What is urethrorrhagia and how does the symptom differ from hematuria?

Menstrual bleeding may be suspicious

Discharge that has a reddish or brown tint can sometimes be triggered by natural processes occurring in the body of every woman.

Sometimes a woman herself (or with the direct participation of her partner) can provoke bleeding during or after sexual intercourse. For example, if a couple had too intense and stormy sex. It provokes mechanical damage to the mucous membrane, as a result of which small cracks appear, from which blood is released, gradually mixing with vaginal secretions. The solution to this problem is very simple - intimacy, of course, should be passionate, but in moderation. Please use caution.

The same applies if you use different sex toys. All kinds of plastics, latexes and other artificial materials seem soft and safe only at first glance. In fact, they are not at all intended to come into contact with the delicate vaginal mucosa. Very often, such products cause various injuries that can bleed.

Ejaculation in men is accompanied by the release of seminal fluid through the urethral canal. Sperm consists of secretions and germ cells. The secretion of seminal fluid is produced in the prostate gland of a man. Sex cells are formed in the testicles. The formed sperm secretion is stored in the seminal vesicles.

If a pathological process develops in one of the organs, then a modification of the seminal fluid occurs. Ejaculation is accompanied by the release of thick liquid with different colors. Some pathologies are accompanied by bleeding. In this case, minor red inclusions or a large number of blood cells can be found in the ejaculate.

Passing through the capillaries of the kidneys, the blood is filtered - some of the liquid accumulates through the lumens of the walls. Then the process of reabsorption begins, during which primary urine is absorbed by the walls of the renal tubules and enters back into the circulatory system. The substances it contains are partially consumed by the body. It’s too early to remove them from the body - they are needed.

After reabsorption, the process of formation of secondary urine begins. It already has a different chemical composition. It contains substances that must be eliminated from the body. Urine is formed from blood. But the presence of blood in it is a deviation from the norm.

Menstruation can easily be confused with the symptom of bleeding from the urethra. When released from the vagina, it can spread along the folds of the mucous membrane, reach the clitoris in small quantities, and accumulate near the entrance to the urethra. During urination, it will mix with urine. Its presence in this case is not a symptom of the disease.

In order to dispel all doubts, it is necessary to thoroughly clean the mucous surfaces and external genitalia before urinating. Using sanitary tampons reduces the risk of confusion. After waiting for the end of menstrual bleeding, you should pay attention for some time to the color and composition of natural discharge.

It is safe for health, it is acceptable, it is likely to appear in urine during hormonal changes during menopause, in the second trimester of pregnancy. In other cases, blood coming from the urethra is a symptom of injury or illness.

The groin area is a so-called pain point - a sensitive area that both men and women intuitively strive to protect from mechanical damage. In this regard, injuries are a rare occurrence. Much more often, blood from the urethra appears in women for the following reasons:

1. cystitis;
2. urethritis;
3. stones;
4. neoplasms;
5. vaginitis;
6. cervical erosion;
7. uterine prolapse.

Urine formation occurs in the kidneys. Next, it enters the ureters and accumulates in the bladder. During urination, the sphincter relaxes and urine moves down the urethra. The intensity of bladder emptying is controlled by the abdominal muscles. By contracting, they increase pressure on the organ. In women, unlike men, the urethra is wide and short, so infectious diseases easily and quickly penetrate into: the urethra; ureters; kidneys

One of the most common symptoms of most diseases of the genitourinary system is the discharge of blood from the urethra in women. Pathology can be determined by the color of urine. Interspersed with blood, it takes on a pinkish or orange-red hue.

It is better to prevent any disease at the initial stage. Therefore, if you find blood from the urethra in women after urinating, immediately make an appointment with a good gynecologist or urologist. He will prescribe appropriate treatment. Preventive measures also play an important role in the fight against the disease. Compliance with them will reduce the risk of complications and relapse.

Symptoms

Normally, blood should not be present in the urine. If you observe characteristic inclusions and color, then this is direct evidence that changes are occurring in the body. Often, bleeding from the urethra in a woman is accompanied by concomitant symptoms. The following symptoms are typical: itching during urination; nagging pain in the lower abdomen; purulent discharge from the urethra; sensation of a “glued” urethra.

Such manifestations may be present all or occur individually to varying degrees. In any case, if characteristic symptoms are detected, you should seek help from a specialist.

Signs and manifestations

Pain in the bladder and canal can occur both after the process and directly during urination. It can be burning and undying. It provides a reason and information for conducting analysis and establishing a differentiated diagnosis. It is necessary because the causes of pain can be varied. There is a list that contains up to 200 factors for such manifestations as blood in the urine. Most often these are infections, stones, malignant tumors and injuries. Let's give some examples.

