[34F] Experiencing incomplete bladder emptying post-coitus

Patient Description

A 34-year-old female reports feeling that her bladder isn't emptying completely when she goes to the bathroom. This has been occurring for the past two days and started after having sex a few days ago. The sensation is uncomfortable, especially when lying down, and is rated as a 4 out of 10 in severity. She has noticed an increase in the frequency of urination, but only small amounts come out each time, and she has difficulty starting the flow of urine. There is no associated pain, burning sensation during urination, back pain, blood in the urine, unusual vaginal discharge, or odor. She felt a bit warmer than usual but has not experienced chills or sweats. She has a history of frequent urinary tract infections, although it has been a few years since the last one. Her medical history includes a recent ultrasound revealing a cyst on her ovaries, a nodule on her lung, and a recommendation for additional thyroid tests. She experiences painful periods with a large amount of blood each month. She is not currently taking any prescription medications but takes ibuprofen for tooth pain and a daily women's vitamin. She has no known allergies to medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Urinary Tract Infection (UTI): Given your history of frequent UTIs, it's possible that you might be experiencing another one. UTIs can cause symptoms like frequent urination, difficulty starting urination, and a feeling of incomplete bladder emptying. Even though you don't have pain or burning, UTIs can sometimes present with milder symptoms.

    • Treatment: UTIs are typically treated with antibiotics prescribed by a doctor. A urine test can confirm the diagnosis.
  • Bladder Irritation or Inflammation: This can occur due to various reasons, including sexual activity, which you mentioned as a potential trigger. This can lead to symptoms similar to those of a UTI.

    • Treatment: Drinking plenty of water to flush out the bladder and avoiding irritants like caffeine, alcohol, and spicy foods can help. If symptoms persist, a doctor may prescribe medication.
  • Interstitial Cystitis: This is a chronic condition that can cause bladder pressure, bladder pain, and sometimes pelvic pain. The symptoms can be similar to those of a UTI but without an infection.

    • Treatment: Management includes lifestyle changes, physical therapy, and medications. A healthcare provider can help determine the best course of action.
  • Pelvic Floor Dysfunction: Sometimes, issues with the muscles of the pelvic floor can cause symptoms like difficulty emptying the bladder completely.

    • Treatment: Pelvic floor physical therapy can be beneficial. A healthcare provider can refer you to a specialist if needed.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help flush out your bladder.
  2. Avoid Irritants: Reduce or eliminate caffeine, alcohol, and spicy foods from your diet, as these can irritate the bladder.
  3. Practice Good Hygiene: Ensure you are practicing good hygiene, especially after sexual activity, to reduce the risk of infections.
  4. Monitor Symptoms: Keep track of your symptoms, including any changes or patterns, using the MDandMe journal. This can help your healthcare provider make a more accurate diagnosis.
  5. Over-the-Counter Relief: You can try over-the-counter medications like phenazopyridine (Azo) for temporary relief of urinary discomfort.

What you should look out for

Seek medical attention if you experience any of the following:

  • Fever or Chills: These could indicate a more serious infection.
  • Severe Pain: Any severe pain in your abdomen or back should be evaluated by a healthcare provider.
  • Blood in Urine: This is a sign that should be investigated promptly.
  • Worsening Symptoms: If your symptoms worsen or do not improve with initial self-care measures.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment. If you have any further questions or need more personalized advice, please don't hesitate to reach out to a medical professional.

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5 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include frequent urination, a strong urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and pelvic pain. However, symptoms can vary, and some people may experience milder symptoms.


Can sexual activity trigger bladder irritation or inflammation?

Yes, sexual activity can sometimes trigger bladder irritation or inflammation, especially if there is friction or if bacteria are introduced into the urinary tract. This can lead to symptoms similar to those of a UTI.


What is interstitial cystitis and how is it different from a UTI?

Interstitial cystitis is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. Unlike a UTI, it is not caused by a bacterial infection, and symptoms can persist for a long time without an infection being present.


How can pelvic floor dysfunction affect urination?

Pelvic floor dysfunction can affect urination by causing difficulty in starting the flow of urine, incomplete bladder emptying, and increased frequency of urination. This occurs because the muscles of the pelvic floor are not functioning properly, which can interfere with normal bladder function.


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