Sometimes, while going to the toilet, women notice that the urine has acquired a red tint, indicating the presence of blood impurities in the urine. In such cases, it is customary to speak of hematuria. Information about why a woman has urine with blood can only be provided by a doctor. This is due to the fact that there are many reasons for the development of hematuria. The final diagnosis can be made only on the basis of the results of a comprehensive diagnosis. Only in rare situations, after the use of anticoagulants, blood may appear in the urine of women, which is why it is impossible to delay contacting a medical institution. In 90% of cases, hematuria is a symptom of pathologies, some of which pose a danger not only to he alth, but also to life. Below is information regarding why women have blood in their urine if they do not have periods, and how to treat this condition.
Cystitis
This term refers to a pathological process, the course of which is accompanied by inflammation of the bladder. Cystitis can be both infectious and non-infectious in nature. In the first case, the cause of the disease ispathogenic microorganisms, in particular, strepto- and staphylococci, E. coli, Klebsiella, viruses, fungi.
Pathogenic agents can enter the bladder in a variety of ways. The most common is the one in which they migrate from the genitals. First, pathogens penetrate into the urethra, and then into the bladder, where the process of their active life starts. Infection can also occur during the implementation of medical manipulations carried out with the help of insufficiently well-sterilized instruments.
The disease does not always develop when pathogens enter the bladder. In order for microorganisms to multiply, they need favorable conditions. The latter occur in the presence of the following provoking factors:
- Hypercooling.
- A lifestyle that does not imply physical activity.
- Significant weakening of the immune system.
- Unbalanced diet.
- The presence of chronic diseases of the genitourinary system.
- Stressed regularly.
- Promiscuous sex.
Regarding why with cystitis in women in the urine of the blood. The disease goes through several stages of development. At the initial stage, infection occurs directly. Over time, the inflammatory process progresses, resulting in the accumulation of fluid in the tissues, the formation of exudate, and the death of bladder cells. The appearance of blood in urine indicates that the mucous membrane lining the organ from the inside is severely affected. logicala consequence of a violation of the integrity of the capillaries and is the presence of impurities of liquid connective tissue.
Urethritis
This is a disease in which the mucous membrane of the urethra is damaged. Like cystitis, urethritis can be infectious or non-infectious.
The most common pathogens are the following microorganisms:
- Viruses.
- Bacteria.
- Trichomonas.
- Chlamydia.
- Mycoplasmas.
In most cases, infection occurs sexually. Less commonly, urethritis is the result of poor hygiene, a side effect after diagnostic and therapeutic measures, and the result of uncontrolled medication.
Regarding why women get blood in their urine with urethritis. The disease is accompanied by morphological changes in tissues. In the epithelium, foci of destruction begin to form, the integrity of the capillaries is disturbed. In the future, these areas are replaced by scar tissue, which contributes to the narrowing of the urethra.
The clinical picture of the pathology includes the following symptoms:
- Burning and pain during the act of urination.
- Isolation along with urine is not only blood, but also pus.
- Swelling of the tissues that represent the external opening of the urethra.
- Reiter's Syndrome. Occurs when the causative agents are chlamydia. Manifested by simultaneous damage to the urethra, eyes and joints.
WhenIf any of the above symptoms occur, you should consult a doctor as soon as possible. He will find out why a woman has blood in her urine, and the treatment will be tailored to the individual characteristics of her body.
Endometriosis
This pathology is associated with the growth of the uterine mucosa. In this regard, it can only be diagnosed in women. Why is there blood in the urine if the uterus is initially involved in the pathological process? The fact is that the growth of the epithelium is not limited only to this organ. Gradually, neighboring tissues are also involved in the pathological process. Most often, the ovaries, bladder, intestines, and abdominal cavity are affected.
Causes of endometriosis:
- Hormonal imbalance.
- Genetic predisposition.
- The presence of inflammatory processes in the organs of the genitourinary system.
- Unbalanced diet.
- Obesity.
- Metabolic disorders.
- Significant weakening of the immune system.
- First pregnancy after 30.
- Past surgery.
Regarding why women urinate with blood with endometriosis. Tissue growth is accompanied by the formation of clots of liquid connective tissue. Therefore, a specific symptom of endometriosis of the bladder is their presence in the urine at the end of the act.
Other clinical manifestations of the disease:
- Pelvic pain.
- Discomfort during the act of urination.
- Feeling of heaviness in the lower abdomen.
- Frequent episodes of urinary incontinence.
- Weight gain.
At the initial stage of development, the pathology may be asymptomatic. Most often, the first sign is the presence of blood in the urine in women. Why this condition arose, only a doctor can tell based on the results of laboratory and instrumental diagnostics.
Glomerulonephritis
This term refers to a disease accompanied by inflammation of the kidney glomeruli. Pathology can be autoimmune or infectious-allergic in nature. With glomerulonephritis, the functioning of not only the urinary, but also the cardiovascular system is disrupted. Ignoring the pathology or its incorrect treatment often leads to the development of complications that pose a danger not only to he alth, but also to the life of the patient.
Possible causes of glomerulonephritis:
- Streptoderma.
- Scarlet fever.
- Pneumonia.
- Angina.
- ARVI.
- Measles
- Chickenpox
- Hypocooling of the body.
- Intoxication with lead, mercury, organic solvents, etc.
- Vaccination.
