Causes of white tissue in urine of female

White Stuff Floating in Urine
Medically reviewed by Dr. Devindra Bhatt

Overview

White particles in urine can be concerning if not addressed on time. The reasons can be harmful, like infections, or normal, like pregnancy. Also, the nature of causes can vary between males and females. From something as alarming as kidney stones to something less worrying, like ovulation or pregnancy, white stuff floating in your urine can appear. Typical urine is faint yellow and free of specks. However, a few conditions, such as pregnancy, infections, and kidney stones, can cause white particles in the urine or make it cloudy. This article shows what causes white particles in urine and when to talk with a doctor.

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What are the causes of white stringy stuff in urine?

White particles in urine can indicate various underlying conditions, ranging from benign to potentially serious. There are various common causes of white stuff floating in urine, such as urinary tract infections (UTIs), STIs, prostatitis, retrograde ejaculation, bacterial vaginosis, kidney stones, or yeast infections. 

Urinary Tract Infections (UTIs)

Urinary tract infections (UTIs) are a typical cause of white particles in the urine. UTIs occur when bacteria enter the urethra and travel to the bladder, kidneys, or ureters, where they multiply and cause infection. Other microbes like fungi, parasites, or viruses entering the urinary tract can also lead to UTIs.

Treatment

  • Prescription medication: Antibiotics, such as Bactrim, amoxicillin, or doxycycline, are commonly prescribed to treat bacterial UTIs. The type and duration of treatment depend on the severity and specific bacteria causing the infection. 
  • Over-the-counter (OTC) medications: Pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort associated with UTI symptoms.

If symptoms worsen, including fever, nausea, vomiting, or severe back pain, immediate medical attention is necessary. The infection may have spread to the kidneys, requiring IV antibiotics.

Sexually transmitted illnesses (STIs)

Sexually transmitted infections (STIs) are infections passed through vaginal, anal, or oral sexual contact. Several STIs, including trichomoniasis, chlamydia, and gonorrhea, can cause changes in urine appearance, such as white particles or cloudy urine.

Treatment

  • Prescription medication: Antibiotics are typically prescribed to treat bacterial STIs like chlamydia and gonorrhea and parasitic infections like trichomoniasis. The specific medication and duration of treatment will depend on the type of STI diagnosed.
  • Over-the-counter (OTC) medications: Over-the-counter pain relievers may help alleviate discomfort associated with STI symptoms, but a healthcare professional should guide treatment.

If you suspect you have been exposed to an STI or notice changes in your urine, it is crucial to seek medical attention promptly. Refrain from sexual contact until you have received a diagnosis and completed any necessary treatment to prevent further transmission.

Prostatitis

Prostatitis refers to inflammation of the prostate gland, often caused by a bacterial infection. This inflammation can lead to urethral discharge that mixes with urine, giving it a cloudy appearance with white spots.

Treatment

  • Prescription medication: Antibiotics are the primary treatment for bacterial prostatitis. Your doctor will prescribe antibiotics based on the specific bacteria causing the infection and may recommend a course lasting two to four weeks.
  • Over-the-counter (OTC) medications: Pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort associated with prostatitis symptoms, such as pain and fever.

If you experience symptoms like painful urination, lower abdominal pain, or changes in urine appearance, consult your doctor for diagnosis and appropriate treatment. Proper management of prostatitis is crucial to prevent complications and improve overall prostate health.

Dr. Patricia Varacallo says,

“White particles in your urine can be pus or prostatic fluid caused by Prostatitis. Consult a doctor whether it is bacterial prostatitis treated with antibiotics or other chronic causes.”

Are you concerned about white stuff in your urine?

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Retrograde ejaculation

Retrograde ejaculation occurs when the muscle or sphincter that normally keeps semen from entering the bladder does not function properly. This condition causes semen to flow into the bladder instead of exiting through the penis during ejaculation. When you urinate after ejaculation, you may notice semen in your urine, appearing as white particles.

Treatment

  • Prescription medication: Medications may be prescribed to help prevent retrograde ejaculation by improving the closure of the internal urethral sphincter during ejaculation.
  • Infertility treatment: In cases where retrograde ejaculation affects fertility, couples may require infertility treatments to achieve conception. This can include techniques to collect sperm from the bladder for assisted reproduction.

If you experience retrograde ejaculation or notice changes in your urine after ejaculation, consult your doctor for evaluation and appropriate management. Understanding and addressing the underlying cause are essential for maintaining reproductive health and fertility.

Bladder or kidney stones

Bladder or kidney stones develop when uric acid or calcium oxalate accumulates in the urinary tract and crystallizes. These hardened formations can vary in size, from tiny particles that may pass unnoticed in urine to larger stones that cause significant pain and discomfort.

Symptoms

  • Urinary changes: Small kidney stones can appear as small white particles in the urine when passed.
  • Pain and discomfort: Kidney stones often cause intense pain in the abdomen, lower back, and groin. Other symptoms include burning sensations during urination, cloudy or bloody urine, and the frequent urge to urinate.
  • Additional symptoms: Nausea, vomiting, fever, and chills may accompany kidney stone episodes.

Treatment

  • Pain management: Over-the-counter pain relievers such as ibuprofen can help manage pain associated with passing small kidney stones.
  • Medical procedures: Medical interventions like lithotripsy (breaking up stones with shock waves) or surgical removal may be necessary for larger stones.

If you suspect kidney stones or experience symptoms such as severe pain and unusual changes in urine appearance, seek immediate medical attention. 

Unusual white particles in urine could be due to kidney stones, infections, or other health concerns.

