What causes extremely strong smelling urine? I've had tests done, no urinary tract infection, no STD;s etc..... Also brown clotty discharge, no longer get a period. In menapause. At times very deep pain in very low abdomen, pelvic area, that wakes me up at night or during day causes me to lay in fetal position. I can't help but think it is all realated somehow. Pain during sex as well.