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Why is My Pee Bleeding But No Period?

Published in Urinary Health 4 mins read

Seeing blood in your urine (hematuria) without having your period can be concerning, and it's important to understand potential causes. It doesn't automatically indicate one specific issue, so let's explore the possibilities:

Potential Causes of Blood in Urine (Hematuria) When Not on Your Period

The presence of blood in your urine without menstruation can arise from several different sources. It's important to seek medical evaluation to determine the exact cause. Here are some common possibilities:

  • Urinary Tract Infection (UTI): This is perhaps the most common reason for blood in the urine, especially if accompanied by pain or burning during urination, frequent urination, and a strong urge to urinate. The infection can cause inflammation and bleeding in the urinary tract.
  • Kidney Infection (Pyelonephritis): A kidney infection is a more serious type of UTI that can also cause blood in the urine, along with back or side pain, fever, chills, nausea, and vomiting.
  • Kidney Stones or Bladder Stones: These hard mineral deposits can irritate the lining of the urinary tract as they pass, leading to bleeding. You might experience severe pain in your side or back that radiates to your lower abdomen and groin.
  • Bladder Irritation (Cystitis): Inflammation of the bladder, even without infection, can sometimes lead to bleeding. This can be caused by certain medications, radiation therapy, or irritants.
  • Medications: Some medications, such as blood thinners (aspirin, warfarin) and certain chemotherapy drugs, can cause blood in the urine.
  • Strenuous Exercise: In rare cases, intense physical activity can lead to hematuria. This is usually temporary.
  • Kidney Disease: Certain kidney diseases, such as glomerulonephritis, can cause blood in the urine.
  • Cancer: Although less common, blood in the urine can be a sign of bladder cancer, kidney cancer, or prostate cancer (in men).
  • Ectopic Pregnancy: Although an ectopic pregnancy often causes bleeding, it's crucial to rule it out. In rare cases, the implantation of the fertilized egg outside the uterus (usually in a fallopian tube) could lead to internal bleeding that might be misinterpreted. If you suspect you could be pregnant, take a pregnancy test. An ectopic pregnancy is a medical emergency.

What To Do:

  1. Consult a Doctor: It's crucial to see a doctor as soon as possible to determine the cause of the blood in your urine. They will likely order a urine test (urinalysis) and potentially other tests, such as blood tests or imaging studies (CT scan, ultrasound, or cystoscopy).
  2. Inform Your Doctor About Your Menstrual Cycle: Let your doctor know that you are not currently on your period, as this helps them narrow down the possible causes. Also, mention any possibility of pregnancy.
  3. Describe Your Symptoms: Be prepared to describe all your symptoms, including any pain, burning, frequency of urination, and changes in urine color or odor.
  4. Follow Your Doctor's Instructions: Adhere to any treatment plan your doctor prescribes, which may include antibiotics for a UTI, pain medication for kidney stones, or further investigation for other potential causes.
Symptom Possible Cause Action
Blood in urine, burning UTI See a doctor for antibiotics
Blood in urine, back pain Kidney infection or kidney stones See a doctor for diagnosis and treatment
Blood in urine, no other symptoms Could be various causes (see above) Still see a doctor to rule out serious conditions

The presence of blood in urine warrants medical attention to identify the underlying cause and receive appropriate treatment. Don't delay seeking professional medical advice.

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