A woman has discomfort and sometimes pain in her urethra when she urinates for half a month. She went to the hospital for treatment, and the test result was urinary pain caused by urinary tract infection. Later, under the diagnosis and treatment of a specialist, the lady made a proper treatment plan and gradually cured. According to relevant statistics, about 30% of women in the world have experienced dysuria, and at least one of them is painful enough to require medical treatment, which shows that dysuria has become one of the problems of women's reproductive health. Why do women have pain in urine? Female dysuria refers to the pain that occurs when women urinate, which is a symptom caused by infection and other reproductive tract diseases. It is a normal physiological process for people to excrete excess water in their bodies. Women should excrete urine through urethra without any pain. So, why do women have urinary pain? First of all, women's urethra and vagina live next to each other, and bacteria can easily invade the vagina, especially after sexual intercourse, which is why "honeymoon cystitis" comes from it. Secondly, the female vagina is adjacent to the intestine and anus, and many large intestine bacteria will also break into the vagina, causing urinary tract infection and causing dysuria. Third, although the surface of female urinary tract is covered with a mucus layer like a protective film, under normal circumstances, vaginal mucosa will breed a kind of lactobacillus, which will make the vagina acidic and inhibit bacterial invasion. However, these natural defense functions are prone to vaginal or urinary tract infections due to congenital deficiency or acquired changes. These changes include: 1. Tumors or stones hinder urine excretion. 2. Bladder swelling changes the structure and function of urinary tract. 3. The use of contraceptive spermicide and abuse of antibiotics lead to the change of vaginal bacteria. 4. menopausal women lack hormones. 5. Urinary tract instrument surgery or catheterization destroys the urinary mucus protective layer. Fourth, when allergic to soap, toilet paper, lubricant, vaginal cleanser, contraceptive sponge or foam, it can also cause dysuria. What diseases can cause dysuria? In the human excretory system, the kidney is the place where urine is made, the ureter is located in the upstream of the urinary tract, and the urethra is the downstream of the urinary tract, which can excrete urine. Therefore, in addition to the above factors, various diseases of the female reproductive system may cause dysuria. Experts pointed out: Endometritis, nonspecific vaginitis, fungal vaginitis, uterine fibroids, in addition, ovarian tumors, urinary calculi, cancer diseases need to be treated with chemical anticancer drugs or pelvic radiotherapy, which will cause dysuria. (1) urethritis urethritis directly affects urination, and its inflammatory bacteria can spread in the urethra, which is one of the main factors causing dysuria. (2) Endometritis in women with cervicitis is caused by hyperemia, edema, easy bleeding at the touch of the cervix, increased yellow mucus purulent secretion and discomfort in the lower abdomen. These parts closely related to the urethra are all factors that cause dysuria. (3) Non-specific vaginitis The main symptoms of non-specific vaginitis are a large number of vaginal epithelium shedding, hyperemia of vaginal mucosa and obvious tenderness. In severe cases, general weakness, abdominal discomfort, a large amount of vaginal discharge, purulent or serous, and vaginal discharge irritates the urethral orifice, which seriously causes urinary pain. (4) Mycotic vaginitis The prominent symptoms of this disease are increased leucorrhea, itching of vulva and vagina, high edema of vaginal membrane, adhesion of white patches of thin film, easy peeling, and erosion of mucous membrane or superficial ulcer, which irritates urethra and causes dysuria. (5) Hysteromyoma, a benign tumor of female genitalia, which is common in 30 to 50 years old, is characterized by a mass in the lower abdomen. The bacteria on these masses may invade the urethra with the reproductive tract, causing dysuria. Prevention and Treatment of Urodynia Urodynia is a common symptom of women in summer, and it can be caused by many diseases. This is because women's urethra is naturally short, the urethral orifice is near perineum, and bacteria of various diseases are easy to invade the urethra. In addition, the temperature in