, if there are any pre-existing conditions, such as pelvic floor dysfunction or a prolapsed bladder, these can exacerbate feelings of incomplete urination during this time.


Potential Infections
While the feeling of incomplete urination can be linked to hormonal changes, it is also essential to consider the possibility of a urinary tract infection (UTI). UTIs can cause symptoms such as increased frequency of urination, urgency, and a sensation of incomplete emptying. If you notice additional symptoms such as burning during urination, cloudy or foul-smelling urine, or lower abdominal pain, it would be prudent to consult a healthcare professional for evaluation and possible treatment.


Other Considerations
1. Hydration and Diet: During menstruation, some women may change their fluid intake or dietary habits, which can affect urinary patterns. Ensure you are adequately hydrated, as dehydration can lead to concentrated urine and increased irritation of the bladder.

2. Stress and Anxiety: Emotional factors can also influence urinary symptoms. Stress and anxiety can lead to increased muscle tension in the pelvic area, which may contribute to the sensation of incomplete urination.

3. Pelvic Floor Health: Weakness or dysfunction in the pelvic floor muscles can lead to urinary symptoms. Engaging in pelvic floor exercises, such as Kegel exercises, may help strengthen these muscles and improve urinary function.


Solutions and Recommendations
- Consult a Healthcare Provider: If the sensation of incomplete urination persists, it is essential to consult a healthcare provider. They may recommend tests such as a urinalysis to rule out infections or other underlying conditions.

- Maintain a Bladder Diary: Keeping track of your urinary habits, fluid intake, and any associated symptoms can provide valuable information for your healthcare provider.

- Pelvic Floor Therapy: If pelvic floor dysfunction is suspected, working with a physical therapist specializing in pelvic health may be beneficial.

- Manage Stress: Incorporating stress-reduction techniques, such as mindfulness, yoga, or meditation, can help alleviate some urinary symptoms.

In conclusion, while the feeling of incomplete urination during menstruation can be attributed to hormonal changes and anatomical factors, it is crucial to remain vigilant for signs of infection or other underlying conditions. Seeking medical advice can help ensure that any potential issues are addressed promptly, leading to improved comfort and urinary health.

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