Urinalysis is an informative way to diagnose diseases. To pass it in the morning, when the urine is the most concentrated.
The method has no contraindications, but not every woman knows how to pass urine during menstruation. The fact is that the vagina and urethra are located very close to each other. Taking a sample without any impurities on critical days is problematic, so patients are afraid if the doctor sends them to the laboratory during the menstrual period.
When the date of analysis coincides with the monthly, it is necessary to say this to the specialist. He will decide whether it is possible to postpone the diagnosis, either to schedule a retake of the test on a different date, or to select a treatment regimen, taking into account the physical examination and the collected history.
How menstruation affects urine analysis
The study of urine on critical days is fraught with a distortion of its physico-chemical composition and errors in diagnosis. Urine is a waste of the excretory system, and by its quality, laboratory technicians judge the proper functioning of the body.
Normally, the biological fluid is clear and has a straw yellow color and a characteristic odor. A change in shade may indicate the development of the disease. So, red urine signals kidney problems, dark as tea brewing - about liver and gallbladder dysfunctions.
The collection of biomaterial during menstruation violates transparency. Opacification is due to the presence in the secretions of erythrocytes and epithelium, detached with urine. If the study identifies urine as turbid, the doctor must prescribe an additional test to determine the cause of the sediment. The increased red blood cell count indicates possible diseases of the urogenital system, poisoning, infectious pathologies and other abnormalities.
Abundance of epithelium in the urine is considered as a sign of ill health. It is characteristic of jaundice, urolithiasis, intoxication, bladder ailments and chronic cystitis.
During the analysis, the laboratory assistant calculates the urine specific gravity. The indicator informs about the functional state of the kidneys. But it is impermanent and dependent on the food consumed and the hydrobalance of the body. The delivery of urine during menstruation increases its proportion and gives false information about the development of such serious diseases as:
- Nephrotic syndrome.
- Liver disorders.
- Heart failure.
Sterility of urine can be broken by bacteria emanating from the lower part of the urethra. Urine collection on menstruation days increases the risk of getting more bacteria and gives incorrect results. The presence of bacteria in the urine indicates an infection of the urogenital system. To reject suspicion will help retake analysis or bacteriological research.
In addition, bacteria in the biomaterial provoke an increase in the level of leukocytes. It warns of the development of an inflammatory process in the kidneys and urinary ducts.
Considering all of the above, it is better to wait until the menstrual periods pass and to pass urine for analysis later. In case of emergency, the biological fluid is collected in the clinic with a catheter. Accurate analysis will be because the forced urine is not in contact with the environment.
At the beginning of the menstrual cycle, it is undesirable to pass a urinalysis for Zimnitsky, for Nechiporenko, daily and general test. The presence of blood in the urine will mislead the doctor if he is not aware of the patient’s critical days.
- Evaluation of color and smell.
- Chemical examination of the most important components - leukocytes, erythrocytes, mucus, protein, endometrial particles and other substances.
- Microscopic examination - identifies bacteria, crystals and abnormal cells.
Rules for urine collection on menstruation days
If the doctor in the specific case answered positively to the question whether it is possible to take a urine test during menstruation, for example, the procedure cannot be postponed until a late term, the urine should be collected according to general rules. First you need to buy a special container in a pharmacy - a transparent container with a lid.
If a glass jar is used, it is pre-washed with soda and dried.
Preparation for the test is as follows:
- Collect urine in the morning (if at night there was a trip to the toilet “in a small way”, the time interval should be at least 4 hours).
- Food on the eve of a visit to the laboratory should not have an intense color. It is forbidden to eat beets, carrots, spinach. Coffee, alcohol, smoked meats, salty and spicy foods are also undesirable.
- Tablets before collecting urine is better not to take, because they distort the analysis. If you can not interrupt the medication, you must notify the doctor about it.
- To hand over a portion of urine within 2 hours. Fresh urine gives complete information about the state of the body.
Consider how to pass urine during menstruation so that vaginal secretions do not contaminate the biological material. The scheme of work is as follows:
- Wash your hands thoroughly with soap.
- Rinse with warm water without cosmetics. Drain the crotch with a tissue and insert a tampon into the vagina.
- Take in one hand capacity, crouch over the toilet and dilute the labia to the side with the other hand. The first batch of urine should go to the toilet. Medium urine needs to be collected in a container and complete the process of urinating into the toilet. The rim of the vessel should not be in contact with the body - keep it remotely at a short distance.
- Take urine to the laboratory in the next 2 hours after collection (for some time the biomaterial can be held in a refrigerator at a temperature of +2 - 8 ° C). A jar of urine needs to be transferred to the technician as quickly as possible, since unstable components and sediments distort the quality of the sample and spoil the analysis.
According to all the rules, the urine analysis, even during periods, reflects the real picture of health. But if doubts remain, it is necessary to ask the doctor, after how much after menstruation, you can pass urine and re-diagnose. The new test is recommended to pass through 2 - 3 days from the date of the end of menstruation.
On the lid of the container be sure to write the name, date and type of analysis. The capacity of the container should be 50 ml, but it is not necessary to fill it to the top. For research it is enough to bring 10 ml of urine.
What other tests can be taken during menstruation
When there are periods, a specialist can suggest a woman to take a blood test for hormones. To obtain accurate information, the doctor selects a specific day of the cycle. Bleeding and smear do not affect the quality of the study and do not distort the actual data.
Blood tests for hormones are numerous. An important role in the female body is played by such hormones as:
- Luteinizing hormone.
- FSH - follicle-stimulating hormone.
