Frequent urination, painful urination, blood, what is going on?

Some women will inadvertently find themselves experiencing frequent and painful urination over a period of time, and sometimes even blood in the urine. This is often a sign of vaginitis. In fact, the main clinical features of vaginitis are changes in the nature of leucorrhea and itching and burning pain in the vulva, as well as symptoms such as painful urination and urgency. Well, next, let me give you a detailed introduction.

Vaginitis is an inflammation of the vaginal mucosa and submucosal connective tissue and is a common disease in gynecological clinics. In normal healthy women, due to anatomical and biochemical characteristics, the vagina has a natural defense function against the invasion of pathogens. When the natural defense function of the vagina is destroyed, pathogens can easily invade and cause vaginal inflammation. Due to estrogen deficiency, young girls and postmenopausal women have a thin vaginal epithelium, reduced intracellular glycogen content, and a vaginal pH of around 7.

Therefore, the vaginal resistance is low and it is more susceptible to infection than adolescents and women of childbearing age. The main clinical features of vaginitis are changes in the nature of leucorrhea and itching and burning pain in the vulva. Dyspareunia is also common. When the infection involves the urethra, there may be symptoms such as urinary pain and urgency.

Common vaginitis includes bacterial vaginitis, Trichomonas vaginitis, candidal vaginitis, and senile vaginitis.

Common vaginitis includes bacterial vaginitis, Trichomonas vaginitis, Candidal vaginitis, and senile vaginitis. Garder et al. studied 1,181 cases of vaginitis and found that 41% were bacterial, 27% were fungal, and 24% were Trichomonas. Senile vaginitis occurs after menopause, oophorectomy or pelvic radiotherapy, and its incidence rate is reported to be as high as 98.5%.

1. Trichomonas vaginitis

Symptoms: Increased leucorrhea, which is milky white or yellow, sometimes purulent, often foamy and smelly. In severe cases, there is bloody leucorrhea, dysuria, frequent urination, and hematuria.

Hazards: It may be complicated by Trichomonas urethritis, cystitis, and pyelonephritis. Since Trichomonas can devour sperm, it may cause infertility and affect sexual life.

2. Fungal vaginitis

Symptoms: vulvar itching, vulvar and vaginal burning pain, increased leucorrhea with a bean curd-like appearance, sometimes accompanied by frequent urination, frequent urination, dysuria, and dyspareunia. During gynecological examination, white membrane-like substances can be seen on the inner side of the labia minora and the vaginal mucosa, which can be wiped off to reveal the red and swollen mucosal surface. In the acute stage, damaged erosion surfaces or superficial ulcers can be seen.

Hazards: difficult to cure, easy to recur, causing premature birth, fetal infection and malformation, etc.

3. Cervical erosion

Symptoms: caused by chronic cervicitis, with heavy vaginal discharge, yellow pus-like or yellow color, distension of waist and abdomen or vaginal itching, loss of appetite, fatigue, and pale complexion. According to the size of the erosion area, it can be divided into mild, moderate and severe types.

Hazards: Cause vaginal adhesions, vaginal pyometra or uterine pyometra

4. Nonspecific vaginitis

Symptoms: A feeling of falling and burning in the vagina, accompanied by pelvic discomfort and general fatigue. Vaginal discharge increases and becomes purulent, serous, and has a foul odor. Because the secretions irritate the urethral opening, it can cause frequent urination, urgency, and pain when urinating.

Hazards: Cause vaginal adhesions, vaginal pyometra or uterine pyometra, easily cause pelvic inflammatory disease, premature rupture of membranes and chorioamnionitis, etc.

5. Senile vaginitis

Symptoms: Increased leucorrhea, yellow in color, watery, purulent and smelly in severe cases, sometimes bloody or accompanied by spotting, itching or burning sensation in the vulva, dryness and pain, distension in the lower abdomen, and when the urethra is affected, there will be frequent, urgent and painful urination.

Hazards: Cause vaginal adhesions, vaginal pyometra or uterine pyometra.

6. Bacterial vaginosis

Symptoms: Increased leucorrhea, which is grayish white, thin and foamy. Vaginal mucosal congestion, scattered bleeding spots, vulvar itching and burning sensation, foul odor

Hazards: Can cause genital infections, pelvic inflammatory disease, perinephritis, dyspareunia, etc.

The above is what the editor introduces to you, what diseases you may suffer from and the dangers of such diseases when you find that you have frequent urination, pain, and blood in your urine. Therefore, we would like to remind women to always take good care of their bodies. In daily life, they should pay more attention to the hygiene of their private parts and the hygiene of public toilets.