Female urethral discharge is usually the first sign of an infection known as urethritis. The causes of white particles in urine, or mucus in urine, is known as gonococcal urethritis, which can also cause pain and burning in the urethra. Read below for more related symptoms, causes, and treatment options.
Symptoms of female urethral discharge, pain, or burning
The urethra is the slender, muscular duct that drains urine from the bladder to the outside of the body. One of the first symptoms of will be a discharge. In women, the lining of the which control her monthly cycle. This provides some protection from serious disease but also leaves women susceptible to chronic, low-level bacterial invasion of the urethra.
- Urgency of urination, meaning it is very difficult to wait.
- and discomfort within the urethra.
- Lower or discomfort.
- Low-grade .
- A discharge of white or may be evident when first urinating in the morning, making the urine appear cloudy. The same discharge may be noticed on underclothes. The more severe the infection, the darker and heavier the discharge.
- In some women, urethritis may seem to have few or no symptoms.
Who is most often affected by female urethral discharge symptoms?
- Women who are sexually active, especially with multiple partners.
- Women at or near menopause, when estrogen levels decline and the lining of the urethra may become drier and thinner.
- Women who also have a vaginal infection often develop urethritis as well, and vice versa. 
Is female urethral discharge serious?
- A mild case of can be easily treated by your medical provider, especially if caught early.
- Urethritis of any type can readily spread to the vagina.
- An infection in the urethra can spread upward to other organs such as the bladder or kidneys and may also reach the uterus and fallopian tubes. This can cause serious illness and sometimes leads to sterility.
Causes of urethral discharge in women
Many conditions can have urethral discharge as a symptom. The most common are those involving bacteria transmitted during sex, as well as hormonal changes during a women's cycle and allergies to certain foods and substances.
Most common cause types:
- Bacterial infection with the gonococcus bacteria, which is acquired during sexual activity. This form of the illness is called .
Less common cause types:
- Chlamydia trachomatis, which is often found concurrently with gonococcal urethritis.
- Trichomonas vaginalis, which is a tiny parasite transmitted through sexual activity.
- Herpes simplex, which is caused by a virus and is also a .
- , which can spread from the vagina to the urethra.
- E. coli, which is found in feces and can easily spread from the rectum to the urethra.
Least common cause types:
- Irritants to the outside of the urethra:
- Hormonal changes due to the normal variation in a woman's estrogen cycles each month. At some points, the lining of the urethra is thinner and therefore more susceptible to irritation and/or infection.
- Use of a urinary catheter, which may cause irritation or injury to the urethra and therefore allow bacteria to get through the mucus membranes.
- are bulging pouches, or pockets, that form along the outside of the urethra. These pouches become filled with urine but do not drain properly, sometimes allowing bacteria to grow and causing symptoms of urethritis.
This list does not constitute medical advice and may not accurately represent what you have.
Chlamydia trachomatis is a type of bacteria best known for causing the sexually transmitted infection known simply as chlamydia. It is among the most common sexually transmitted diseases (STDs), with more than a million cases reported each year in the U.S. alone.
However, the sy...
Disseminated gonococcal infection
Disseminated gonococcal infection (DGI) is an infection from a sexually transmitted bacteria known as Neisseria gonorrhoeae. It spreads to distant parts of the body beyond the original portal of entry and usually manifest by rash and arthritis.
Rarity: Ultra rare
Top Symptoms: fatigue, joint pain, fever, chills, moderate fever
Urgency: Primary care doctor
Normal case of vaginal discharge
It is perfectly normal for every woman to have a clear or thin white vaginal discharge which is more or less constant.
The body protects the vaginal tissues by producing this light mucus from glands in the cervix and in the vaginal walls. This keeps the tissues lubricated so that they do not dry out and become irritated, and keeps the tissues slightly acidic because that helps to kill off any harmful germs.
The discharge is also a cleaning mechanism, clearing away any dead cells or bacteria as it moves out of the vagina. Douching is not necessary for normal discharge.
Vaginal discharge may change at different stages of life. During pregnancy, it becomes white and milky in appearance.
During and after menopause, the discharge lessens due to the drop in estrogen levels. If the dryness causes irritation or difficulty with sexual activity, a gynecologist can recommend an appropriate remedy.
Normal vaginal discharge never causes itching or has a foul smell, and is never any color other than clear or white.
