Blood in Urine in Women: Specialized Treatment in New York City

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5515.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.


Board Certified Urologists in NYC are Experienced in Treating Blood in Urine in Women

Our board-certified urologist has more than 10 years of experience, providing an evaluation for blood in the urine. We treat women with blood in urine.  Many patients also have multiple medical problems that include diabetes, heart disease, strokes, heart attacks, hypertension, multiple sclerosis, COPD and asthma, sleep apnea, high cholesterol and obesity, colon cancer.

We diagnose the cause of blood in urine and treat over 90% of causes of bloody urine, including UTI, cystitis, bladder stones, kidney stones, kidney cancer, bladder cancer, and renal problems. 

Why Is Blood in Urine an Important Symptom?

Blood in the urine is an important symptom that is often associated with serious medical problems.   Whether blood is microscopic or visible, proper medical evaluation is essential.  

Urologists are the only medical specialists who are skilled at fully evaluating and treating causes of blood in the urine.

Required examination for blood in urine includes a physical exam, microscopic urinalysis, urine culture, and STD testing when appropriate.  In the absence of UTI or another obvious cause such as ureteral stones, cystoscopy and CT urogram should be performed.

Significant medical problems can occur in women with microscopic or visible bleeding. The chances of having a dangerous problem are higher if the blood in urine is visible.

Where to Get Treatment for Blood in Urine in NYC?

At New York Urology Specialists, we offer same-day treatment for bloody urine.  Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-646-663-5515 or make an appointment online.  

We perform kidney stone removal surgery, lithotripsy, bladder tumor removal, kidney tumor removal, and treatment of bladder and prostate bleeding.  We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  We offer free insurance verification.

We perform cystoscopy, bladder and prostate ultrasound in our office.  We offer testosterone replacement therapy, vasectomy, Urolift procedure, Rezum water-vapor procedure in our office.   We treat urinary and erection problems. We offer confidential appointments.

Visible and Microscopic Blood in Urine in Women

Blood in the urine is known medically as ‘hematuria.’ Other descriptions are sometimes used, such as a trace of blood in urine, red blood cells (RBCs) in urine, or visible blood in the urine.  

When the blood in urine is microscopic (not visible but detectable via testing), the severity is measured as red blood cells (RBC) per high power field (HPF) under the microscope.  Usually, >3-5 RBCs/HPF is considered abnormal. With >20-50 RBCs/HPF, a significant urological or medical problem often exists.

Blood in the urine can originate from the kidneys, ureters, urinary bladder, and urethra.  Sometimes inflammation of adjacent organs such as the colon (colitis), uterus, or cervix can also cause blood in the urine.

Blood in urine

Blood in urine in women can sometimes originate from vaginal bleeding, uterine bleeding, or menstrual period. Sometimes rectal bleeding can be confused with hematuria.

It is important to distinguish whether the blood is from the genital or urinary tract as the causes, evaluation, and treatments are different.  

What You Need to Know:

Visible blood in urine typically signifies a significant medical and urological problem.  Most women with microscopic or invisible blood in urine also have an underlying problem that requires diagnosis and treatment. While often the problem is minor such as a UTI, other times the problem may be more dangerous such as kidney stones or bladder cancer.   At New York Urology Specialists, we use the most advanced tests to evaluate the causes of hematuria.  

Microscopic Hematuria

The finding of microscopic red blood cells in urine is fairly common in women. Usually, it is found incidentally during a routine urine analysis. If a diagnosis is made using a dipstick urinalysis, the test needs to be confirmed with a microscopic examination to ensure that there are red blood cells present. Sometimes a dipstick test can produce unreliable results.

Visible or Gross Hematuria is Less Common.

If the blood in urine is visible as pink or red-colored urine, no additional tests to confirm blood in the urine are required.  Visible blood in the urine is usually a diagnosis that is established by the patient herself.   Even if visible blood in urine resolves spontaneously, a thorough evaluation by a urologist is advisable.

Blood in the urine can occur in women with a bladder infection.  Blood in the urine can also be a symptom of other medical and urological problems such as bladder cancer, kidney or bladder stones, and kidney cancer in women.

Women who have a history of smoking, even if they quit as long as 20 years before, are at increased risk for bladder cancer; so are women over age 40.

