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Frequent urge to urinate in women with pain in the lower abdomen and lower back
Last reviewed: 06.07.2025

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Urination is one of the processes without which normal life is simply impossible. The frequency of going to the toilet is individual for everyone, but in any case, this process should not cause discomfort. Frequent urination in women with pain is usually associated with inflammatory or infectious lesions of the urinary organs.
Causes frequent urination in women with pain.
Let's consider the main causes of the pathological condition:
- Sexually transmitted infections: chlamydia, gonorrhea, trichomoniasis.
- Vaginitis, vulvaginitis - occur due to the spread of ascending infection from the vagina to the uterus and appendages, and from the urethra to the bladder and kidneys.
- Cystitis is accompanied by burning, cutting pain, incontinence, and a feeling of incomplete emptying after going to the toilet.
- Urethritis – occurs with severe itching, burning and pain in the urethra.
- Pyelonephritis – aching pain radiating to the lower back (intensified by cold weather), elevated body temperature, nausea.
- Urolithiasis - due to irritation of the mucous membrane of the urethra by the passage of sand and stones through it, blood clots appear in the urine. Patients complain of pain in the suprapubic region, incomplete emptying of the bladder.
In addition to the above reasons, the disorder may occur due to improper use of a hygienic tampon or after sexual intercourse. Also, one should not exclude overactive bladder, various gynecological diseases, hypothermia. The diseased condition disrupts the normal functioning of the body, therefore it requires diagnosis and treatment.
Lower abdominal pain and frequent urination in women
The condition in which the lower abdomen is pulled and the urge to go to the toilet usually occurs due to hypothermia. But there are also more serious factors that cause pain in the lower abdomen and frequent urination. In women, these may be pathologies such as:
- Cystitis is an inflammatory process in the urinary cavity. It may be accompanied by bloody and purulent discharge.
- Vaginitis is an inflammation of the vaginal mucosa caused by infectious agents. Most often, the disease occurs during unprotected sexual intercourse, deterioration of the immune system and hormonal imbalance.
- Salpingitis is an inflammatory lesion of the fallopian tubes.
- Endometritis is an inflammation of the uterine mucosa.
- Uterine fibroids – present with aching pain in the abdomen and uterine bleeding.
- Cystocele is a prolapse of the bladder into the vagina.
- Candidiasis - with thrush there is pain during urination, peculiar discharge from the urethra, pain on the left and right side of the lower abdomen.
Urinary tract disorders may also be caused by the following reasons: urethritis, various neoplasms, overactive bladder, urolithiasis, narrowing of the urethra. Physiological reasons for the painful condition are also identified: alcohol abuse, regular stress and anxiety, menstruation, pregnancy, consumption of spicy, salty or sour foods.
In any case, pathological symptoms require diagnostics and medical consultation. This is due to the fact that inflammatory lesions can become chronic, manifesting themselves in relapses. This greatly worsens the quality of life and complicates the treatment process.
Frequent urination with blood in women
A rather serious symptom that causes panic in many people is blood in the urine. Frequent urination with blood in women is most often associated with the following reasons:
- If at the beginning the urine has a normal color, but at the end it acquires a red tint, then this is a violation of the bladder functions due to tumor or infectious processes. In this case, the pathological condition may be accompanied by pain.
- If blood comes directly during defecation, it is associated with kidney damage of various nature. This is observed with mechanical damage and injuries, stones, kidney infections, tumors and cysts, pyelonephritis, embolism, polycystic disease, glomerulonephritis. At the same time, oncological processes do not cause painful symptoms. While infectious lesions and stones provoke pronounced cutting pain.
- If blood clots are released during urination, this may indicate malignant neoplasms in the genitourinary system. Blood clots appear due to severe bleeding and accumulation of blood masses in the bladder, kidneys or urethra.
Pollakiuria with blood is typical for many infectious lesions of the urinary tract. In this case, the body temperature rises, there are chills and a deterioration in general health. If the amount of blood released is small, and the urine is pale, then tuberculosis can be suspected. Also, unpleasant symptoms make themselves known during pregnancy, at the beginning and end of menopause.
