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Pain at the beginning of urination in women
Last reviewed: 06.07.2025

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What causes pain at the beginning of urination in women?
There are many reasons for these unpleasant sensations. Among the most common of them are:
Pain at the beginning of urination in women and infections
Often, such pain at the beginning of urination in women is caused by genital herpes. It is transmitted through sexual intercourse, and the most dangerous thing is that sometimes a couple of weeks pass before any external signs of infection appear. These include, mainly, the appearance of inflamed blisters in the genitals, inside which there is fluid. Other symptoms include:
- Burning, itching;
- Elevated body temperature;
- Lack of appetite;
- General apathy;
- The appearance of discharge.
If you have concerns, you should immediately contact a doctor who, with the help of special tests, will be able to determine whether you have this infection and also prescribe the necessary treatment, which most often involves the use of special antiviral drugs.
To prevent the occurrence of genital herpes in the future, it is necessary to maintain stability in relationships, not constantly entering into relationships with different sexual partners, and also to use contraceptives.
Pain at the beginning of urination in women associated with gynecological diseases
Often, pain at the beginning of urination in women occurs due to various diseases of the genitals. In fact, there are many such diseases. However, the following types are most often encountered among gynecologists' patients:
- Cystitis is a complex name for inflammatory processes occurring in the bladder. This disease is quite common in women - every third representative of the fair sex in the world has experienced an attack of it at least once in her life. As a rule, the main signal of the disease is fairly frequent urination, painful sensations in the pubic area, pain at the beginning of urination in women. Considering that the disease is fraught with consequences, it should not be neglected. Its treatment is carried out only after consultation with a doctor and passing all the necessary tests. As a rule, getting rid of the disease requires a long investment of time and effort. Various antibiotics and antivirals are used for this purpose.
- Vaginitis, or colpitis - this is the name for various inflammations that occur in the vagina. Its most characteristic symptom is constant discharge, often with a characteristic odor, pain at the beginning of urination in women. Unpleasant itching sensations and discomfort during intimacy are also possible. This disease occurs not only in adult women, but also in girls. Its elimination is reduced to the use of antibiotics and antifungal drugs, however, the course of treatment should be prescribed only by a highly qualified specialist!
- Urethritis - this problem is associated with the urethra, typical for both women and men. The disease is transmitted by various viruses and bacteria. The main symptoms of the disease can be considered discharge, as well as pain at the beginning of urination in women. If it worsens, it can lead to the development of other diseases, so contacting a specialist should be immediate. As a rule, doctors prescribe antibiotics and immunostimulation to patients.
- Cervicitis - it affects the cervix. This disease may not manifest itself immediately, sometimes it does not manifest itself for years. The only symptom can sometimes be discharge, pain at the beginning of urination in women. Despite the intensive use of antibiotics, unfortunately, this disease often remains incurable.
Pain at the beginning of urination in women, not associated with infections
Sometimes, painful sensations at the beginning of urination can be caused by problems with the uterus itself - pathologies, both congenital and those that appear with age. Often, deviations that occur with age lead to infertility.
How to recognize pain at the beginning of urination in women?
Pain at the beginning of urination in women is recognized using the following methods:
- Hysterosalpingography;
- Laparoscopy;
- Hysteroscopy;
- Ultrasound examination.
Surgical intervention is used to eliminate pathologies.
Pain at the beginning of urination in women, therefore, is often a sign of serious gynecological problems that require consultation with a gynecologist. In order to minimize the risk of all these unpleasant diseases, be extremely careful in your sexual life!