1. Pyelonephritis (inflammatory disease of the kidneys), nephroptosis (prolapse of the kidneys) and injury are signaled by painful impulses in the lower back, side or under the shoulder blade.
2. With significant blood loss, an intense, one might say total, release of blood in the urine will be indicated by general weakness, nausea, dizziness, pale complexion and constant thirst.
3. The main signs of urolithiasis can be learned through the large discharge of dense formations (calculi), itching, sand and blood clots in the urine.
4. If the discharge is in the form of elongated clots of pink, yellowish and green shades, then they indicate a diseased liver, or, less often, a gallbladder. Bilirubin will determine the hemolysis of red blood cells.
5. Difficulty urinating indicates significant bleeding with the process of releasing a large blood clot. It is also possible for a large stone to be passed out with urine, which blocks the entrance to the urethra.
6. Significant blood clots in the urine indicate the likelihood of cancer, which will require surgery.
7. When the bladder becomes inflamed (cystitis), itching, pain, and, less commonly, pus are observed. Urination is accompanied by a burning sensation.

Additionally symptoms:

If blood in urine is not accompanied by other phenomena and signs, then this is a bad sign. The only thing worse than a malignant tumor. Additional symptoms:

• decreased physical activity;
• general weakness, nausea;
• pale skin;
• temperature;
• itching, burning, stinging;
• frequent urges.

Let's look at the main diseases that cause blood to be released in the urine.

Kidney disease

The manifestation of hematuria occurs in both women and men. Blood may be discharged in the urine of a newborn due to congenital pathology. In case of inflammation in the kidneys, it is necessary to take both a blood test and a urine test. Symptoms of this disease appear late. A change in the functioning of one kidney for the worse brings the second into the active phase of performance. She works hard for two. And it is difficult to diagnose pathology. Treatment is long-term. When neglected, the only way to get rid of problems is surgery.

Symptoms
:

• dysfunction of the urethra;
• urine output is more frequent, or the outflow of urine is completely disrupted;
• painful urination, itching, pus;
• severe pain in the back, lower back, with an uncertain location;
• swelling of the face;
• decreased appetite;
• temperature.

Biochemical analysis determines the degree of kidney damage in pyelonephritis. The presence of blood in the urine is the first sign. You need to know how the color of urine changes with pyelonephritis. Dark blood in the urine indicates an increased level of red blood cells and the presence of purulent contents. Laboratory tests also examine the level of leukocytes and casts. Bilirubin indicates an inflammatory process. The appearance of acetone makes it possible to determine the degree of disease. The presence of protein and nitrites is a clear sign of a bacterial kidney infection.

Frequent cases are renal colic. There is pain either in the left or right side. It comes suddenly. Colic in the kidney area indicates the presence of urolithiasis. This, in turn, leads to damage to the pelvis and stretching of the kidney walls. It is necessary to take a urine test for pyelonephritis. This is the only way to identify the true source of the disease and eliminate it in time. Many patients, having passed the test, try to decipher the study themselves. Calculate the number and level of indicators. Only a highly qualified specialist can do this correctly and prescribe the necessary treatment!

Remember!

Kidney pathology must be treated on time. It requires emergency hospitalization, intensive care, and sometimes surgery.

In men

A common cause of hematuria in men is prostatic hyperplasia. Previously, such diseases were called prostate adenoma. During the course of this disease, small nodules are formed that compress the urethra as they grow. The change leads to disruption of the free release of the urinary canal. Blood in the urine with prostatitis comes out in an altered form. It can be milky, white, colorless, or yellow, like in a healthy body. But in the patient it is most often cloudy in color. The adenoma makes the urine alkaline; in healthy people it is acidic. Bilirubin indicates an inflammatory process. Urgent treatment is required.

Often in the early stages it is not possible to diagnose this source of hematuria. And this, in turn, leads to complications, tumors and cancer, which in 80% of cases require surgery.

Symptoms
as a determining factor for getting tested:

• urination occurs more frequently, is intermittent, and the person experiences severe pain;
• decreased libido, decreased potency, and, as a result, lack of sex;
• pain in the urethra and perineum, pain, itching.
• blood in the urine may be released involuntarily in drops;
• pain in the lumbar region;
• dry mouth and thirst;
• constipation

With such symptoms, you should urgently contact a urologist. He will prescribe treatment. If you postpone going to the doctor, then within a week the man around you will be advised to do so. The cause will be the smell from spontaneously released blood in the urine. Perhaps the wife will advise you to do this due to the lack of sex.

During laboratory testing in such cases, the fundamental factors are the density of blood in the urine, the color and reaction of the urethra, as well as the amount of protein, leukocytes, bilirubin, acetone level, and the locality of leukocytes. All together gives a clear picture of the disease itself. A week before the test, you should not drink alcohol, take uroseptics or antibiotics. It is necessary to adhere to a healthy diet.

