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Related to the above. I am perimenopausal (52) and I see…

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Hello, related to the...

Hello, related to the above. I am perimenopausal (52) and I see blood in my urine everyday 14 of my cycle, it is usually just during 1 or 2 urinations and I never see it any other time. Can this be a normal variant of perimenopause?

Doctor's Assistant: In general, how has your health been lately?

Good

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have a PCOS history, no cyst for roughly 30 years

Submitted: 6 months ago.Category: OB GYN
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Answered in 54 minutes by:
1/5/2018
OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago
Dr. Arun Phophalia
Category: OB GYN
Satisfied Customers: 38,756
Experience: MBBS, MS. Deal with women related all surgical problems including genito-urinary and breast surgery.
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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

It is not variant of perimenopause. Blood in urine need investigations by following;

1) Urine exam

2) Urine culture

3) Ultrasound

4) Cystoscopy.

You may need a CT scan too.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.Thanks for using Just Answer.
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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

The various causes for the bleeding in urine (called as hematuria) can be;

1) Kidney and bladder stones

2) Urinary Tract Obstruction

3) Urinary Tract Trauma

4) Excessive exercise

5) Urinary tract Infection

6) Sickle Cell Disease

7) Kidney and bladder tumor

Read the resource;

http://www.mayoclinic.com/health/blood-in-urine/DS01013

Urine culture and an ultrasound are the first investigative protocol. Intravenous pyelography, CT scan, cystoscopy, etc may be followed depending on the initial investigative results. The investigation of hematuria begins with a search for bacteriuria (bacteria in urine) or pyuria (pus in urine). If either is present, a urine culture should be ordered to confirm urinary tract infection (UTI). In the absence of infection, the next step is to distinguish glomerular and nonglomerular sources of hematuria. Following would be required in step wise fashion;

1) Intravenous pyelography

2) Multidetector CT urography

3) Cystoscopy (camera examination)

If these investigations are not conclusive for the diagnosis MR urography would be advised. Consulting a urologist would be best.

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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 6 months ago

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