If a woman has painful urination with bleeding, it is recommended to go to the hospital for relevant tests to clarify the possible causes. 1. Acute infections of the urinary system, such as acute cystitis and urethritis, can cause painful urination with bleeding, and can be accompanied by an obvious feeling of incomplete urination or lumbago, fever and other symptoms, which need to be further clarified by urine tests. 2. It is often seen in post-menopausal women, and can be accompanied by obstruction of the urinary tract. This is due to the prolapse of the mucous membrane and the formation of a meatus, and in severe cases it can even be accompanied by urinary retention. In severe cases, the patient may even have urinary retention, and relevant tests, such as urethroscopy or physical examination, are needed to further confirm the diagnosis. 3. If the stone rubs against the urinary tract and mucous membrane and causes bleeding, or causes ureteral spasm or urethral irritation, it can cause painful urination, and ultrasound or CT examination of the urinary system is needed to further confirm the diagnosis.