Hematuria can also develop for the following reasons:

• During intense physical activity. In such cases, the kidneys do not have time to process metabolites - carbohydrates, lipids, proteins, nucleic acids. The reason is increased and prolonged pressure on the organs.
• Anemia. Blood diseases lead to changes in the functions of the urethra. Urine contains blood, protein bodies, and bilirubin in a high percentage.
• Prostate tumor. Hematuria occurs after cancer surgery.
• Heppel-Landau syndrome. These are hereditary diseases in which formations grow on organs such as the spine, testicles, and kidneys.
• Kidney stones, bladder stones, injuries.
• Lack of certain enzymes in the body and frequent consumption of animal foods.
• When using certain medications.

Important!

Treatment may not always be prescribed correctly. Therefore, repeated analysis of the origin of the disease and additional research are simply necessary! An adenoma can be a false diagnosis, and the main cause is a tumor of the kidneys, urethra or bladder.

Among women

Female hematuria often occurs during menstruation. Anemia - anemia is the cause of this. In cases of blood loss of more than 80 grams, significant anemia is indicated, which can be extremely dangerous to health. Iron deficiency anemia may also develop. It provokes the release of menstruation with significant clots. They disappear after treatment of the disease. Only a qualified doctor can make a diagnosis and prescribe therapy. Therefore, anemia is not a reason to start swallowing tablets with a high concentration of iron on your own.

Sometimes blood clots come out after a week in a woman who has just given birth. Why do they appear, and what could it be? Such signs may appear after a cesarean section. Perhaps the reason is poor uterine contractions. Postpartum anemia is not uncommon, which leads to changes in the functions of the genitourinary system.

A more dangerous symptom is blood in the urine during pregnancy. It gives a signal about the occurrence of inflammatory processes and a developing infection. Less common causes are anemia and tumors. But the color of urine in pregnant women is not a fact of illness. The color of urine may change after eating coloring foods - oranges, beets, carrots and others. Often, expectant mothers develop inflammation of the urethra, since the body during this period is susceptible to various types of infections and is very susceptible. Sometimes there is a burning sensation and itching. With such factors, it is necessary to undergo tests so as not to harm the developing fetus. The results of laboratory tests will determine the level of presence of leukocytes, red blood cells, microbes and other infectious agents. Bilirubin is a bile pigment that will indicate how the liver and gallbladder work. Sometimes blood is released in the urine for a less serious reason - the pressure of the growing uterus on the bladder.

Only a qualified doctor can make a diagnosis and prescribe therapy.

Therefore, anemia is not a reason to start swallowing tablets with a high concentration of iron on your own.

Also, women may develop hematuria for the following reasons:

• Diseases of the genitourinary system.
• Cystitis is a special type of infectious changes in the kidneys.
• Pyelonephritis in acute and chronic forms.
• Taking oral contraceptives, which reduces the tone of the pelvic vessels.
• Neoplasms, both benign and malignant.
• Injuries. Tissue ruptures and damage lead to the appearance of blood in the urine.
• Anemia, hemophilia and other diseases associated with blood clotting in the body.
• Bilirubin as an indicator of liver dysfunction.
• Surgical intervention - operations.

Attention!

In any case, at the slightest change in the color of urine, every woman is obliged to seek advice from a medical institution.

In children

A urine test gives a general idea of ​​the health of the child's body. Children need to be tested regularly. This reduces the risk of developing chronic diseases of the urethra, prevents pyelonephritis and other diseases. If laboratory tests are not carried out on time, it may be necessary to undergo surgery at such an early age. Blood marks and pus on a child’s underwear should alert every parent. Complaints of itching should also not be ignored. Blood in a child’s urine is the first sign of pathology in the body. What should you pay attention to?

• The smell of ammonia in children's urine signals cystitis. It is especially common in girls. When exposed to bacteria, urine decomposes and smells like rotten apples.
• When the body is dehydrated and sugar levels rise, the density of urine decreases.
• Protein indicates urethral infections. The detection of leukocytes also indicates such a disease.
• Bilirubin indicates liver disease.
• Anemia is also one of the main factors in the occurrence of hematuria.

The normal color of urine in a newborn is colorless or light straw. If it changes, then this is an alarming signal about the progression of the disease, which requires qualified treatment. The difficulty for parents is that the baby cannot tell what hurts. Therefore, mothers and fathers must be attentive to the facts of changes in the color of the newborn’s urine, so as not to start a process that will require surgery.

Symptoms of hematuria in children:

• pain in the side, stomach;
• temperature and fever;
• painful disorders of the urination process;
• swelling;
• pink, red, brownish color of urine.

In such cases, a family history should also be collected. This will make it possible to determine a possible genetic predisposition to nephritis, kidney disease and other types of diseases that are inherited.

Important!