Frequent urination and brown, white discharge in women
Many inflammatory diseases of the urethra are characterized by symptoms such as frequent urination and brown, white discharge. In women, the pathological condition occurs in the following cases:
- Bacterial vaginosis – in addition to pollakiuria and discharge, there is an unpleasant fishy smell. The disease is not sexually transmitted and only women suffer from it.
- Thrush - discharge has a sour smell, the desire to urinate is accompanied by cutting and burning. The disorder is associated with yeast-like fungi Candida, which are present in the healthy microflora of the vagina, but are opportunistic.
- Atrophic vaginitis – most often appears in the post-menopausal period and with low estrogen levels in women of childbearing age.
- Helminthic invasion.
- Oncological diseases.
- Hormonal changes – unpleasant symptoms can arise due to thyroid dysfunction, tuberculosis, and acute infectious diseases.
- Metabolic disorders – these can be vascular pathologies, endocrine diseases and other painful conditions.
- Sexually transmitted infections – chlamydia, gonorrhea, trichomoniasis.
- Inflammatory processes in the uterus, bladder, appendages, vagina.
In addition to the listed reasons, dysuria in combination with various discharges appears with mechanical damage to the mucous membrane of the bladder or vagina. Another factor causing a painful condition is excessive intimate hygiene with the use of aggressive cosmetics that disrupt the natural microflora.
Temperature and frequent urination in women
Elevated temperature and frequent urination in women most often occur with the following diseases:
- Inflammation of the bladder - cystitis is characterized by fever, false urge to go to the toilet and pain.
- Inflammation of the urethra - urethritis most often occurs in an acute form, therefore it is accompanied by severe discomfort, hyperemia, and changes in the color of urine.
- Inflammation of the renal pelvis - pyelonephritis is characterized by high temperature, small amount of urine excretion against the background of pollakiuria, and change in urine color.
- Urolithiasis - unpleasant symptoms make themselves known during physical exertion. If stones block the ureters or the entrance to the urethra, this creates additional pathological symptoms.
- Uterine fibroids are benign tumors that are located in the cavity or walls of the uterus. Due to their growth, they put pressure on the bladder, forcing you to visit the toilet constantly.
In addition to the above reasons, fever against the background of pollakiuria occurs with diabetes mellitus (impaired glucose metabolism and low insulin levels in the blood) and with diabetes insipidus - this is a hormonal imbalance in which the body is unable to retain water.
Lower back pain and frequent urination in women
Quite common symptoms indicating gynecological or urological diseases are lower back pain and frequent urination. Women have such problems throughout their lives. In most cases, the unpleasant sensations are cutting or sharp, persisting for a long time after dysuria.
The main causes of painful symptoms:
- Irritation or inflammation of the bladder.
- Diseases of the urinary tract.
- Renal colic.
- Urolithiasis.
- Urethritis (inflammation of the urethra).
- Cystitis (inflammatory lesion of the bladder).
- Sexually transmitted diseases (gonorrhea, trichomoniasis, urogenital chlamydia, ureaplasmosis).
- Benign and malignant tumors.
- Gout (rheumatological pathology).
- Infectious diseases.
The disorder may occur after a cold or intestinal damage. To determine the cause, you should consult a doctor. Without timely medical care, the painful condition can become chronic, which will significantly complicate the treatment process.
Frequent urination with thrush in women
A common disease that occurs in both children and adults is candidiasis. It is a fungal infection of the mucous membranes and a violation of the acid balance. Because of this, a number of unpleasant symptoms appear: burning, itching, diuresis. Frequent urination with thrush in women indicates infection of the urethra, bladder and a number of other organs.
The main causes of the disorder are:
- Hypothermia.
- Failure to observe intimate hygiene.
- Decreased protective properties of the immune system.
- Incorrect catheterization.
- Damage to the walls of the bladder by stones and sand from the kidneys.
- Pathogenic microorganisms in the intestines and bladder.
- Violation of vaginal microflora.
- Dysbacteriosis of the vagina and intestines due to antibacterial therapy and other medications.
- Diabetes mellitus.
- Pregnancy.
- Oncological diseases.
Thrush and pollakiuria form a vicious circle, as the causes of one pathology provoke the appearance of the second. At the same time, both disorders can be accompanied by such symptoms as itching, burning, pain and discomfort.
