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Blood in the urine can be shocking—or so subtle you’re told it’s “nothing.” But even tiny amounts of blood matter. Your urinary tract is sending signals that deserve attention. In this video, Dr. Mia Duncan, urologist and urogynecologist, walks you through what blood in the urine actually means, the different types (visible and microscopic), common pitfalls that lead to missed diagnoses, and what should happen next. You’ll learn: The difference between visible and microscopic blood in the urine Why even a small amount of blood deserves attention How urine dipstick tests can mislead—and which test confirms the truth Why women can be reassured incorrectly—and what can be missed (spoiler–post menopausal bleeding can masquerade as blood in the urine) What a proper urologic evaluation usually includes This video applies to everyone, but includes female-specific insights that are often overlooked in clinical care. If you’ve ever been told you had “a little blood,” if your symptoms were attributed to UTIs or overactive bladder, or if you felt dismissed without clear answers—this video is for you. Blood in the urine should never be minimized. Both microscopic and visible blood matter. 🔗 American Urological Association (AUA) 2025 Guidelines on Microhematuria: https://www.auanet.org/guidelines-and... 👉 Subscribe to The Vaginal Channel (VTV) for evidence-based, no-nonsense education on pelvic and bladder health. Chapters: 00:00 – Welcome + Why This Matters Blood in the urine is scary, applies to everyone, and deserves attention 00:32 – What Is Hematuria? (Gross vs Microscopic) Visible blood vs blood you can’t see 00:58 – Why Blood in Urine Feels Traumatic On-call experiences and why people panic 01:13 – Why a Small Amount of Blood Looks Dramatic Food coloring demonstration: color ≠ severity 01:32 – Any Blood in the Urine Deserves Attention Why even microscopic blood matters 01:45 – Common Causes (UTIs, Stones) — and Why That’s Not the End Blood can have a reason and still need follow-up 02:13 – Blood With No Clear Cause (Asymptomatic Hematuria) Why unexplained blood is taken seriously 02:42 – When Urine Looks Like Blood but Isn’t Foods, medications, liver disease, kidney inflammation 03:45 – Microscopic Hematuria: Where People Get Misled Why this type is trickier 04:00 – The Dipstick Problem (False Positives) Why dipsticks overcall blood 04:45 – The Test That Confirms the Truth (Microscopy) What ≥3 RBCs per HPF means 05:15 – When a Urologic Evaluation Is Needed When blood should trigger next steps 05:28 – How Blood in the Urine Is Worked Up Imaging + cystoscopy explained 05:45 – Newer Guidelines: Urinary Markers (2025) How markers may help stratify risk 06:13 – Common Myths About Blood in the Urine Blood thinners and dehydration 06:45 – Women-Specific Pitfall: Post-menopausal Bleeding vs Urinary Blood Why this can lead to missed diagnoses 07:30 – Bottom Line: Don’t Minimize Blood in the Urine Advocacy, follow-up, and when to see urology 07:45 – Closing + Subscribe #BloodInTheUrine #Hematuria #BladderHealth #Urology #PelvicHealth #WomensHealth #BladderCancerAwareness #PostMenopausalBleeding #MedicalEducation #DoctorExplains #TheVaginalChannel