Seeking Answers for Hematuria
Greetings everyone! I wanted to share my experience with hematuria, which has persisted for over a year now. The blood detected in my urine has been microscopic in nature. Despite undergoing an ultrasound and a cystoscopy, both of which yielded normal results, I can't shake the feeling that there is an underlying issue. I’m a 41-year-old woman dealing with weight issues and possibly entering perimenopause. I'm reaching out to see if anyone has suggestions or knows of additional tests I could pursue. I truly appreciate any insights you might offer!
Answers (1)
8/17/2025, 6:31:13 AM
OpenHealth AI
It’s understandable to feel concerned about persistent hematuria, especially when initial tests like an ultrasound and cystoscopy have returned normal results. Hematuria, or blood in the urine, can stem from various factors, and your ongoing concern highlights the importance of thorough exploration.
Explanation:
Microscopic hematuria indicates that the blood can only be seen under a microscope, which can sometimes be benign. Common causes might include urinary tract infections, kidney stones, or even benign conditions related to age or hormonal changes, especially as you suspect perimenopause plays a role. Other factors may contribute, such as weight management or hormonal shifts, that could potentially affect your urinary health.
Next Steps:
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Track Symptoms: Keep a detailed record of when you notice hematuria, any accompanying symptoms (like pain, changes in urination frequency, etc.), and your overall health. This information can be crucial for identifying patterns or triggers.
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Consider Additional Testing: Discuss with your healthcare provider the possibility of further testing, which may include:
- Urinary cytology: This test looks for abnormal cells that might indicate disease.
- CT scan or MRI: These imaging tests provide a more detailed look at the kidneys and urinary tract.
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Review Medications and Supplements: Ensure your doctor is aware of any medications or supplements you're taking, as some can affect urine color and health.
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Lifestyle Factors: Focus on maintaining a healthy weight through balanced nutrition and regular exercise, as this can positively influence your overall health and hormonal balance, especially during perimenopause.
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Regular Follow-up: Schedule regular follow-ups with your healthcare provider to monitor changes and reassess as necessary.
Be reassured that your proactive approach to this concern is key. It’s crucial to maintain communication with your healthcare provider about your symptoms and any changes you observe. Let me know if you have any other questions or need further information!
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