If at least one factor from the list of symptoms occurs, an urgent visit to a medical facility to a pediatrician is necessary. Conducting laboratory tests will make it possible to prescribe the correct treatment and prevent the development of chronic diseases from an early age!

Pathology of the urinary tract

However, most people bleed during urination. Both fresh blood and clots can come out with urine flow. The timing of bleeding is also important. If bleeding occurs at the beginning of urination, then initial hematuria occurs. If at the end, then we can talk about final hematuria. In the case when this occurs throughout the entire act of urination, it is customary to talk about total hematuria.

1. Initial hematuria is most often characteristic of urethritis, which is accompanied in men by burning and pain along the urethra.
2. Final hematuria in men indicates the bladder neck. If the stream of urine is intermittent, then one of the reasons may be stones in the bladder.
3. With total hematuria, the doctor suspects the presence of acute infectious processes in various parts of the urinary system. For example, cystitis, urethritis or nephritis. The causes of which are most often hypothermia, infectious agents, autoimmune damage involving the pyelocaliceal system in the pathological process. Total hematuria is sometimes a sign of a malignant oncological process.

It is important to remember that total hematuria, which is accompanied by pain, in some cases is a harbinger of renal colic. And this is already a formidable condition that requires urgent assistance.

After urine drops of blood

Blood on toilet paper can be caused by many things. It may originate from the urinary tract or reproductive tract. Streaks of blood on toilet paper can be seen due to anal fissures or hemorrhoids.

If women do not have any other symptoms, then there is no need to worry too much about it. Since this can occur due to vaginal dryness or microtrauma of the vaginal walls. This phenomenon is common if a woman is taking birth control pills. A dry vaginal area may cause mild bleeding after wiping with toilet paper.

Urinary tract infections are also common in young women and can present as painful urination accompanied by streaks of blood. Fever and frequent urination may accompany these infections. If the patient has any of these symptoms, then they need to take a course of antibiotics prescribed by the doctor.

Kidney or ureteral stones can cause bleeding from the urinary tract. Kidney stones are usually associated with side pain and difficulty urinating.

If the bleeding does not resolve on its own and there are any other symptoms, you will need to consult a doctor for evaluation and further referral to a urologist or gynecologist based on the cause of the bleeding.

Diagnosis of the problem

Cystitis is an inflammation of the inner surface of the bladder. It is accompanied by a significant deterioration in well-being. There is a frequent urge to urinate, the process is accompanied by burning, stinging and other negative sensations. Hypothermia, infections, inflammation in nearby organs, changes in the composition of urine, urolithiasis - all these are the reasons for its development. One of the symptoms is bleeding from the urethra. The disease is treated with antibiotics, antispasmodics and diuretics, and their optimal combination.

The urethra is capable of contracting. But in women it is a maximum of 4 cm in length, which is very small. There is no reason for strong tension in its walls, since only urine is pushed out. In men, it can contract much more strongly, ensuring optimal ejaculation. Bacteria easily get inside - contractions are not enough to protect.

Blood from the urethra appears with urolithiasis, if there are benign or malignant neoplasms. With vaginitis, erosions, and prolapse of the uterus, this symptom also sometimes appears. These are serious diseases. Treatment requires time, effort, optimism, a careful, attentive attitude towards oneself.

Blood in the urine is called hematuria. The presence of blood clots in the urine is macrohematuria. Despite the fact that blood in the urine that appears after sexual intercourse can occur in both men and women, it is in the representatives of the stronger half of humanity that the reasons for its appearance can be much greater.

By the way, there are many provoking factors, so careful diagnosis and identification of the exact root cause must be given special attention. Not only the reproductive health of a man, but also the condition of his body as a whole depends on timely identification of the cause of the disorder, making an accurate diagnosis and prescribing effective therapy.

Among the main factors that provoke the appearance of blood in the urine after sexual intercourse are diseases of an inflammatory, infectious, bacterial, or oncological nature. Based on the existing symptoms, the urologist must prescribe a series of tests in order to “cut off” most of the suspicions (kidney and bladder stones, kidney, bladder or prostate cancer, sexually transmitted diseases, etc.) and begin a more thorough study development of pathology.

In most cases, the appearance of blood clots in the urine, the concentration of which constantly increases, is associated with diseases of the kidneys and bladder. Most likely, the urologist will begin the diagnosis with an ultrasound examination of these organs, although suspicions of sexually transmitted infections can be checked in parallel.

In no case should you ignore the appearance of such a symptom as hematuria or gross hematuria, because such a disorder never goes away without leaving a trace, and in the absence of proper treatment, a person’s condition can only worsen.

If you have blood from the urethra, then a full range of examinations of the urethra and the entire urinary system is necessary. At the clinic you will undergo laboratory and instrumental tests:

• general blood analysis;
• general urine analysis;
• additional special urine and blood tests depending on the preliminary diagnosis;
• Ultrasound of the pelvic organs, kidneys;
• urethroscopy to visualize the urethra;
• cystoscopy to confirm or exclude bladder pathology;
• contrast x-ray examination.