The concentration of these hormones depends little on the progressing menses. Blood for hormones can be donated at any time, without changing plans and not waiting for the right day. A blood test on critical days can also be taken if an infection is suspected. The test, carried out in early terms, contributes to an accurate diagnosis and the development of adequate therapy.
General rules for collecting urine for analysis
Urine is a very significant biological material that allows you to diagnose various conditions of the patient, ranging from preventive measurements, and ending with serious diseases. The composition of urine is highly dependent on external and internal influences, so before collecting urine for analyzes, it is necessary to create natural conditions under which the state of your body will not be distorted by irrelevant factors.
To begin with, on the eve of the urine test, excessive physical exertion and alcohol ingestion should be abandoned. In addition, it is necessary to exclude from the diet products that can change the color characteristics of urine: beets, carrots, spinach. It is also undesirable to take vitamins and diuretics.
The purity of the genitals is decisive in collecting urine. Immediately before the procedure, you should wash out according to the female scheme: from the vagina to the anus, and then wash off the detergents thoroughly. Pay attention to the type of your soap - the use of disinfectants or antibacterial compounds is undesirable because it can distort the natural flora in case you need to pass urine culture. Also, given the feminine specifics, it is advisable to use a swab to prevent mucus from entering the urine.
As a container for collecting urine it is best to use special containers for analysis, which can be purchased at a pharmacy or laboratory. They meet the medical standards and guarantee you the safety of the composition of urine.
Depending on the type of analysis, the urine can be collected once or repeatedly, accumulating during the day. In any case, the rule of the middle portion remains unchanged, according to which the first and last jets are not collected.
Thus, the collection of material for the analysis of urine during menstruation is contrary to the general rules and does not provide a clean diagnosis. What prevents us from taking a urine test after menstruation?
The results of urine analysis during menstruation
Suppose for some reason you passed a urine test during your period. What results will this study lead to? Physical and chemical characteristics of urine will be distorted.
The urine of a healthy person has a straw yellow color and is stained with blood pigment derivatives. Its shade varies depending on the substances entering the body. As a result of urine analysis during menstruation, its color may become reddish, which is a symptom of glomerulonephritis. If the urine is colored in tone that is close to the color of strong black tea, then the doctor may have a reasonable suspicion of abnormalities in the liver and gall bladder.
Ideally, urine should be clear. If you take a urine test during your period, then it is likely that significant turbidity caused by the presence of red blood cells and epithelium will be detected. To determine the causes of turbidity, you can assign additional biochemical examination of the sediment.
The urine specific gravity indicator reflects the ability of the kidneys to concentrate or thin the urine. The proportion of urine varies considerably during the day, depending on the properties of food consumed and the body's water balance. Obviously, in the case of passing urine analysis during menstruation, this indicator will increase, and if it reaches a certain threshold value, then you can make one of the following diagnoses: nephrotic syndrome, heart failure, diabetes, liver failure.
In the urine of a healthy person about 2 million erythrocytes are released per day, which for women is equivalent to 3 erythrocytes in sight. An increased number of erythrocytes can signal urolithiasis, tumors of the genitourinary system, pyelonephritis, infectious diseases of the urogenital tract, kidney injury, hypertension, systemic lupus erythematosus, hemorrhagic diathesis, various types of poisoning (benzene derivatives, venomous fungi, hemorrhagic diathesis, various types of poisoning (benzene derivatives, adrenal glands, and hemorrhagic diathesis; The delivery of urine analysis during menstruation will necessarily lead to the identification of excess red blood cells.
Urine sediment normally should contain no more than 10 epithelial cells in the field of view. An increase in the number of epithelial cells is characteristic of intoxication, jaundices of various origins, chronic cystitis, feverish conditions, intolerance to anesthesia and drugs, urolithiasis, and cancer of the bladder. Menstrual flow contains a significant amount of uterine epithelium.
Urine of a healthy person is sterile. However, when urinating, bacteria from the lower part of the urethra enter it. Their allowable number is estimated 10 thousand pieces in 1 ml. If you take your urine during your period, the chance of bacteria getting into your urine increases significantly. Traces of excreted blood on linen, hygiene products and genitals literally accumulate various types of bacteria. Detection of bacteria in the results of the analysis is an alarming symptom that diagnoses infectious lesions of the urinary system (such as pyelonephritis, urethritis, cystitis, etc.). In this case, the doctor will require a re-analysis or prescribe additional bacteriological examination.
Bacteria often accompany the processes with an increase in the level of leukocytes. The female leukocyte rate permits from 0 to 5 per field of view. An increase in the number of leukocytes in the urine, as a rule, signals inflammatory processes in the kidneys and urinary tract. This is another version of the misdiagnosis, caused by the late delivery of urinalysis.
Looking back at the information above, we again ask ourselves the question: is it possible to take a urine test during menstruation? The answer is obvious: of course not. But what about emergency situations when analyzing the composition of urine during menstruation is necessary for health reasons? Such situations are resolved in the conditions of a medical institution, when urine is taken by the catheter directly from the bladder, and its contact with the environment is excluded.
Urinalysis after menstruation
In the light of the above, only after a monthly urinalysis allows to obtain reliable results. You must patiently wait for the complete cessation of any discharge and conscientiously follow the instructions.
What motivates a woman to take a urine test during menstruation? On the forums on the Internet you can find the most unexpected motivation. One woman is in a hurry to pass a urine test before the planned plastic surgery, the other is necessary to have a prophylactic medical examination on the eve of a long trip. They are strongly objected to the third, for whom the result of the urine test during menstruation showed the presence of syphilis! Fortunately, a false positive marker had nothing to do with reality, but were nerve shocks justified after receiving this kind of diagnosis? Take the urine after menstruation and be healthy!