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Urology  (Expert Forum)
 | 
Female Urinal Bleeding after Orgasm
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Female Urinal Bleeding after Orgasm

by user_unknown, Jun 02, 2006 12:00AM
For the last few weeks, whenever i have a orgasm I find myself experiencing symptoms such as frequent and painful urination, blood in my urine, cramps (similar but not as intense as menstrual cramps), hot/cold flashes and sweats, and a constant feeling of having to urinate.  The blood is usually light in color however recently i have begun to see actual clots come out.  Usually I feel much better once these pass but they hurt a lot more.  In case this has any bearing, these symptoms usually arise only when my partner and i use a vibrator together (which causes stronger orgasms) and not during actual oral sex or intercourse.  Also, he only uses the vibrator on my clitoris and we always clean it properly after using it.  I have no clue what could be happening. I don't think it's a UTI because it always goes away after 24-48 hours and comes on very suddenly.  Please help! I'm scared to death of what this could be and my physician and gyno are booked up for the next month! Thanks.

by Kevin Pho, MD, Jun 03, 2006 12:00AM
Infection would continue to be a leading possibility.  Testing the urine can evaluate this possibility.



If negative, I would investigate futher - since blood in the urine is never normal.  Polyps or cancer needs to be ruled out.  A referral to a urologist and subsequent cystoscopy would be the most comprehensive evaluation.  A less likely possibility would be kidney stones, which can be evaluated with a CT scan or ultrasound.



These options should be discussed with your physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_
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