This list can be supplemented or replaced with any other modern diagnostic methods at the discretion of your attending physician.

The appearance of blood during ejaculation is itself a symptom. Many pathological processes in the genitourinary system are accompanied by the appearance of impurities in the seminal fluid. Bleeding may also be accompanied by symptoms such as:

• Problems emptying the bladder;
• Discomfort during sexual intercourse;
• Pain in the groin area;
• Increase in body temperature.

Many patients complain of difficulty emptying the bladder. The process may become more frequent at night. False urges often arise. Some patients experience spontaneous leakage of urine. The cause of this symptom may be urethritis or prostatitis. In acute pathology, ejaculation occurs with blood.

Various infectious diseases of the genitourinary system are accompanied by discomfort during sexual intercourse. Patients complain of a burning sensation in the urethral canal and pain when seminal fluid passes through it. If the appearance of a symptom does not lead to a visit to the doctor, then serious complications are possible.

Pathologies of the intimate area may also be accompanied by pain in the groin area. The localization of pain varies. It depends on the reason that caused the bleeding. Some men take painkillers on their own. This only makes the problem worse. If pain occurs, you should immediately contact a urologist. Thanks to localization, the doctor will quickly identify the disease.

The acute form of prostatitis and urethritis causes an increase in body temperature. This occurs due to the rapid spread of infection. It is recommended to bring down the temperature with anti-inflammatory drugs. Antipyretic substances can alleviate a person’s condition for a short period of time. After it expires, the temperature will rise again.

To make a diagnosis, the doctor must carefully interview the patient. In this case, it is necessary to take into account the presence of chronic diseases and concomitant treatment. If a man has no visible reasons for the appearance of blood during ejaculation, an ultrasound examination is necessary.

Ultrasound of the internal organs of the pelvis allows you to quickly find the inflamed organ or area. If the cause is not detected by ultrasound, the patient is referred for Doppler examination. This type of diagnosis allows you to study the structure of blood vessels and clarify their patency.

Only after a thorough examination is the patient prescribed treatment.

The purpose of treatment depends on the factors that influenced the appearance of impurities during ejaculation. Specialists use the following treatment methods:

• Medicinal;
• Surgical;
• Hardware;
• Conservative.

Medicines are selected for each disease individually. To treat genitourinary infections, many specialists use antibiotic drugs and anti-inflammatory drugs. Both types of medications eliminate the cause of inflammation and relieve swelling from the affected organ. This reduces the pressure on the blood vessels. Capillary ruptures stop. Blood disappears during ejaculation.

Some diseases can only be eliminated by surgery. Modern urological surgeons use lasers for operations. This effect can significantly reduce blood loss during incision and disinfect the wound surface. Patients recover quickly after laser surgery.

Hardware influence is carried out using magnets or electric current. Both radiations produce heat. It has a destructive effect on inflamed tissue. Hardware treatment is prescribed only after the acute condition has resolved.

If blood appears in semen, a man should seek help from a urologist. The specialist will find out the reasons that caused the impurity during ejaculation.

Types of hematuria

Depending on the form of the disease, two types are distinguished:

• Macrohematuria
  (macroscopic). Blood is visible to the naked eye. The color of urine can vary from pink to bright red. Blood clots, impurities, and pus may appear.
• Microhematuria
  (microscopic). There is a small percentage of blood cells in the urine. Its color does not change radically. The change is detected only by laboratory tests or special tests.

According to the factors causing hematuria, they are divided into:

• Postrenal
  – that is, associated with kidney diseases and injuries.
• Extrarenal
  – caused by other diseases.

Remember!

If you detect even the slightest signs of urine discharge with blood, you should immediately seek qualified help from a doctor for a thorough analysis and examination. Such a pathology can be fatal to human life!

Anatomical features

The female genitourinary system functions completely differently from the male one. But the kidneys, bladder, and urinary canals are not characterized by gender differences. In men and women their structure is similar. They differ only in size and this is due not so much to gender as to individual characteristics.

The female urethra is different from the male urethra. In the fairer sex, it is much shorter and performs only one vital function - excretion of urine. In men, both urine and sperm move through the urethra. The microflora of the mucous membrane is also slightly different in composition between representatives of the weaker and stronger sex.

The mucous membranes of the external genitalia are delicate; they possess opportunistic microflora. Even minor injuries require attention. There is a risk of developing infections. After the examination, the doctor will prescribe topical ointment or tablets and all symptoms will soon disappear. Self-medication and first aid are ineffective. It is better not to delay a visit to the clinic to find out the exact diagnosis.

There are specific reasons for the appearance of blood in urine.