summer is high, the human body sweats a lot, and the sweat glands of women's vulva are particularly rich. If the underwear is worn improperly because of the fabric texture, it is easy to make the vulva wet for a long time. At this time, bacteria will multiply particularly quickly and take advantage of it, leading to urethral congestion and edema, and symptoms such as frequent urination, urgency and dysuria. Therefore, the prevention and treatment of urinary pain should start with the prevention and treatment of various reproductive tract diseases. Preventing reproductive diseases and avoiding urinary pain and urethritis: ① After sweating, we should replenish enough water to excrete harmful substances such as bacteria in time. (2) to ensure adequate sleep in summer, to ensure that the body has strong resistance. (3) underwear should not be too small or too tight, nor can it be made of chemical fiber fabrics. The fabrics of underwear should be cotton and linen fabrics with good hygroscopicity and permeability. ④ Pay attention to personal hygiene, take a bath frequently, change underwear frequently, and wipe toilet paper from front to back after defecation to avoid polluting urethra. Cervical endocarditis: ① Increase light exercise to prevent the occurrence of cervical endocarditis, but not strenuous exercise. 2 reduce the intake of caffeine, such as soda, cola, tea, coffee, etc., which will aggravate urinary pain and should be consumed less. Nonspecific vaginitis: ① Strengthen exercise to enhance physical fitness. ② Active treatment to eliminate pathogenic factors, such as vaginal injury, pelvic inflammatory disease and uterine bleeding, so as to reduce the growth and reproduction of pathogenic bacteria. Mycotic vaginitis: ① Special attention should be paid to the cleanliness of skin and vulva. (2) skin itching can't scratch with your hands, so as to avoid nails with mold. ③ Sexual life should be avoided during treatment. ④ If necessary, the couple should make diagnosis and treatment at the same time. Uterine fibroids: ① Go to the hospital for regular check-up, usually every 3 to 6 months 1 time. If there is bleeding or fibroids are found, surgery should be performed. ② Diet adjustment, eat more foods containing protein and vitamins. Treating reproductive tract diseases and relieving urinary pain and urethritis: Chinese patent medicines such as Chuanxinlian tablets and Bazheng mixture can be taken under the guidance of doctors. Pay attention to the course of treatment of the medicine you take, and don't stop taking the medicine immediately when the symptoms just disappear, so as to avoid recurrence. Nonspecific vaginitis: ① Correct vaginal pH value. ② Pay attention to the rational use of broad-spectrum antibiotics and hormones. Mycotic vaginitis: ① Use vitamin E capsules and apply them directly to the affected part. ② Wash vagina and vulva with 2% ~ 4% baking soda solution1~ 2 times a day. ③ Chinese herbal medicine treatment: Coptidis Rhizoma and Zingiberis Rhizoma can be baked and ground into powder 1 5g each, and stuffed into vagina, once a day, 10 day as a course of treatment; 50 grams of garlic, mashed, made into 20% solution, and cleaned vagina, once a day1~ 2 times. Hysteromyoma: Traditional Chinese medicine was used, with Vaccaria seed100g, Prunella vulgaris, raw oyster and perilla 30g each, decocted in water, one dose per day, with 30 doses as a course of treatment. How to treat female repeated urinary pain? A 32-year-old female employee has had recurrent dysuria for three years since giving birth to a child. After taking some commonly used antibiotics orally, she can relieve it, but she can't be cured. Experts pointed out that this symptom should belong to the category of female "urethral syndrome" and should be paid great attention to and treated. There are three main principles: first, to control acute infection, it can be treated with modified Zhongbazheng powder, and at the same time, it can be washed with alum. Secondly, the treatment plan is decided according to the local situation of the external urethral orifice. If the labia minora is fused, the labia minora is separated. Thirdly, if there is a caruncle-like protrusion in the external urethral orifice, it should be removed. For the fusion type, the distance between urethral orifice and vaginal orifice was extended; Urethral dilatation was performed regularly for patients with distal urethral stricture.

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