The main symptoms of the disease in women are swelling in the legs and blood in the urine. Why do impurities of liquid connective tissue appear in urine in this case? The kidneys are an organ made up of millions of nephrons. The latter are represented by glomeruli - vascular glomeruli. They are meantfor blood filtration. As a result, primary urine is formed. Against the background of the course of inflammation, this process is disrupted, that is, the liquid connective tissue is not filtered well enough. That is why blood appears in the urine of women with glomerulonephritis.
Urolithiasis
According to statistics, urolithiasis is one of the most common pathologies that can be diagnosed at any age. However, it is detected most often in older people.
Under the influence of various adverse factors, sand begins to accumulate in the bladder, from which a calculus is formed over time. It is worth noting that in the female body most often stones are formed that look like corals. They have a complex shape and sharp spikes that easily injure soft tissues. This is why there is blood in the urine of both older and younger women.
The greatest injury occurs if there are several stones. Currently, medicine knows the case when about 5 thousand stones were removed from the patient's bladder.
The disease can occur under the influence of the following provoking factors:
- The presence of pathologies of the urinary system of a congenital nature.
- Obesity.
- A lifestyle that does not imply physical activity.
- Genetic predisposition.
- Living in a region with adverse environmental conditions.
- Stressed frequently.
- Inflammationorgans of the urinary system, resulting in the appearance of protein in the urine. The latter is a favorable environment for s alt crystallization.
- Violation of calcium metabolism.
- Frequent consumption of meat in large quantities.
Urolithiasis is manifested by severe pain, frequent urge to urinate, deterioration in general well-being. If these symptoms occur, you should see a doctor. He will find out why a woman has blood in her urine, and will determine the further tactics of managing the patient. Any delay can lead to kidney failure and other serious complications.
Bladder tumors
As practice shows, sooner or later neoplasms are detected in 20% of people who have various kinds of problems with this organ. At the same time, in a quarter of patients, the tumors are malignant.
Types of neoplasms:
- Epithelial. These are benign tumors that are localized only within the bladder (polyps, papillomas).
- Non-epithelial. In this case, the neoplasm affects all tissues of the organ. Types of tumors: fibromas, leiomyomas, rhabdomyomas, hemangiomas, neurinomas, fibromyxomas.
A neoplasm of even a small size can cause a pronounced outpouring of liquid connective tissue. That's why women bleed instead of urine. As the tumor grows, the amount of connective tissue increases. Thus, the presence of blood is the earliest sign of the appearanceneoplasms in the bladder.
Other clinical manifestations of the disease:
- Pain in the lower abdomen. As the tumor grows, it radiates to the lumbar region.
- Episodes of urinary incontinence. As a rule, they occur during physical exertion.
- Frequent urge to urinate. However, it is rather difficult.
Causes of tumor formation, both benign and malignant:
- Professional activity associated with constant contact of the body and derivatives of heavy metals.
- Tobacco smoking.
- No treatment for chronic bladder disease.
- Presence of HPV.
- Chemo or radiotherapy.
Most often, pathology is diagnosed in older women. Why is there blood in the urine? Is the treatment conservative or surgical? How hard is the recovery period? This is only an incomplete list of issues that concern every patient. It is important to understand that the tactics of managing a woman is chosen based on the results of the diagnosis. In some cases, it is only necessary to observe the tumor. But still, more often, doctors consider it expedient to carry out surgical intervention.
Functional hematuria
This term refers to a temporary condition in which blood in the urine in women is the result of severe overheating or, conversely, hypothermia. In this case, not only liquid connective tissue is found in urine, but also protein.
Diagnosis
It is important to understand that only a doctor can find out why a woman has blood in her urine. What to do - a specialist should also tell.
When the first warning signs appear, you should consult a urologist. The doctor will take an anamnesis, carefully listen to all complaints, conduct a physical examination and issue a referral for a comprehensive examination.
Diagnosis of hematuria involves the following studies:
- Test for the presence of hemoglobin in urine.
- Clinical urinalysis.
- Urine sediment studies.
- Cystoscopy.
- Excretory urography.
- Ultrasound.
Additionally, the following studies may be prescribed: CT, MR-urography, angiography of renal vessels.
Treatment
As mentioned above, only a doctor can determine in each individual case what the treatment will be and which pills are best. Why is there blood in the urine of women of both the elderly and the young - only a specialist can also tell.
The treatment regimen for hematuria comes down to getting rid of the root cause of its occurrence. Thus, the tactics of managing a patient directly depends on the underlying ailment. Treatment options are described in the table.
| Pathology | Classic treatment regimen |
| Cystitis |
|
| Urethritis |
|
| Endometriosis |
In severe cases and with the ineffectiveness of conservative therapy, surgical intervention is indicated. During the operation, the doctor excises the overgrown tissue or removes the affected part of the bladder |
| Glomerulonephritis |
|
| Urolithiasis | If there are smallstones, NSAIDs, antibiotics, antispasmodics, analgesics, diuretics and vitamins are indicated. In other cases, calculi are removed by operational methods |
| Bladder tumors | In the presence of a small benign neoplasm, expectant management is often chosen. The appropriateness of surgery or aggressive therapies is determined by the doctor |
Thus, you must first consult a urologist. He will conduct a survey, examination and send for a comprehensive examination. After that, the doctor will make the most effective treatment regimen.
In closing
Blood in the urine of women is an alarming sign, which often indicates the development of serious pathologies in the body. If you experience hematuria, you should contact a medical facility as soon as possible.
