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

If you have any questions about blood in urine in women, to schedule a consultation or if you need a second opinion, please contact us or call  1 (646) 663-5515

The highly trained and experienced urologist at New York Urology Specialists treats women with blood in urine.  

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

Our board-certified urologist has more over 10 years of experience providing evaluation for blood in urine. We treat women with blood in urine who also have multiple medical problems in addition to urological 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 but also 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 urine is an important symptom that is often associated with serious medical problems.   Whether blood is microscopic or visible to the eye, proper medical evaluation is essential.  

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

Required examination for blood in urine includes physical exam, microscopic urinalysis and 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 blood in urine is visible to the eye.

Visible and Microscopic Blood in Urine in Women

Blood in 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 urine.  

When 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 the urethra.  Sometimes inflammation of adjacent organs such as the colon (colitis), uterus or cervix can also cause blood in 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 if from 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 most advanced tests to evaluate the causes of hematuria.  

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Please contact us to schedule full evaluationTo schedule a consultation or if you need a second opinion, please contact us or call  1 (646) 663-5515


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 microscopic examination to make sure 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 to the eye as pink or red-colored urine, no additional tests to confirm the presence of 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 cause usually 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 often hematuria is 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 top 5 things to know about blood in urine.



If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call  1 (646) 663-5515

We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts of the USA. We also see international patients from Canada, Japan, South America, Russia, Asia, Europe, Middle East, Africa, the Caribbean and other parts of the world.

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