In clinical practice, we often see women who come to the clinic with frequent and urgent urination. Patients vary greatly in age, lifestyle, occupation, etc., but the symptoms are surprisingly consistent and affect their lives very seriously. Some patients have been to the hospital many times and have spent a lot of money, but have not been cured. Some patients have seen all the medical, surgical, gynecological and Chinese medicine departments, and finally they don’t know which one to go to. What is the problem of frequent urination in women? What should I do? Frequent and urgent urination are the most common urological symptoms in women and fall under the umbrella of urology. Many urological diseases can cause these symptoms. To solve the problem, we also need to talk about the analysis of the cause of the disease. 1, to consider the most common cause – urinary tract infection. According to statistics, in a woman’s lifetime, she will suffer from at least one urinary tract infection. Of course this is an average figure, there may be some people who have not suffered once, and some people have suffered many times. Women are particularly vulnerable to infections due to their anatomy and physiology. In normal people, there is bacterial parasitism in and around the urethra, but because the mucous membrane of the urinary tract has the ability to resist bacterial attack and is constantly flushed with urine, it is less likely to cause disease. In women, the short and wide anterior urethra, combined with menstruation, sexual intercourse and pregnancy, makes it easy for bacteria to invade. Various medical interventions in the urethra (such as catheterization, cystoscopy), as well as various chronic diseases (such as diabetes, glomerulonephritis) are also important factors that make it easy for bacteria to invade the urinary tract and cause disease. 2, in the examination of urinary tract infections, routine urine examination is the simplest and most convenient means of examination. Generally speaking, in urinary tract infections, especially acute infections, leukocytosis is the most common manifestation. There are no white blood cells in the urine of a normal person, and if there are more than five white blood cells under the microscope, you can basically be sure that it is an infection. Although urine routine can know what is an infection, but not what pathogenic infection, if necessary, urine culture test can be performed. If you know what germs are messing up, you can treat them in a more targeted manner. 3, after ruling out urinary tract infections, frequent urinary urgency should be considered some other problems. You should know that many urinary system diseases, such as bladder stones, bladder tuberculosis, interstitial cystitis, and bladder tumors can cause frequent and urgent urination symptoms. Although these conditions are relatively uncommon, they are obviously more harmful. Ultrasound is simple, non-invasive and can easily detect serious lesions and is the preferred method of examination. Cystoscopy is an invasive examination, but can clearly see the full length of the bladder and urethra and can grab a biopsy of the suspected lesion and is a further examination method. With advances in imaging technology, CT examinations and reconstruction techniques have been able to replace traditional methods such as imaging, allowing clear scanning of the entire urinary system. Through these examination means, most of the diseases can be correctly diagnosed. 4. If all the tests do not reveal any problems and the symptoms are very severe, it is necessary to consider the condition of “overactive bladder (OAB)”, a new term that appeared in 2002, which refers to a group of clinical symptoms with the main manifestations of urinary frequency, urgency and urge incontinence, the causes of which are complex and may be It can be caused by an elevated excitability of the bladder (i.e., an over-sensitive bladder). Urodynamic examination can clarify the sensory and motor capacity of the bladder and clarify the presence of neurogenic problems, which is helpful in the diagnosis of OAB. OAB occurs mostly in middle-aged and older women, and should be considered in women of this age after other diseases have been excluded. Once the cause of frequent and urgent urination is clarified, treatment can be administered with a purpose. Treatment can be divided into two categories, one is etiological treatment and the other is symptomatic treatment. Among the etiological treatments, urinary tract infections should be treated with antibiotics and attention to rest and local hygiene, which are usually very effective. Urological tuberculosis should be treated with anti-tuberculosis. Bladder stones or tumors should be operated. oAB treatment can be done with functional bladder training under the guidance of a medical professional. In symptomatic treatment, some drugs such as oral cholinergic receptor blockers can be taken, which can receive immediate effect. However, these drugs can have some side effects and even cause urinary retention. They must be taken under the guidance of a urologist and should not be taken alone. In conclusion, women with urinary frequency and urgency should visit a urologist and be treated under the guidance of a specialist in order to receive good results.