What should I do if I have frequent and painful urination before my period?

Some people hardly drink water in a day and go to the toilet very rarely, while some people only drink a few glasses of water occasionally, but they will run to the toilet not long after drinking. However, if your boss is talking about something very important during a meeting and you want to go to the toilet but you cannot interrupt him, you have to hold it in quietly. This can easily cause frequent and painful urination, especially before your period. So, what is going on? Let's read on.

More than 95% of urinary tract infections are caused by a single bacteria. Among them, 90% of outpatients and about 50% of inpatients are caused by Escherichia coli, which can be classified into more than 140 types of serotypes. The urinary infection-causing Escherichia coli is the same type of Escherichia coli isolated from the patient's feces, and is often seen in asymptomatic bacteriuria or uncomplicated urinary infection; Proteus, Clostridium difficile, Klebsiella pneumoniae, Pseudomonas aeruginosa, and fecal Streptococcus are seen in patients with reinfection, indwelling catheters, and complications of urinary infection; Candida albicans.

New cryptococcal infections are more common in patients with diabetes, those using glucocorticoids and immunosuppressants, and after kidney transplantation; Staphylococcus aureus is more common in bacteremia and sepsis caused by skin trauma and drug addicts; although viral and mycoplasma infections are rare, they have tended to increase in recent years. Polymicrobial infections occur in indwelling catheters, neurogenic bladder, calculi, congenital malformations, and vaginal, intestinal, or urethral fistulas.

It occurs every time during the menstrual cycle. In severe cases, it may be accompanied by nausea and vomiting, cold sweats, cold hands and feet, and even fainting, which affects work and life. Currently, it is often divided into two types in clinical practice: primary and secondary. Primary dysmenorrhea mostly refers to those without obvious lesions in the reproductive organs, so it is also called functional dysmenorrhea. It is more common in adolescents, unmarried people and married people without children. This type of dysmenorrhea can usually be relieved or disappear after a normal delivery. Secondary dysmenorrhea is mostly caused by organic lesions of the reproductive organs. Drinking rose tea can regulate menstruation and relieve pain, and the effect is most obvious.

Treatment: (I) General treatment: Perform physical exercises to enhance physical fitness. Pay attention to your daily life, combine work and rest, get proper nutrition and adequate sleep. Attach importance to the publicity and education of menstrual physiology, and eliminate patients' fear, anxiety and mental burden through explanation and persuasion. Strengthen menstrual hygiene, avoid strenuous exercise, excessive fatigue and prevent cold.

(ii) Inhibition of ovulation: If the patient is willing to control fertility, oral contraceptive tablets (norethindrone combined tablets or megestrol acetate combined tablets) are the first choice for the treatment of primary dysmenorrhea. With the use of oral contraceptives, more than 90% of symptoms can be relieved, possibly because endometrial growth is inhibited, menstrual volume is reduced, and the amount of PG drops below normal levels, resulting in weakened uterine activity. The treatment can be tried for 3 to 4 cycles. If the effect is satisfactory, it can be continued; if the symptoms do not improve significantly, a PGS synthesis inhibitor can be appropriately added.

Before menstruation, you may occasionally feel tinnitus, weak or numb legs, frequent urination and painful urination. These are normal reactions. However, you should still pay special attention to avoid touching cold water, avoid eating spicy and greasy foods, ensure adequate sleep time, and don't put too much pressure on yourself. Don't delay going to the toilet when it's time to do so, as that will cause cruel harm to our urinary system.