Blood in Urine After Intimacy: When to Seek Medical Attention - Urology

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After having intercourse, I noticed blood when I went to the bathroom the next day?


Hello, I am a gay man, and I am a receptive partner.
Recently, after having intimate relations with my boyfriend, I felt discomfort in my abdomen the next day and had a strong urge to use the restroom.
During bowel movements, I noticed blood in the toilet along with some cotton-like clumps, which has me quite worried.
Will this resolve on its own, or should I see a doctor?

Pingzi, 20~29 year old female. Ask Date: 2016/01/12

Dr. Xu Weikai reply Urology


Bottle: Hello, it is difficult to determine.
There may be a wound in the rectal or anal area.
It is recommended to seek medical attention as soon as possible.
Minor abrasions can heal easily with treatment; however, if delayed, they can lead to serious infections, and if ruptured, may even result in sepsis and death.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers from the internet should only be used as a reference; it is still necessary to visit a medical institution for treatment.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2016/01/12

More Info


Experiencing blood in your urine, especially after intimacy, can be concerning and warrants careful consideration. The presence of blood in urine, known as hematuria, can arise from various causes, some of which may be benign, while others could indicate a more serious underlying condition. Given your description of discomfort and the presence of blood, it is essential to approach this situation with caution.

Firstly, it is important to understand that hematuria can result from several factors, including trauma, infections, or underlying medical conditions. In your case, since you mentioned that the symptoms followed an intimate encounter, it is possible that the vigorous activity may have caused some trauma to the urinary tract. This could lead to minor injuries in the urethra or bladder, resulting in blood appearing in the urine. However, the presence of "cotton-like" clumps alongside the blood is particularly concerning and should not be overlooked.

Infections, such as urinary tract infections (UTIs), can also cause hematuria and discomfort. UTIs are more common in individuals who are sexually active, and symptoms often include a frequent urge to urinate, burning sensations during urination, and sometimes abdominal discomfort. If the blood in your urine is accompanied by these symptoms, it is crucial to seek medical attention promptly.

Moreover, other potential causes of hematuria include kidney stones, which can cause significant pain and bleeding, or more serious conditions such as bladder or kidney infections, tumors, or other structural abnormalities. Given the variety of possible causes, it is essential to have a healthcare professional evaluate your symptoms.

While some minor injuries may heal on their own, it is not advisable to wait and see, especially with the presence of blood and discomfort. Seeking medical attention is the best course of action. A healthcare provider can perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies to determine the underlying cause of your symptoms. Early diagnosis and treatment can prevent potential complications and provide peace of mind.

In summary, while it is possible that your symptoms may resolve on their own, the presence of blood in your urine, especially following intimacy, is a sign that you should consult a healthcare professional. They can provide a proper diagnosis and treatment plan tailored to your specific situation. Do not hesitate to seek help; your health and well-being are paramount.

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