[28F] With urinary retention and nipple soreness

Patient Description

A 28-year-old female reports difficulty fully emptying her bladder for almost two weeks, with a weaker and interrupted urine stream. There is no associated pain. Additionally, she experiences mild pain during intercourse and sore nipples on both sides, which become moderately painful when touched. These symptoms have persisted for about two weeks. The patient has not had a menstrual period for four years and reports a very low sex drive and some mood swings. Fatigue is also noted. There is a family history of thyroid issues, but the patient has not been diagnosed with any hormonal disorders or undergone recent blood tests. No medications are currently being taken, and there have been no significant lifestyle changes. Pregnancy tests have been negative. No history of breast discharge, changes in breast size, weight, appetite, unusual hair growth, or recent injuries or surgeries affecting urinary function.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different issues:

  1. Urinary Retention: Difficulty emptying your bladder with a weak and interrupted stream could suggest urinary retention. This can be caused by various factors, including hormonal changes or stress. It's important to rule out any underlying conditions.

  2. Hormonal Imbalance: The sore nipples, changes in libido, and mood swings might indicate a hormonal imbalance. This could be related to thyroid issues, especially given your family history, or other endocrine disorders.

  3. Pelvic Floor Dysfunction: Mild pain during intercourse and bladder issues could be related to pelvic floor dysfunction, which can affect bladder control and sexual function.

What you can do

Urinary Retention:

  • See a healthcare provider: It's important to get evaluated to determine the cause of your urinary symptoms. They may perform tests like a bladder scan or urinalysis.
  • Stay hydrated: Drink plenty of water to help maintain bladder health.

Hormonal Imbalance:

  • Consult a doctor: They may recommend blood tests to check hormone levels, including thyroid function.
  • Track symptoms: Use MDandMe to journal your symptoms and any changes in your cycle or mood.

Pelvic Floor Dysfunction:

  • Pelvic exercises: Consider gentle pelvic floor exercises, but consult a healthcare provider for guidance.
  • Avoid irritants: Limit caffeine and alcohol, which can irritate the bladder.

What you should look out for

  • Seek medical attention if you experience severe pain, fever, or inability to urinate.
  • Monitor symptoms: Keep track of any new symptoms or changes, such as increased fatigue or changes in breast appearance.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago

People Also Ask

What could cause difficulty in fully emptying the bladder with a weak and interrupted urine stream?

Difficulty in fully emptying the bladder with a weak and interrupted urine stream could be due to urinary retention, which can be caused by factors such as hormonal changes, stress, or pelvic floor dysfunction. It's important to consult a healthcare provider for proper evaluation.

How can hormonal imbalances affect symptoms like sore nipples, low sex drive, and mood swings?

Hormonal imbalances can lead to symptoms like sore nipples, low sex drive, and mood swings by affecting the levels of hormones such as estrogen, progesterone, and thyroid hormones. These imbalances can disrupt normal bodily functions and mood regulation.

What are some potential causes of mild pain during intercourse?

Mild pain during intercourse can be caused by pelvic floor dysfunction, hormonal changes, or other conditions affecting the reproductive or urinary systems. It's advisable to seek medical advice to determine the underlying cause.

How can family history of thyroid issues impact my current symptoms?

A family history of thyroid issues can increase the likelihood of experiencing similar problems, which may contribute to symptoms like fatigue, mood swings, and hormonal imbalances. It's important to get thyroid function tests to rule out or confirm any thyroid-related conditions.

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