Among women

This symptom sometimes appears during pregnancy. The phenomenon is called idiopathic hematuria. After childbirth, the symptom will disappear.

In men

If clots are observed not only in the urine, but also in the seminal fluid, a man can be assumed to have prostate disease. You need to consult a urologist, since this symptom often accompanies a malignant prostate tumor and testicular cancer.

You need to consult a urologist, since this symptom often accompanies a malignant prostate tumor and testicular cancer.

Injuries, cystitis

Injuries to the urinary organs involve damage to the bladder, kidneys or urethra, which causes the appearance of fresh red blood cells in the urine.

Cystitis is a disease that is most common among women of reproductive age. Women have some peculiarities in the anatomy of the urethra, so during sexual intercourse or when swimming in open water bodies, harmful microorganisms can easily enter the canal. The disease, as a rule, is aggravated by overwork or hypothermia, which makes cystitis the leader among such diseases. There is hemorrhagic cystitis, it causes not only sharp pain when urinating, but also the appearance of blood in the urine, as well as general weakness.

Prevention

Remember that among the provoking factors, the majority are hypothermia, excessive physical activity, promiscuity of men and injuries to the urethra. Eliminating these factors reduces the risk of developing such conditions several times.

If symptoms appear, you should immediately consult a doctor. Be healthy and take care of yourself!

There are several options: the entrance to the vagina and the remainder of the hymen, the vaginal walls, the cervix or the uterus itself may bleed. A rare but real case: it may turn out to be... the vaginal septum.

One in many thousands of women is born with this feature: a small membrane that divides the vagina in half. A rupture of this septum can lead to severe bleeding, and if this is a rare case, you should immediately seek medical help.

Bleeding from other areas of the genitals is more difficult to distinguish from each other because it is not as heavy. Their cause may be, for example, microcracks at the entrance to the vagina, which you won’t even notice until you touch this place with a piece of toilet paper and feel a slight burning sensation. Another option: the uterus bleeds a little, disturbed during the process of lovemaking. This happens when there is about a week left before your period.

The main indicator is how abundant it is. Of course, large blood loss is always dangerous, whatever its source. Gynecologists say that most post-coital bleeding (that is, those that occurred after coitus - sexual intercourse) is not dangerous.

The exception is the aforementioned damage to the internal septum. The fact that this partition is such a unique phenomenon means that no one expects to stumble upon it, hence the damage. It is very, very unlikely that this will happen to you or someone close to you. But if suddenly this happens, you will notice. With such damage, a sanitary pad barely lasts for an hour.

If the blood flows profusely or in fairly large clots, or you feel dizzy and weak, you need to call an ambulance. Light bleeding that stops during the day is a reason to go to the antenatal clinic and find out what it was.

Even if the bleeding is quick and painless, it is still worth visiting a doctor. There are several sexually transmitted infections that can cause vaginal bleeding during sex (herpes, chlamydia, gonorrhea, trichomoniasis). Other diseases with the same symptom: yeast infection, uterine polyps, and even cervical cancer. A visit to the gynecologist will rule out the worst, and polyps can be easily removed.

Cervical dysplasia (changes in the cells that line the cervix) is a precancerous condition that is often caused by the human papillomavirus. It can also cause similar bleeding. Do I need to explain how important it is to diagnose such a disease on time? As they say, it's better to be safe than sorry.

If a man bleeds from his penis during or after sexual intercourse, this causes great concern. Bleeding can be of different nature and intensity. In addition, they are sometimes accompanied by other symptoms, such as sharp or nagging pain.

The reasons that caused this phenomenon vary, ranging from mechanical damage and trauma to serious illnesses. If your penis bleeds during or after sex, you should consult a doctor and undergo examination. And although it happens that red discharge is in no way associated with pathologies, it is still worth making sure that the genitourinary system is healthy.

What to do if bloody discharge appears?

The answer is short and clear: go to the doctor immediately. He is also obliged to prescribe a whole series of tests and tests for the patient. Typically, when bleeding from the urethra, the patient should:

1. Donate blood for general and special tests to exclude the presence of cancer or inflammatory phenomena in the body.
2. For the same purpose, submit your urine for analysis.
3. Get an X-ray and ultrasound.

If the above tests do not give an accurate result, the man may be prescribed a biopsy, urethro- or cystoscopy, as well as a number of other studies.

As a result of research, doctors most often diagnose urethritis. What it is?

This is the general name for diseases in which blood is released from the penis. Urethritis can have different causes. Depending on them, it is divided into:

1. Specific. Its development is usually associated with various kinds of microorganisms: Trichomonas, gonococci, urea and microplasmas.
2. Non-specific. The reason for its development may be opportunistic microflora, the presence of E. coli, strepto- or staphylococci, etc. in a weakened body. A nonspecific form of urethritis can develop as a result of unprotected sexual intercourse, with a constant change of intimate partners and partners, chronic inflammation, excessive physical exertion, systematic overheating or hypothermia.