Clinical symptoms of the disorder:
- Pain in the lower abdomen.
- Regular and painful urge to go to the toilet to pee.
- Itching, stinging and burning.
- Elevated body temperature.
- Cloudy urine with blood impurities.
- Profuse mucous and cheesy discharge.
Inflammatory lesions of the bladder can occur due to a fungal infection, and vice versa. A gynecologist and urologist diagnose this pathology. Treatment is complex, as the disease can easily become chronic, manifesting itself in constant relapses.
Frequent urination in women with hemorrhoids
Many patients who have encountered inflammation and growth of hemorrhoids complain of dysuric syndrome. That is, frequent urination in women with hemorrhoids is a physiological factor that is provoked by the pressure of inflamed cones on the bladder.
The painful condition is due to the fact that the rectum is located next to the bladder, so if inflammation begins in one of the organs, it negatively affects the second one. Putrefactive bacteria that develop in inflamed hemorrhoids are carried by the bloodstream throughout the body, including the genitourinary system.
Symptoms of hemorrhoidal pollakiuria:
- Burning, pain and itching when trying to empty the bladder.
- Pain in the lower abdomen and lower back.
- Blood in urine.
- Increased body temperature and chills.
- Headaches and dizziness.
- General weakness.
- Painful sensations in the heart area.
- Appetite disorders.
The disease requires urgent diagnostics and treatment, as it can cause anemia in women. Diagnostics consists of laboratory and instrumental methods. The doctor's task is to exclude oncological pathologies. Treatment is complex and long-term.
Frequent urination in older women
A fairly common and very delicate symptom is frequent urination in older women. The problem may be a consequence of a certain disease or an independent symptom. Let's consider the main reasons causing the disorder:
- Adhesions and fistulas after surgery on the pelvic organs.
- Chronic cystitis.
- Inflammatory processes in the body.
- Neurological disorders and stress.
- Increased physical activity.
- Hypothermia.
- Overactive bladder.
According to medical statistics, in 60% of cases the disorder is associated with overactive bladder. In this case, pollakiuria occurs due to increased activity of the sphincter, which blocks and holds urine. Most often, patients face this problem after a stroke.
Another common cause is cystitis. As a rule, the disease develops due to infection with E. coli, which easily penetrates the bladder. This condition is accompanied by pain and burning in the lower abdomen, the urge to urinate.
In any case, the unpleasant symptom requires medical attention, since without proper treatment it will only progress. To determine its cause, you should consult a doctor. The doctor will conduct a comprehensive analysis of the patient's health, prescribe laboratory and instrumental studies. If necessary, differential diagnostics will be carried out.
There are several treatment options for the disorder. If an infection is detected, antibiotics are prescribed, and drugs are also used to restore the sphincter's ability to block urine emissions. Physiotherapy procedures are mandatory to strengthen the muscular frame. If there is an urgent need, surgical intervention is performed.
Frequent urination in women during menopause
Menopause is the period of cessation of reproductive function in women. This condition is characterized by hormonal changes in the body, which make adjustments to the functioning of some organs and systems. Frequent urination in women during menopause is associated with the following factors:
- Deficiency of the hormone estrogen leads to a sharp decrease in the elasticity and firmness of tissues, especially the genitourinary system.
- Decreased muscle tone of the pelvic organs.
- Excess weight. Fat deposits are an additional burden on the pelvic organs, causing the urge to urinate.
- Changes in the structure of bladder tissue. Due to decreased hormone production, the tissues become less elastic and rigid. They do not stretch when urine accumulates, so even a minimal amount of it provokes urges.
- Increased dryness of the mucous membranes and their thinning facilitates the easy penetration of infectious agents.
- Prolapse of the uterus and/or vagina.
- Surgical interventions. For example, removal of the uterus disrupts the normal functioning of all pelvic organs.
The disease may develop against the background of other pathologies that have nothing to do with the genitourinary system. This may be diabetes mellitus or diabetes insipidus and other endocrine diseases, neurological disorders, intoxication of the body and much more.
It is important to understand that dysuric syndrome during menopause is not normal and therefore requires medical intervention. The cause of the pathology determines its treatment and prognosis. You cannot ignore unpleasant symptoms, since without proper treatment they will begin to progress, causing even more inconvenience.