Urogynecology Expert Forum
Discomfort after passing urine - NOT UTI
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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Discomfort after passing urine - NOT UTI

I'm looking for a bit of advice since the doctors keep sending me away. I've had discomfort after urinating for a week now. Nothing at all during. I've had my urine both analysed via dipstick and sent away for a MSU. They found (not enough to be visible) blood in my urine. The doctors seem to think asking me back in a month for another urine test is sufficient. I'm a bit worried since I read that "Pain at the start of urination is often the symptom of a urinary tract infection. Pain after urination can indicate a problem with the bladder." I'm worried this is bladder cancer since my urine test came back negative. i'm so worried about this i can't sleep or eat and the doctors are being so dismissive of me. I'm a 29yr old female to male transsexual and i have been on testosterone therapy (nebido every 10 weeks) for 5 years. im also worried this might be due to endometriosis after long term testosterone therapy.

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I would suggest you visit with your doctor and express your concerns.  You may be experiencing irritative bladder symptoms which often feel like an infection but cultures are negative.  This is often called overactive bladder and can be treated with medications and behavior modification.  J. Kyle Mathews, MD
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