Why can't I urinate?

Generally speaking, women’s inability to urinate is mostly caused by urinary tract infection. Because bacteria grow in the urinary tract, they will constantly stimulate the urethra and bladder and produce the urge to urinate. Urinary tract infection requires going to the hospital for a routine urine test to give an accurate diagnosis and conduct targeted examinations. Recently, more and more people have reported urinary system problems, so you must pay attention to private part cleanliness and maintain personal hygiene.

Pain in the urethra, bladder, and perineum when urinating. The pain can be mild or severe, often feeling like a burning sensation, with severe cases feeling like a knife cut and mild cases feeling like a needle prick. Or there may be a mild feeling of heat in the urethra, abnormal secretions from the urethra, or symptoms such as frequent urination, urgency, pain, difficulty urinating, and hematuria.

Common urinary and reproductive system diseases that cause urinary stinging:

1. gonorrhea

A sexually transmitted disease with the highest number of clinical cases caused by gonococci. The main symptoms are urethritis, redness and swelling of the urethral opening, pus discharge, stinging and burning sensation. Difficulty urinating and frequent urination. If not treated promptly, it may turn into chronic urethritis. Female gonorrhea patients present with cervicitis, purulent discharge from the vaginal opening, vaginal redness, swelling, congestion and stinging, and other symptoms are not obvious.

2. Nongonococcal urethritis

A sexually transmitted disease mainly caused by Chlamydia trachomatis and Mycoplasma. The symptoms are similar to those of gonorrhea, with an incubation period of 10 to 20 days. The onset symptoms are mild and include urinary pain, urethral discomfort, urethral itching, burning or stinging, urethral redness and swelling, urethral secretions, thin and sticky discharge, and "muddy" discharge in the morning. Improper handling or untimely treatment may cause premature ejaculation, acute epididymitis, prostatitis, male infertility, etc.

3. Genital herpes

A highly contagious sexually transmitted disease caused by herpes simplex virus type 2. Itching, burning and pain can mainly be seen in the genitals, thighs or buttocks. This is followed by noticeable ulcers on the genitals, buttocks, anus, or other parts of the body. The injury heals within a few weeks, but in most people it recurs.

4. Genital warts

It is a sexually transmitted disease that is caused by the genital warts virus and is the most difficult to cure. The genital warts virus is the human papillomavirus, which has multiple subtypes, such as HPV1, 2, 6, 11, 16, 18, 31, 33 and 35. Genital warts can develop on the vulva, vagina, cervix, and anus. Cauliflower-like growths appear in the genital area and can break, ooze, and become infected, and can even appear in the throat.

5. syphilis

A sexually transmitted disease caused by infection with Treponema pallidum, which can invade the human heart, eyes, brain, bones and nervous system. The disease has a long course and symptoms appear and disappear from time to time. The natural course of this disease is divided into three stages: in the first stage, erythema, papules, and ulcers appear at the site of virus invasion, and these symptoms may disappear after a period of time; in the second stage, the virus multiplies in large numbers in the blood, and erythema, blood rash, maculopapular rashes, etc. similar to pityriasis rosea, psoriasis, and acne appear on the skin and mucous membranes. If it is not treated at this time and enters the third stage, it will be life-threatening if not treated in time.

6. Mycoplasma and Chlamydia

Mycoplasma and Chlamydia are a special type of non-gonococcal urethritis. They are neither bacteria nor viruses, but a separate type of microorganism. It is extremely harmful to the reproductive systems of men and women and can lead to infertility. Clinically, symptoms include painful urination, slightly red urethral opening, frequent urination, incomplete urination, urethral pain, burning sensation, dripping urine, back pain, dull pain in the lower abdomen, and discomfort in the perineum.

7. Trichomoniasis

An infection caused by a parasite whose symptoms include vaginal discharge, discomfort during sexual intercourse, painful urination, and a foul vaginal odor.

1. If there is obvious stinging pain at the beginning of urination, or combined with difficulty urinating, the lesion is mostly in the urethra, which is common in acute urethritis.

2. If there is pain at the end of urination and urgency, the lesion is mostly in the bladder, which is common in acute cystitis.

3. If there is obvious pain at the end of urination, pain still exists after urination, or a feeling of "empty pain", or pain occurs even when not urinating, the lesions are mostly in the urethra or adjacent organs, such as trigone inflammation, prostatitis, etc.

4. Sudden interruption of urination with pain or urinary retention: seen in bladder, urethral stones or urinary tract foreign bodies.

5. Difficult urination accompanied by distension and pain: This often indicates prostate hyperplasia in elderly men and can also be seen in urethral stones.

6. Stinging or burning pain during urination: more common in acute inflammatory stimulation, such as acute urethritis, cystitis, prostatitis, and pyelonephritis.