Painful urination in pregnancy

If you have a painful or burning sensation when you wee (urinate), you may have a urinary tract infection (UTI)

Maternity care is still essential during the coronavirus pandemic and services are still running. If you have any concerns about your pregnancy call your GP, midwife, nearest early pregnancy unit or maternity unit.

Pregnant women can be more likely to get UTIs because of the changes the body goes through. 

What are the signs of a urinary tract infection?

Symptoms of a UTI include:

  • discomfort in the lowest part of your stomach (pelvis)
  • back pain
  • loin pain (your sides between the lower ribs and pelvis, and the lower part of the back)
  • needing to wee a lot or an uncontrollable need to wee
  • cloudy, foul-smelling (fishy) or bloody wee
  • a raised temperature (over 37.5°C)
  • feeling sick (nausea) and vomiting.

What should I do if I have a urinary tract infection?

If you get a UTI in pregnancy, it is not an emergency, but it should be treated as soon as possible with antibiotics that are safe to use in pregnancy. This includes if you have a very common UTI, such as cystitis. Normally, you may not see your GP if you have cystitis, as mild cases often get better without treatment. However, if you are pregnant it’s important to get treatment to prevent the infection from spreading to the kidneys. UTI infections can also induce premature labour if left untreated.

Your GP will ask for a sample of your wee so that it can be tested to make sure that you are put on the correct antibiotic. Find out more about drugs and medications in pregnancy




NHS Choices Urinary tract infections (Page last reviewed: 12/12/2017 Next review due: 12/12/2020)

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    Last reviewed on September 28th, 2018. Next review date September 28th, 2021.

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    Please note that these comments are monitored but not answered by Tommy’s. Please call your GP or maternity unit if you have concerns about your health or your baby’s health.
    • By nisha (not verified) on 13 Oct 2018 - 18:35

      Every 5-10 mins I'm wanting to wee. And when I wee I'm having a slight pain in abdomen, and only a tiny tickle comes out which hurts me.. And I'm having constipation also..

    • By Midwife @Tommys on 15 Oct 2018 - 16:46

      Make sure that you are drinking plenty of water to dilute your wee and see your doctor as soon as you are able. I assume you are pregnant and we treat urinary tract infections with antibiotics in pregnancy.

    • By Jasmine puca (not verified) on 3 Sep 2018 - 20:09

      Hi. Im weeing normal and im 24 weeks pregnant since 3 days ago i have pain on my bladder and when i am weeing i am having burning pains but no blood or anything has happened what shall i do?

    • By Midwife @Tommys on 10 Sep 2018 - 16:49

      Hi You should go to see your doctor who may consider a course of anti-biotics if you have a Urinary tract infection (UTI). Try to drink plenty of clear fluids and make sure that your pee is not too concentrated. It may also be sensible to avoid intercourse until your symptoms have resolved. You can't pass a UTI to your partner but it is likely to make sex uncomfortable or even painful.

    • By Rebecca (not verified) on 11 Aug 2018 - 09:00

      I think I may have a UTI I’m getting to the point I’m bursting for a wee but only a tiny trickle comes out and it really hurts but I still feel I need a wee then 10mins or so later I try again and I end up having a full proper wee I’m 30weeks pregnant is this normal? Would I ring my doctor or maternity unit (today is Saturday)

    • By Midwife @Tommys on 13 Aug 2018 - 16:52

      Hi Rebecca, I hope you are more comfortable now. Make sure that you are drinking plenty of water so that your wee is well diluted. If you think you may have a UTI please see your doctor who will most likely take a urine sample for analysis. However, at 30 weeks this can happen if the baby is sitting on your bladder. This may be why you were able to empty properly after you walked around. Discuss with your midwife if it doesn't improve. Take care

    • By Blessing (not verified) on 21 Jun 2018 - 17:34

      pls,is it safe to take nitrofutoin?

    • By Midwife @Tommys on 22 Jun 2018 - 15:25

      HI Blessing,
      Yes it is thought to be safe to take in pregnancy however it should be prescribed for you by a doctor.
      Best wishes
      Tommy's midwife

    • By Parameshwari (not verified) on 6 Feb 2018 - 13:09

      I am carrying 20weeks pregnancy, i am having burning urination since 2days,& constipation.
      Plz reply me soon.

    • By Midwife @Tommys on 7 Feb 2018 - 11:57

      Hi Parameshwari,
      It sounds as if you have an urinary tract infection. Please get an urgent appointment with your GP/Midwife. They will need to dipstick your urine, send it off for testing and start you on oral antibiotics to treat the infection as soon as possible.
      Constipation is very common in pregnancy. Try to drink at least 2 litres of water a day, eating 5 portions of fruit and veg in a day, ideally leafy, green vegetables as they contain ingredients that will help to keep your stools moving. You can also go to your local chemist and ask for stool softeners which are safe to take in pregnancy too. All of these will help you become less constipated.
      Please feel free to call us on 0800 0147800
      All the best
      Sophie,Tommy's Midwife

    • By Midwife @Tommys on 28 Nov 2017 - 09:20

      Thank you for your comment.
      Please see your GP if you are concerned about any pain or symptoms- vaginal infection can cause pain or there may be other causes that may need treatment

      Take care
      Tommy's Midwife

    • By Refiloe velela (not verified) on 26 Nov 2017 - 05:17

      Vaginal infection courses pain under stomach

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