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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does pre menopause cause urine to smell offensive?

I am 46 years old and had a partial hysterectomy at 33 years. I have had 6 pelvic surgeries after the birth of my only child. Currently I am on 200 mg bio identical HRT Progestrone and are taking 100mg of DIM to remove oestrogen dominance. I am on 20 mg of Prozac and take magnesium Malate Chelate and Vitamin B complex( to help with fibromyalgia). I am going through perimenopause and have noticed over the last few months that my urine smell has changed from occasionally a sweet smell to now a consistent foul stench. Is this perimenopause or Prozac? I am in no pain, although I have had bladder problems for many years due to adhesions and position of bladder from prolapsed and surgery. Why does my urine smell horrendous and offensive?
Fri, 26 Apr 2019
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OBGYN 's  Response
Hello,

Premenopause is not associated with a change in the smell of urine. This can happen due to decreased fluid intake. A urine infection also needs to be ruled out if it is persistent.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Rakhi Tayal, OBGYN
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