The reason for women’s painful urination with blood may have urinary tract stones, urinary tract infection, menstruation and so on. 1. urinary stones: urinary stones can cause painful urination with blood, generally located in the ureter bladder section of the urinary tract stones easily accompanied by urinary pain, at the same time, due to stone damage to the mucous membrane of the urinary tract will also produce hematuria, usually microscopic hematuria, a few patients can be seen in the naked eye hematuria. 2. Urinary tract infection: a common disease in women, usually sudden onset, with obvious urinary frequency, urgency and pain, severe urination once every few minutes. Patients often have urethral stinging and burning sensation, and even dare not urinate. The patient often has a tingling and burning sensation in the urethra, and is even afraid to urinate. 3. Menstrual causes: menstrual period of women may be mixed with menstrual blood in the urine mistaken for blood in the urine, and at the same time because of menstrual pain brought about by menstrual pain and painful urination. If you have painful urination and hematuria, you should go to the hospital as soon as possible, and the doctor will make an individualized plan to avoid delaying the condition.