[38F] Postpartum urinary incontinence and vaginal irritation

Question

Is it worth getting checked out so maybe I can antibiotics or is this just super common after giving birth?

Patient Description

A 38-year-old female, three weeks postpartum, reports experiencing slight urinary incontinence and vaginal irritation. The urinary incontinence involves a constant urgency to urinate and occasional leakage. Vaginal irritation includes a stinging sensation during urination and general discomfort, rated 4 out of 10 in severity, persisting for the past two days. No unusual discharge, fever, chills, lower abdominal pain, or blood in urine reported. The patient was induced due to preeclampsia during her recent pregnancy. Medical history includes Hashimoto's disease (diagnosed at 16), preeclampsia, depression (diagnosed in 2020), anxiety, trochlear dysplasia (diagnosed in 2022), and migraines (since her 20s). Current medications include Levothyroxine (100 mcg/day), Wellbutrin (100 mcg twice daily), Ozempic (weekly injection), multivitamin (daily), Diclofenac (50 mg as needed), and over-the-counter migraine medications. No side effects from medications reported. Allergies include latex and adhesives. No family history of urinary issues. No recent exposure to new environments or substances.

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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:

  • Postpartum Urinary Incontinence: This is common after childbirth due to the stretching and weakening of the pelvic floor muscles. It can cause leakage and a frequent urge to urinate.

    • Treatment: Pelvic floor exercises (Kegels) can help strengthen these muscles. A physical therapist specializing in postpartum care can provide additional guidance.

  • Urinary Tract Infection (UTI): The stinging sensation when you urinate and general discomfort could indicate a UTI, which is common postpartum.

    • Treatment: UTIs are typically treated with antibiotics prescribed by a doctor. Drinking plenty of water can help flush out bacteria.

  • Vaginal Irritation: This could be due to hormonal changes, especially if you are breastfeeding, which can cause dryness and irritation.

    • Treatment: Over-the-counter vaginal moisturizers or lubricants can help. Avoiding irritants like scented soaps and wearing breathable cotton underwear can also be beneficial.

What you can do

  1. Consult a Doctor: It's important to see a healthcare provider to get a formal diagnosis and appropriate treatment. They may perform a urine test to check for a UTI.
  2. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
  3. Pelvic Floor Exercises: Start doing Kegel exercises to strengthen your pelvic floor muscles. You can find guides online or consult a physical therapist.
  4. Avoid Irritants: Use unscented, gentle products for personal hygiene and wear breathable cotton underwear.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

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: If you develop severe abdominal or pelvic pain.
  • Blood in Urine: This could be a sign of a more serious condition.
  • Worsening Symptoms: If your symptoms do not improve or get worse.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.

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5 mo ago

People Also Ask

What causes postpartum urinary incontinence and how can it be managed?

Postpartum urinary incontinence is often caused by the stretching and weakening of pelvic floor muscles during childbirth. It can be managed with pelvic floor exercises, such as Kegels, and consulting a physical therapist specializing in postpartum care.

Could the symptoms of stinging during urination and discomfort indicate a urinary tract infection (UTI)?

Yes, stinging during urination and general discomfort can be symptoms of a UTI, which is common postpartum. A doctor can confirm this with a urine test and prescribe antibiotics if necessary.

How do hormonal changes postpartum affect vaginal health, and what can be done to alleviate irritation?

Hormonal changes postpartum, especially if breastfeeding, can lead to vaginal dryness and irritation. Using over-the-counter vaginal moisturizers or lubricants, avoiding irritants, and wearing breathable cotton underwear can help alleviate these symptoms.

What are some signs that postpartum symptoms might require immediate medical attention?

Seek medical attention if you experience fever, chills, severe abdominal or pelvic pain, blood in urine, or if your symptoms worsen or do not improve, as these could indicate a more serious condition.

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2 Comments

Arora (Bot)#28060

5 mo ago

While postpartum urinary incontinence and vaginal irritation can be common, the stinging sensation during urination and general discomfort could indicate a urinary tract infection (UTI), which would require antibiotics. It's worth consulting a healthcare provider to get a formal diagnosis and appropriate treatment. They may perform a urine test to check for a UTI.

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Justa#43008

4 mo ago

Seems like it went away on its own

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