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I am a 31-year old female and have had microhematuria indicated with every and all UA.  I have recently made an effort to learn the cause.

I was referred to a urologist and he did an IVP and cytoscopy.  The IVP revealed unilateral renal agenesis (enlarged as expected for a single, but no other issues).  The cytoscope test revealed pseudomembranous trigonitis in the bladder neck.

My father, uncle and cousin have hereditary nephritis (which we thought to only affect males).  However, my aunt also has microhematuria, but has not had any further testing.

The past year or so my blood pressure has been a bit high.  I don't drink, smoke, and I eat well and exercise.  I am not overweight.

My urologist mentioned referral to a nephrologist, but he waivers on being very concerned to not too concerned for further testing.

Should I press my Dr. (urologist and/or nephrologist) to continue tests to find the root cause of my microhematuria?  Or if they are not too concerned and just want to monitor, should I not worry?

Thank you
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With the IVP and cystoscopy, that is a pretty good lower GU tract evaluation for the cause of the hematuria.  

Of course, there can be various kidney disorders that may be present despite these tests.  It would be a good idea to have a nephrologist look at the urine as well as considering a kidney ultrasound for further evaluation.

If all these tests continue to be non-revealing, the hematuria can be serially monitored.

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.
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