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Abnormal vaginal discharge and painful urination: 5 reasons why it may happen

Vaginal discharge is a normal occurrence, but if you are noticing a sudden change in your discharge along with abdominal pain while urinating, it can be a cause of concern. This combination of symptoms may indicate an underlying issue that requires attention. Let’s find out what it is!
pH balane of vagina
Find out the causes of abnormal vaginal discharge and why it pains when you pee. Image courtesy: Adobe Stock
Dr Madhushree Vijayakumar Published: 30 May 2023, 19:33 pm IST
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Vaginal discharge is a common occurrence that keeps the vagina healthy in women. Normally, vaginal discharge appears as a white or clear fluid. However, when there are changes in colour, consistency and odour, it may indicate abnormal vaginal discharge. It is crucial to pay close attention to these changes, particularly if they are accompanied by abdominal pain during urination, as this could be a sign of a serious underlying condition. By recognising and addressing these symptoms, you can protect your reproductive health.

Abdominal pain and abnormal discharge while urinating

Abdominal cramps while urinating make excretion quite uncomfortable. It can be an indication of a urinary tract infection (UTI). When one experiences abdominal cramps while urinating, abnormal vaginal discharge, or a combination of both, it is advised to get medical help as soon as possible to avoid further problems that might arise due to this issue.

There can be several factors that might lead to abnormal vaginal discharge or pain in the abdomen during urination. Though one can only understand the cause after a medical checkup, for a general understanding of what causes abnormal vaginal discharge or pain in the abdomen during urination or what it might lead to, read on.

Here are the causes of vaginal discharge and abdominal pain while urinating:

1. Yeast infection

One of the most common reasons for abnormal vaginal discharge is a yeast infection. There is a natural balance of bacteria and yeast in the vagina, when this balance is disturbed, it can lead to yeast infection. The symptoms of this infection can be a burning sensation during urination and itching along with abnormal vaginal discharge which is thick and white in colour. The infection is treatable and is usually treated with antibiotics and anti-fungal medications. Talking to the doctor before taking any kind of medication is advised.

Vaginal swelling
Protect vaginal health from infections and inflammation. Image courtesy: Shutterstock

2. Bacterial vaginosis

As discussed above there is a balance of bacteria and yeast in the vagina, when there is an overgrowth of bacteria, it can lead to bacterial vaginosis. The symptom of this infection involves abnormal vaginal discharge which is greyish-white in colour and the discharge has a stinking smell to it. This infection is treated by the usage of antibiotics, which can be applied or orally.

3. Sexually transmitted infections

There are many STIs such as chlamydia and gonorrhea, that can lead to abnormal vaginal discharge and abdominal pain during urination. If you suspect you have caught an STI, make sure to seek immediate medical attention.

symptoms of sexually transmitted infection (STI)
STIs can affect both men and women. Image courtesy: Adobe Stock

4. Urinary tract infection

UTI is one of the most common reasons for abdominal pain during urination. UTI is a bacterial infection that affects the urinary tract in a woman, it can happen for many reasons such as sexual activity, hygiene and underlying medical conditions such as diabetes.

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5. Cervical cancer

This type of cancer affects the mouth of the uterus which is called the cervix. This is often detected with symptoms such as abnormal vaginal discharge and abdominal pain during urination along with pain in the pelvis. Early detection of the disease can help in its treatment avoiding further issues.

cervical cancer
Cervical cancer may cause painful urination. Image courtesy: Adobe Stock


Abnormal vaginal discharge and abdominal pain during urination can be a symptom of various factors, ranging from common infections to serious underlying conditions which may require immediate medical attention. One must consult a healthcare professional for accurate and appropriate treatment.

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About the Author

Dr. Madhushree Vijayakumar is a consultant obstetrician & gynaecologist at Motherhood Hospital, Bangalore. ...Read More

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