Top Symptoms: vaginal discharge, mild vaginal discharge, white/gray vaginal discharge, clear vaginal discharge, severe vaginal discharge
Symptoms that always occur with normal case of vaginal discharge: vaginal discharge
Symptoms that never occur with normal case of vaginal discharge: vaginal itch or burning, painful urination, severe vaginal discharge, vaginal pain, abdominal pain (stomach ache), bleeding after sex, missed period, vulvovaginal odor
Urgency: Wait and watch
Symptoms of menopause
Menopause is the name for the natural process by which the menstrual cycle (period) stops happening in a woman. Usually, the process is gradual (takes months or years) and occurs from the age of 45 to 55 years. Menopause is officially diagnosed once a woman stops having a period for 12 months continuously. A woman with menopause will notice a decrease in the number and regularity of her periods until they completely stop. In addition, she may notice a number of symptoms that occur as a result of decreased estrogen levels, such as hot flashes, changes in mood, sleep problems, vaginal dryness, changes in libido, and changes in sexual function. Certain medications exist that can decrease these symptoms.
Top Symptoms: fatigue, delay in or irregular periods, vaginal discharge, anxiety, trouble sleeping
Symptoms that always occur with symptoms of menopause: delay in or irregular periods
Pelvic inflammatory disease
Pelvic inflammatory disease, or PID, is the general term for a bacterial infection of a woman's reproductive organs.
PID is most often a complication of a sexually transmitted disease (STD) such as gonorrhea or chlamydia. However, it is possible to get PID from other causes.
Any woman can be affected. It is most often found in sexually active women under age 25, especially those who have had PID before, have multiple partners, and/or douche frequently.
Symptoms include fever, lower abdominal pain, foul-smelling vaginal discharge, pain and/or bleeding during sex, and pain on urination.
Untreated PID can cause infertility due to damaged tissue in the reproductive tract, as well as chronic pelvic and abdominal pain. Unprotected sex partners will be infected as well.
Diagnosis is made through symptoms, pelvic examination, vaginal and cervical swabs, and urine tests.
Treatment is with a course of antibiotics. Be sure to finish all of the medication as directed, even when you begin feeling better.
To prevent PID, have all partners (male or female) tested for STDs and avoid unprotected sexual contact.
Top Symptoms: fever, abdominal pain or unusual vaginal discharge, vaginal discharge, nausea or vomiting, vaginal bleeding, pelvis pain
Symptoms that always occur with pelvic inflammatory disease: fever, abdominal pain or unusual vaginal discharge
Urgency: In-person visit
Atrophic vaginitis is a common condition that may affect up to 47% of postmenopausal women. It occurs due to low levels of estrogen which can be caused by menopause, medical treatments, and hormonal conditions, among other things.
Symptoms of atrophic vaginitis include vaginal dry...
Bacterial vaginosis is an inflammation of the vagina due to overgrowth of the bacteria which are normally present.
It is not considered an STD (sexually transmitted disease) but nearly all cases are found in women after unprotected sexual contact, especially with multiple partners. Frequent douching is also a factor.
Male partners do not carry this condition, but it can spread between female partners.
Common symptoms include an itchy, foul-smelling discharge that may look grayish or greenish, as well as burning during urination. However, some women have no symptoms.
The greatest risks of bacterial vaginosis are secondary. The symptoms can be similar to actual STDs and so should not be ignored. This condition makes a woman more vulnerable to actual STDs, as well as to pelvic inflammatory disease and to infections following any gynecologic surgery.
Pregnant women with bacterial vaginosis are at risk for premature or low-birth-weight babies.
Diagnosis is made through symptoms, and/or pelvic exam and vaginal swab.
Treatment consists of oral medication, and sometimes a cream or gel that is inserted into the vagina.
Top Symptoms: vaginal itch or burning, vulvovaginal odor, bloody vaginal discharge, white/gray vaginal discharge, thick vaginal discharge
Urgency: Primary care doctor
Yeast infections are due to alterations in the balance of microscopic organisms in the vulvar and vaginal regions. The term "yeast infection" is most commonly used to describe symptoms caused by the fungus Candida albicans.
Symptoms include itching of the vaginal and vulva, burning, redness...
Treatments for urethral discharge, pain, or burning
Seek immediate treatment in the emergency room or call 911 if:
- You have severe and intractable pain in the lower abdomen and/or urethral area, especially if accompanied by fever.
Schedule an appointment for:
In addition to those listed above for urethritis, these symptoms include:
Urethral discharge remedies that you can try at home:
Questions your doctor may ask about female urethral discharge
- Are you sexually active?
- Do you feel pain when you urinate?
- When was your last menstrual period?
- What color is the discharge?
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- Sexually Transmitted Infections (STIs). SUNY Geneseo. .
- Elia G, Bergman A. Estrogen Effects on the Urethra: Beneficial Effects in Women with Genuine Stress Incontinence. Obstetrical & Gynecological Survey. 1993;48(7):509-517. .
- What is Urethral Diverticulum? Urology Care Foundation. .
- Vaginitis. The Permanente Medical Group: My Doctor Online. .
- Acute Urethral Syndrome in Women. British Medical Journal. 1981;282(6257):3-5. .
- Non-Gonococcal Urethritis: Symptoms. NHS. Published June 1, 2017. .
- Non-Gonococcal Urethritis (NGU). Illinois Department of Public Health.