Treatment of urethritis consists of selecting medications for the underlying disease, eliminating the causes of the disease, and developing a proper nutrition plan.

Bloody discharge after sex can be caused by the same reasons as blood discharge from the urethra.

It is important to remember: if blood or pus is released from the penis, there is no need to panic and try to get rid of the unpleasant symptom on your own.

You need to immediately contact a specialist so that, after a series of medical tests, he makes the correct diagnosis and prescribes treatment.

Blood from the penis in men can occur for various reasons. Any discharge from the genitals requires medical intervention. The specialist will identify the problem and prescribe the necessary treatment. A man should closely monitor changes in the genitourinary area. If changes occur, then do not sound the alarm or be nervous; you need to visit a doctor.

Possible reasons

The following can cause bleeding during sexual intercourse:

• damage and injury;
• inflammatory processes;
• venereal diseases;
• tumors.

Injuries

Mechanical damage to the penis causes bleeding during sexual intercourse in men. The blood may flow heavily or slightly depending on the nature of the injury. Often, injuries to the genital organ are accompanied by pain.

A man can get a penis injury during sex in the following cases:

• short bridle;
• aggressive sexual intercourse;
• incorrectly chosen pose.

Most often, men with a short frenulum suffer from bleeding. If it is damaged, severe bleeding and pain occur. The recovery period is usually long.

If blood bleeds after sexual intercourse, this indicates:

• about damage to the scrotum;
• about a penis injury;
• about the rupture of the cavernous bodies.

Often an unpleasant phenomenon indicates inflammation in the genitourinary system. The inflammatory process is localized in the seminal ducts, prostate gland, testicles, bladder, and urinary canal.

Most often, bleeding during or after sex is caused by the following diseases:

• urethritis;
• prostatitis;
• epidymitis.

Usually inflammation is accompanied by other symptoms. There is pain in the lower abdomen or lower back, swelling of the scrotum, frequent urge to go to the toilet, and so on. Often, ejaculation during the inflammatory process is painful.

What are the signs of pathology?

Patients suffering from diseases of the genitourinary system experience various symptoms. Experts note a number of common signs of hematuria:

• Presence of blood inclusions;
• Pain when urinating;
• Incomplete emptying of the bladder;
• Unpleasant sensations in the lower back;
• Decrease in human physical activity.

A man experiences pain when emptying his bladder. The syndrome radiates to the lumbar region. Sometimes the pain worsens during defecation. The patient notes small blood inclusions at various periods of urination. In rare cases, the impurity is invisible. The patient experiences a constant desire to visit the toilet, since the bladder does not empty completely.

All these signs are a reason to contact a specialist. If treatment is not carried out on time, complications arise.

Blood in sperm

Blood in semen is called hemospermia. For the most part, blood in urine and semen appears due to the development of various diseases of the genitourinary system. For quite a long time, the violation may remain unattended, because men do not particularly care about their health, and they prefer to attribute rare cases of blood impurities in semen or urine to minor problems (stress, fatigue, microtrauma, etc.).

Indeed, in approximately half of such cases, detected before 40–45 years of age, blood in semen does not indicate any serious illness and is only episodic in nature. However, the need for diagnosis for symptoms such as blood in urine and semen is mandatory.

In young and sexually active men, the appearance of blood in semen may be associated with the presence of genital warts of the urethra, prostatitis, and inflammatory diseases of the appendages and testicles. In men over 45 years of age, the presence of such symptoms is the basis for diagnosis for cancer of the urethra, prostate, testicles, and bladder.

Sincerely, Natalia.

Blood may appear in separate drops or flow intensely (this happens with severe damage to the penis or rupture of the vas deferens or urinary tract). But men also face another problem - the presence of blood cells in semen. Some representatives of the stronger sex do not attach much importance to this phenomenon. But such a phenomenon signals a serious illness, and therefore you need to urgently consult a doctor and undergo the necessary clinical studies.

The causes of true hematospermia are inflammation in the kidneys, bladder or ureters, as well as inflammation of the prostate gland. In its true form, the sperm acquires a rich red or dark color.

False hematospermia occurs as a result of damage to the seminal ducts or urinary canal. May occur in isolated cases. Red threads are often present in semen.

If in young men the presence of blood cells in semen may not be life-threatening, then representatives of the stronger sex whose age has exceeded 40 years should definitely consult a doctor. Dark color of semen may indicate the development of a tumor. Early diagnosis is a chance for a complete cure for the disease.

Ejaculation with blood occurs infrequently in men. The presence of impurities in sperm is not a disease, but a symptom of pathology. Some diseases of the genitourinary system are accompanied by blood entering the urethral canal or vas deferens. During an erection, seminal fluid mixes with it. Externally, a man may notice darkening or redness of the sperm.

