The first examination that young women consider when experiencing symptoms such as frequent urination, urgency, and pain after marriage is

Young women who experience symptoms such as frequent urination, urgency, and pain after marriage should first consider undergoing urine routine, urine culture, urinary system ultrasound, gynecological examination, and screening for sexually transmitted diseases. These symptoms may be related to urinary tract infections, vaginitis, pelvic inflammatory disease, or sexually transmitted infections, and should be diagnosed based on examination results.

1. Urine routine

Urine routine is a preliminary examination for evaluating urinary system infections, which can detect indicators such as white blood cells, red blood cells, and bacteria in urine. An increase in white blood cells in urine suggests the possibility of urinary tract infection, while an increase in red blood cells may be related to urinary stones or inflammation. Urinalysis is easy to operate and can quickly provide diagnostic clues, laying the foundation for targeted examinations in the future.

2. Urine culture

Urine culture can identify the types of pathogenic bacteria and drug sensitivity, which is particularly important for recurrent or complex urinary tract infections. By collecting samples from mid stream urine and culturing them, common pathogenic bacteria such as Escherichia coli and Proteus can be identified. Positive results help to accurately select antibiotics and avoid blind medication leading to drug resistance.

3. Urinary system ultrasound

Urinary system ultrasound can observe the structure of the kidneys, ureters, and bladder, and exclude organic problems such as stones, obstruction, or congenital malformations. For patients with recurrent urinary tract infections, ultrasound can detect potential triggers such as abnormal residual urine volume in the bladder or hydronephrosis. The non-invasive and safe characteristics make it an important auxiliary diagnostic tool.

4. Gynecological examination

Gynecological examination can evaluate the characteristics of vaginal secretions, cervical condition, pelvic tenderness and other signs. Through routine vaginal discharge and pH testing, gynecological inflammations such as bacterial vaginosis and candidal infections can be identified. Sexual activity after marriage may alter the vaginal microenvironment, and gynecological examinations are of crucial value in identifying the associated factors of urinary tract symptoms.

5. Screening for Sexually Transmitted Diseases

Sexually transmitted pathogens such as Chlamydia and Neisseria gonorrhoeae may cause urethritis or cervicitis, manifested as urinary tract irritation symptoms. Nucleic acid amplification testing has high sensitivity, especially for screening asymptomatic carriers. Women who are sexually active after marriage should consider the possibility of such infections. Early detection and treatment can prevent complications such as pelvic inflammatory disease. When experiencing symptoms of frequent urination, urgency, and pain, it is important to maintain sufficient water intake, avoid holding urine, and excessively clean the perineum. It is recommended to wear cotton underwear and change them frequently. Timely urination after sexual activity can help prevent urinary tract infections. Moderate intake of foods rich in anthocyanins, such as cranberries, is recommended for diet. However, if symptoms persist or are accompanied by fever or lower back pain, immediate medical attention should be sought. Pay attention to observing abnormal secretions or changes in menstrual cycle in daily life, and regular gynecological examinations can help detect potential problems early.

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