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Female-centered causes of white stuff in urine

Due to differences in the urinary tract of males and females, here are some causes centered around females only: 

Pregnancy

During pregnancy, hormonal changes can lead to increased vaginal discharge, which may mix with urine as it leaves the body, appearing as white particles in the urine.

Treatment

  • Monitoring: White particles in urine during pregnancy are often due to normal vaginal discharge (leukorrhea). It’s essential to monitor any discharge colour or consistency changes and report them to your doctor.
  • Consultation: If discharge is accompanied by itching or burning or appears abnormal (such as pink or darker), it could indicate an infection. Timely consultation with a healthcare provider is necessary for proper evaluation and treatment.

Pregnant individuals experiencing changes in urine appearance or vaginal discharge should maintain regular prenatal care visits to monitor their health and ensure any potential issues are addressed early on.

Ovulation

During ovulation, individuals with vaginas may experience changes in cervical mucus production. This mucus, which can have a milky or creamy texture, may appear as a stringy white substance in the urine.

Treatment

  • Monitoring: Changes in cervical mucus during ovulation are normal and typically do not require specific treatment. It’s essential to track your menstrual cycle and monitor any unusual changes in discharge.
  • Consultation: If cervical mucus discharge is accompanied by foul odor, blood, or unusual color (such as green), it may indicate an infection or other underlying issue. Contact your doctor for evaluation and appropriate management.

Understanding the natural changes in cervical mucus during ovulation helps individuals track their fertility and overall reproductive health. If you have concerns about changes in discharge or urine appearance during ovulation, seek medical advice for personalized guidance.

Bacterial Vaginosis

Bacterial vaginosis is a vaginal inflammation caused by an imbalance of naturally occurring bacteria. This condition can lead to symptoms such as a fishy odor, itching, and a burning sensation while urinating. Some individuals may also notice a thin, grayish-white discharge that can mix with urine, causing white particles to appear.

Treatment

  • Prescription medication: Treatment for bacterial vaginosis may include oral antibiotics to restore the balance of bacteria in the vagina.
  • Topical treatments: Topical antibiotics, such as gels or creams inserted into the vagina, may also be prescribed to alleviate symptoms and clear the infection.

If you experience symptoms of bacterial vaginosis or notice changes in vaginal discharge or urine appearance, it’s essential to consult your healthcare provider for evaluation and appropriate treatment. 

Yeast infections

Yeast infections, particularly vaginal yeast infections caused by Candida albicans, can lead to white particles in urine. These infections often produce a thick, chunky discharge that resembles cottage cheese. When this discharge mixes with urine, it can appear as white particles.

Symptoms

  • Discharge: Thick, odorless discharge that may look like cottage cheese.
  • Urinary symptoms: White bits in urine due to discharge blending in.
  • Other symptoms: Redness, swelling around the vagina, itching, soreness, pain or burning sensation while urinating, and discomfort during sex.

Treatment

  • Antifungal therapy: Over-the-counter antifungal creams, suppositories, or ointments can effectively treat mild yeast infections.
  • Prescription medication: Sometimes, a doctor may prescribe oral antifungal medications such as fluconazole (Diflucan) for more severe infections.

If you suspect a yeast infection or experience symptoms like unusual discharge or discomfort, it’s essential to consult a healthcare provider. Timely treatment can help alleviate symptoms and prevent complications.

Each cause of white particles in urine presents unique challenges and treatment options. Consult a healthcare professional for personalized advice and care if you have concerns about your urinary symptoms.

When should I see a doctor?

If you notice white particles in your urine, particularly accompanied by symptoms like itching, pain, or unusual discharge, it’s advisable to consult a doctor. While some causes, such as pregnancy or ovulation, are normal and require no treatment, additional symptoms could indicate an underlying condition or infection that needs immediate attention. Seeking a proper diagnosis and treatment early can help prevent potential complications. If you suspect an STI or any other infection, contact your healthcare provider promptly for testing and appropriate treatment.

FAQs about white stuff floating in urine

What are the white particles in urine with interstitial cystitis?

The white particles in urine with interstitial cystitis are likely tiny pieces of your bladder wall. This can indicate your body’s response to inflammation or infection. Seeing these particles may coincide with worsening symptoms.

Can you have white cells in urine without infection?

White blood cells can be present in urine without a bacterial infection. This condition, known as sterile pyuria, involves white blood cells in the urine despite the absence of bacteria. Proper diagnosis is crucial for determining the appropriate treatment.

What do fat cells look like in urine?

Fat cells in urine, known as fat bodies, may appear with barely visible nuclei and can be accompanied by free fat droplets. Finding oval fat bodies or fat globules in urine is unusual and may indicate a serious health condition.

What indicates a urine infection on a dipstick?

A urine dipstick test positive for leukocyte esterase indicates pyuria, an increased presence of white blood cells. This finding suggests a urinary tract infection (UTI), such as cystitis or urethritis, commonly causes pyuria.

Can dehydration cause white particles in urine?

A urine dipstick test positive for leukocyte esterase indicates pyuria, an increased presence of white blood cells. This finding suggests a urinary tract infection (UTI), such as cystitis or urethritis, commonly causes pyuria.

Your Doctors Online uses high-quality and trustworthy sources to ensure content accuracy and reliability. We rely on peer-reviewed studies, academic research institutions and medical associations to provide up-to-date and evidence-based information to the users.

  • Li, Wei, et al. Diseases of the kidney & bladder: diagnosis & treatment with Chinese medicine. Blue Poppy Enterprises, Inc., 2006.
  • https://dhanbadurologist.com/white-particles-in-urine-and-cuses/

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