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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Urge To Urinate And Slight Vaginal Pain After Intercourse?

48 year old female, had perimenopause, menopause (no period for about 14 months). Had intercourse with spouse, 2 day later, had slight pain in vaginal area. Next day, a few occasions of immediate urge to urinate, slight burning, no blood in urine. But when I had these kind of attacks , have a few small redish and pinkish what looked like clots. have had a Bladder Infection years ago, felt simular. Also, have had yeast infections before, so I felt that 1 might be starting. So did yeast infection treatment, baths with baking soda and epsen salts. Been drinking cranberry juice, probiotics, eat yogart, drank extra water to flush out system for 3-4 days. Started to get better. Friday, I was okay all day, worked, in the evening had a mini attack , had bath, then okay. Worked yesterday (Saturday), was fine all day and night. Today, worked, no issue until this afternoon. Had urge to pee, held off for a bit (working), then relized have to go now , then another attack . Urge to urine did not go away even after I went, had pain in Vagina, then slighty pink mucus (from vagina, none seen in urine, but my urine has been a bit cloudy when some of these attacks occur). Got home, urinated again, still having an attack, unrine pale (water flushing) and no mucus, very pale pink spotting. During these attacks , feels like I don t just have to pee, but that my Vagina is trying to push something out (that is the only time it is painful, but not severe pain, just annoying/uncomfortable). Although, I am known to have a high tolerance for pain. Had another bath, got better, but still having urge to pee, slight pain (about 5 hours now). So methods may not be working, thinking I may need antibiotics. But now wondering if something else is going on. Note, I had a MRI about 2.5yrs ago,for a hip issue (due to athletic reasons, not related to any of this). Only mentioning it, because there was nothing wrong found with my bones, etc, but a small cyst on an ovary was seen. Family Physican, mentioned it, asked if I had any pain or cramping, no. Was Perimenapausal for a couple years already. Do not have any past history of problems with menstral cycle either. In fact, threw my own research and Dr. visits, realized I was perimenapausal, as I started having PMS systoms. So I am now wondering if it couls be something other then a Bladder/UTI, or yeast infection. Could the intercourse been a factor^
Tue, 20 Jun 2023
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General & Family Physician 's  Response
Hi,

The symptoms you're experiencing, such as the urge to urinate, vaginal pain, and slight bleeding, could be attributed to various factors.

Some of the reasons to consider are:
* Urinary tract infection (UTI): UTIs can cause symptoms like the frequent urge to urinate, a burning sensation during urination, and sometimes even blood in the urine. It's possible to develop a UTI after intercourse due to the introduction of bacteria into the urinary tract. It's best to get a urine test done to rule out a UTI.
* Vaginal infection: Yeast infections or bacterial vaginosis can cause vaginal discomfort, itching, and sometimes slight bleeding. These infections can be triggered by changes in the vaginal environment, including hormonal fluctuations. A healthcare provider can perform an examination and tests to determine if there is an infection present.
* Hormonal changes: Perimenopause and menopause can lead to hormonal fluctuations that may affect the vaginal tissues, leading to dryness, irritation, and discomfort. These changes can make you more susceptible to infections and may cause post-intercourse symptoms.
* Pelvic floor dysfunction: Issues with the muscles and tissues of the pelvic floor can cause symptoms like urinary urgency, vaginal pain, and discomfort during intercourse. Pelvic floor physical therapy or consultation with a healthcare provider specializing in pelvic health may be helpful.

Considering your medical history, it may also be relevant to discuss the possibility of ovarian cysts or any other gynecological conditions with your healthcare provider. To determine the exact cause of your symptoms and guide you toward appropriate treatment, it's important to consult with your healthcare provider. They can conduct a thorough evaluation, perform any necessary tests, and provide personalized advice based on your specific situation.

Take care. Hope I have answered your question. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up query.

Regards,
Dr. Priyanka, General & Family Physician
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Dentist Dr. Dona raj's  Response
Hi,

Most probably, it is (UTI) urinary tract infection. It is a bacterial infection. There are many causes. It can occur after sex also. Drink more water. Try to drink barley, it is one of the best ways to manage it. If the condition still persists, you can consult a doctor and have antibiotics.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Dona Raj, Dentist
I find this answer helpful

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What Causes The Urge To Urinate And Slight Vaginal Pain After Intercourse?

Hi, The symptoms you re experiencing, such as the urge to urinate, vaginal pain, and slight bleeding, could be attributed to various factors. Some of the reasons to consider are: * Urinary tract infection (UTI): UTIs can cause symptoms like the frequent urge to urinate, a burning sensation during urination, and sometimes even blood in the urine. It s possible to develop a UTI after intercourse due to the introduction of bacteria into the urinary tract. It s best to get a urine test done to rule out a UTI. * Vaginal infection: Yeast infections or bacterial vaginosis can cause vaginal discomfort, itching, and sometimes slight bleeding. These infections can be triggered by changes in the vaginal environment, including hormonal fluctuations. A healthcare provider can perform an examination and tests to determine if there is an infection present. * Hormonal changes: Perimenopause and menopause can lead to hormonal fluctuations that may affect the vaginal tissues, leading to dryness, irritation, and discomfort. These changes can make you more susceptible to infections and may cause post-intercourse symptoms. * Pelvic floor dysfunction: Issues with the muscles and tissues of the pelvic floor can cause symptoms like urinary urgency, vaginal pain, and discomfort during intercourse. Pelvic floor physical therapy or consultation with a healthcare provider specializing in pelvic health may be helpful. Considering your medical history, it may also be relevant to discuss the possibility of ovarian cysts or any other gynecological conditions with your healthcare provider. To determine the exact cause of your symptoms and guide you toward appropriate treatment, it s important to consult with your healthcare provider. They can conduct a thorough evaluation, perform any necessary tests, and provide personalized advice based on your specific situation. Take care. Hope I have answered your question. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up query. Regards, Dr. Priyanka, General & Family Physician