Sometimes blood in the urine can cause symptoms that mimic UTI.  Unless bacterial culture showed a UTI, caution should be exercised in attributing blood in urine to an infection.  Sometimes blood in the urine is episodic and disappears on its own within a day or a few days.  An antibiotic given for a UTI when there is no UTI can make it appear that it’s helping.

The causes of hematuria vary depending on the age of a woman and the underlying risk factors.

Common Causes of Hematuria or Bloody Urine in Women are:

  • Cystitis, Urinary tract infection (UTI), kidney infection, and pyelonephritis
  • Kidney stones and Ureteral stones can usually cause microscopic hematuria, but occasionally gross hematuria occurs.
  • Bladder lesions, polyps, masses including bladder cancer and carcinoma in situ (CIS) of the bladder can first present with hematuria.
  • Hematuria may be the first sign of intrinsic kidney disease (glomerular disease).
  • Kidney cysts including polycystic kidney disease
  • Kidney masses and Kidney cancer occasionally present with hematuria; now, we often find them before they are large enough to cause hematuria.
  • Bladder stones
  • Ureteral cancer is a less common cause of hematuria.
  • Transitional cell carcinoma of the upper tract and lower tract
  • Urethral tumors polyps masses and diverticula
  • Urethral cancer
  • Radiation cystitis can occur in women who had pelvic radiation in the past for cervical or uterine cancer.
  • Chemotherapy-induced hemorrhagic cystitis(cyclophosphamide)
  • Less common causes of hematuria include Colon cancer invading the bladder,
  • Metastatic cancer to the bladder from other sites.
  • Locally invasive cancer to the bladder and urethra from ovaries, uterus, and cervix.

UTI is Not the Only Cause of Urinary Bleeding in Women

It is important to note that because urinary tract infections or cystitis are common in women, hematuria is often incorrectly attributed to a urinary tract infection, especially in women who are prone to having urinary tract infections.

While that is possible that blood in urine is caused by UTI, a thorough evaluation may still need to be performed depending on individual risk factors.

Studies show that it is not infrequent that blood in urine and symptoms of UTI can coexist with other more serious causes such as bladder stones, bladder cancer, and kidney dysfunction.  Women with risk factors include those who are over age 40, current and former smokers, and those with a history of underlying medical problems such as diabetes and cancer.

Read about the top 5 things to know about blood in the urine.

Cost of Hematuria Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for men and women. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

At New York Urology Specialists, we offer flat-fee ‘all-cost-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more.  The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

Cost of Treatment and Insurance

Inexpensive Urologist Visit CostAt New York Urology Specialists, we offer affordable treatment. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Why Choose New York Urology Specialists for Treatment of Blood in Urine?

  • All treatment is performed by a board-certified urologist experienced in treating men and women with symptoms of hematuria (blood in urine), hematospermia (blood in semen), and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.  
  • We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems for men and women.
  • We offer treatment options for prostatitis, enlarged prostate, frequent urination, split urine stream, overactive bladder, and prostate cancer in our office.  Office procedures avoid the risks, costs, and recovery from general anesthesia.  
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Extensive experience: Thousands of men and women have been treated successfully with lithotripsy for kidney stones, transurethral resection of bladder tumor, roto-rooter of the prostate.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men and women who are seeking treatment for bloody urine, bloody ejaculate, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What does Blood in Urine Look Like?

You can find pictures of blood in urine as well as before and after treatment images in our image gallery.

Scheduling Appointments for Blood in Urine Treatment at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5515.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating urinary problems in men and women.   He has performed hundreds of bladder, kidney, vaginal, and prostate surgeries.  


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Treatment for Men With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of hematuria and urinary problems.  We understand the challenges that urinary bleeding creates for our patients, their relationships, and their self-esteem.  We help you find a treatment for blood in the urine that is effective and safe.

Urologists are doctors specializing in the treatment of men and women with urinary problems including blood in urine, bladder stones, kidney stones, urinary incontinence, and frequent UTI. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every patient who desires an effective treatment for any problem that affects the urinary tract.  We offer medical and surgical treatment for urinary problems.

We Treat Some of the Most Complex Urinary Health Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5515 or make an appointment online

Dr. Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of blood in urine, blood in semen, and other urinary problems in men and women.  He uses modern, effective, and proven treatment methods.  We perform procedures such as Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men and women with symptoms of frequent urination during the day, and excessive urination at night.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5515.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

with expertise in the evaluation and treatment of hematuria (blood in urine)  in men and women using modern, effective, and proven treatment methods.