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What causes dysuria and urinary frequency in women?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 19-year-old girl. I feel like urinating every minute and cannot sit calmly, as my vagina has pain and itching deep inside, with a strong urge to urinate.

I have experienced this thrice in the last two to three months, lasting about three hours. Is it due to sexual intercourse, or can it occur if I am not involved in any sexual activity?

Kindly suggest.

Hello,

Welcome to icliniq.com.

Pain and itching in the vagina are due to a vaginal yeast infection called candidiasis. It can cause urine infection, as it is very common in females. Therefore, I suggest you use the following medicines and start the medicine after a urine test.

If there is no improvement, visit the gynecologist for a detailed evaluation, examination, and management. Some investigations that can be done are:

  1. Ultrasound KUB (kidney, ureter, and bladder) and pelvis.
  2. PMRV (post-micturition residual volume).
  3. Urine test.
  4. Urine culture sensitivity.

A treatment plan that can help you is as follows:

  1. Clotrimazole pessary (vaginal tablet) 100 mg, place one pessary daily inside the vagina at night for seven days.
  2. Capsule Fluconazole 150 mg one capsule in the morning for one day.
  3. Tablet Ciprofloxacin 500 mg one tablet in the morning and night for 14 days.
  4. Cranberry sachet: one sachet in the morning and night for 14 days.

Some preventive measures that will help you are:

  1. Drink eight to ten glasses of water daily.

  2. Do not hold urine.

  3. Maintain proper hygiene of the genitals.

  4. After urinating, clean your genitals by washing them from front to back.

  5. If married, then always urinate before and after sexual intercourse.

  6. Do not wear tight pants or pajamas.

  7. Do not wear synthetic underwear.

  8. Use loose-fitting cotton clothes and underwear.

  9. Do not use vaginal soaps, perfumes, and deodorants.

  10. Avoid premarital and extramarital sex as it carries a high risk of STD (sexually transmitted disease) even with a condom or other protection.

Consult your specialist doctor, discuss with them, and take medications with their consent.

I hope this helps.

Thank you.

Answered byDr. Muntaqa Butt
Medically reviewed byiCliniq medical review team
Published At January 15, 2023
Reviewed AtDecember 24, 2025

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