Diagnosis of blood discharge from the urethra

Blood in urine is known medically as "hematuria." Other descriptions are sometimes used, such as traces of blood in the urine, red blood cells in the urine, or visible blood in the urine. When blood in urine is microscopic, the severity is measured as red blood cells on a high power field under a microscope. Typically, more than 3-5 red blood cells per field of view is considered abnormal. With more than 20-50 red blood cells, there is often a significant urological or medical problem.

Analysis of urine

Laboratory tests to evaluate hematuria should be based on clinical history and physical examination. Urinalysis is extremely important for patients with dark or abnormally colored urine because several substances can discolor the urine and cause hematuria.

Urinalysis test strips are currently one of the most useful and sensitive tools for detecting hematuria. This test can detect trace amounts of hemoglobin (rather than the presence of red blood cells) and myoglobin.

Because some substances in the urine can give a false impression of the color of the urine and the presence of blood (some dyes or drugs, beets, oxalates), confirmation of the presence of blood requires microscopic examination of the urine for the presence of red blood cells and urinary casts.

The absence of red and white blood cells in the blood, despite a positive dipstick test, indicates hemoglobinuria or myoglobinuria.

Other cellular elements in the urinary sediment (eg, white blood cells) indicate a urinary tract infection. In the latter case, a urine culture must be performed to identify the causative organism. Crystals, bacteria, protozoa and other elements may also be observed.

Other tests

Phase contrast microscopy: Careful examination of the urine for the presence of significant numbers of dysmorphic red blood cells suggests a renal (glomerular) source of the hematuria. A urine sample that predominantly contains eumorphic red blood cells suggests an extrarenal (nonglomerular) source.

BUN/Serum Creatinine: Elevated nitrogen and creatinine levels indicate significant renal disease.

Hematologic and coagulation studies: White blood cell counts and, occasionally, platelet counts may be performed in selected patients with a clear history of bleeding.

Urinary calcium: Measurement of urinary calcium excretion may be useful in identifying hypercalciuria as the cause of hematuria. Calcium excretion of more than 4 mg/kg per day or a urinary calcium to creatine ratio of more than 0.21 are considered abnormal.

Serologic tests: Measurement of serum complement levels is important if a glomerular cause of hematuria is suspected. Low serum complement levels are observed in postinfectious glomerulonephritis, systemic lupus erythematosus, bacterial endocarditis, and membranoproliferative glomerulonephritis. A high level of antireptoptosin indicates a recent streptococcal infection.

Urine culture: For culture sensitivity when getting a urinary tract infection, a urine sample of medium or clear urine must be obtained.

Treatment

Depends on the type of pathology identified, how old it is, the general health and state of the woman’s immunity, drug tolerance, and the fact of pregnancy:

1. For urethritis, cystitis, vaginitis, and infections of the urogenital tract, antibiotic therapy (intravenous or intramuscular) is primarily administered. A specific drug is prescribed taking into account the identified pathogen. Additionally, analgesics and hemostatic agents are administered, and physiotherapeutic techniques are recommended.
2. Cervical erosion is eliminated using laser or liquid nitrogen. At present, classical cauterization of tissues (electrocoagulation) is almost never used. The reason is a high risk of complications, discomfort during the procedure, and the likelihood of relapse of the pathology.
3. Urolithiasis can be treated with medication or surgery. The calculus is removed from the body by drinking large amounts of water and then administering a diuretic. Herbal medicines are also used. Such products destroy the stone into small fragments and it is easier for them to leave the body during urination. If conservative therapy is ineffective, laser lithotripsy is performed. Without making any cuts to the body, the calculus is destroyed to the consistency of sand and washed out of the body.
4. For vaginitis, the patient is prescribed the introduction of special suppositories into the vagina, which restore the microflora of this canal. Additionally, the vagina is washed with antiseptic solutions (Miramistin, Chlorhexidine).
5. Endometriosis is eliminated surgically. Postoperative recovery takes up to 2 weeks. The required period of sexual rest is 1 month.

Possible complications

Consequences of conditions in which hematuria occurs:

1. Hydronephrosis. Hydrocele of the kidney develops when a stone blocks the lumen of the ureter. There is an accumulation of urine inside the main organ of the urinary system and a gradual stretching of its membranes. If left untreated, the condition can lead to kidney loss or death.
2. Miscarriage, premature birth. Occurs when the placenta or fetus has insufficient blood supply.
3. Infertility. Endometriosis leads to the formation of adhesions. They interfere with fertilization and can only be removed surgically.

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If the volume of blood removed during urination is not replenished, the patient’s hemoglobin level decreases and anemia develops. Its signs are decreased blood pressure, dizziness, pallor, weakness, and the appearance of wounds near the mouth.