A woman feels pain in her urethra after urinating

A woman may feel a little pain in her urethra after urinating. This is typical urinary pain and a common disease in reproductive health. Painful urination is just a symptom, and there are many possibilities as to what disease is causing it. If the pain persists, it will definitely affect normal life and health. Therefore, when a woman experiences some pain in the urethra after urinating, it is very important to find out the cause and treat it as soon as possible. Let’s look at the situation in detail below.

First of all, the female urethra and vagina are adjacent to each other, and bacteria can easily invade the vagina, especially after sexual intercourse. This is why "honeymoon cystitis" occurs.

Secondly, the female vagina is close to the intestines and anus, and many large intestinal bacteria can enter the vagina, causing urinary tract infection and leading to painful urination.

Third, although the surface of the female urinary tract is covered with a layer of mucus like a protective film, under normal circumstances, the vaginal mucosa will breed a kind of lactobacillus, making the vagina acidic and inhibiting bacterial invasion. However, when these natural defense functions are congenitally deficient or acquiredly changed, they can easily cause vaginal or urinary tract infections. These changes include:

1. Tumors or stones block urine excretion.

2. Cystocele changes the structure and function of the urinary tract.

3. The use of contraceptive spermicides and the abuse of antibiotics lead to changes in vaginal flora.

4. Menopausal women lack hormones.

5. Urinary tract instrument surgery or catheterization destroys the urinary tract mucus protective layer.

Fourth, allergies to soap, toilet paper, lubricants, vaginal cleansers, contraceptive sponges or foams can also cause urinary pain.

in principle

A 32-year-old female employee has suffered from recurrent urinary pain for three years since giving birth. The symptoms were relieved after taking some commonly used antibiotics orally, but it could not be cured. Experts pointed out that this symptom should fall into the category of female "urethral syndrome" and should be taken seriously and treated. There are three main principles:

First, to control acute infection, you can use Zhong Ba Zheng San with modifications for treatment, and at the same time use nitrate alum for external washing.

Secondly, the treatment plan is determined based on the local condition of the external urethral orifice. For example, if the labia minora are fused, labia minora separation surgery is performed.

Secondly, if there is a caruncle-like protrusion at the external urethral orifice, it should be removed; for fusion type, the distance between the urethral orifice and vaginal orifice should be lengthened; for distal urethral stenosis, urethral dilation should be performed regularly.

Causes

(1) Urethritis Urethritis directly affects urination. The inflammatory bacteria can spread in the urethra and is one of the main factors causing urinary pain.

(2) Endocervicitis Endocervicitis in women causes congestion and edema of the cervix, easy bleeding when touched, increased yellow mucopurulent secretions, and lower abdominal discomfort. These parts are closely related to the urethra and are all factors that cause urinary pain.

(3) Nonspecific vaginitis The main symptoms of nonspecific vaginitis are massive shedding of the vaginal epithelium, congestion of the vaginal mucosa, obvious tenderness, and in severe cases, general fatigue and lower abdominal discomfort. The amount of vaginal discharge is large and purulent or serous. The outflow of vaginal discharge irritates the urethra and causes severe urinary pain.

(4) The prominent symptoms of candidal vaginitis are increased leucorrhea and severe itching of the vulva and vagina. The vaginal membrane is highly edematous with white flaky films adhering to it and easily peeling off. In addition, the damaged mucosa may erode the base or form shallow ulcers, which irritate the urethra and cause urinary pain.

(5) Uterine fibroids are benign genital tumors that are common in women aged 30 to 50 years old. The symptom is a lump in the lower abdomen. Bacteria on these lumps may invade the urethra through the reproductive tract and cause painful urination.