Why is a woman that not pregnant urinating blood and clots?

There can be several reasons for a woman to experience blood in her urine (hematuria) with or without blood clots despite not being pregnant. These symptoms should always be evaluated by a healthcare professional, especially if they are persistent or accompanied by other symptoms. Some possible causes include:

1. Urinary Tract Infection (UTI): A UTI is a bacterial infection that affects any part of the urinary system, including the bladder, kidneys, ureters, and urethra. UTIs commonly cause symptoms such as frequent urination, pain or burning sensation during urination, and sometimes the presence of blood in the urine.

2. Kidney Stones: Kidney stones are solid masses of minerals and salts that form in the kidneys. When these stones move through the urinary tract, they can cause pain (commonly referred to as renal colic), and may result in blood in the urine.

3. Endometriosis: In women with endometriosis, tissue similar to the lining of the uterus (endometrium) is found outside the uterus, such as in the pelvic cavity or other organs. During menstrual periods or at other times, the endometrial tissue may shed and break down, leading to symptoms including pelvic pain, abnormal uterine bleeding, and sometimes blood in the urine.

4. Urethral Trauma or Injury: Injury or trauma to the urethra, the tube through which urine passes from the bladder to the outside of the body, can lead to bleeding and the presence of blood in the urine. This may occur as a result of certain medical procedures or other types of trauma.

5. Polycystic Kidney Disease (PKD): PKD is an inherited condition characterized by multiple cysts in the kidneys. As these cysts enlarge, they can compress and obstruct the kidney's normal structures, leading to complications including blood in the urine.

6. Certain Medications and Substance Use: Some medications, such as certain antibiotics or blood thinners, have the potential to cause side effects like blood in urine or bruising. Additionally, excessive use of drugs or recreational substances can harm the kidneys or urinary system, resulting in blood in urine.

It's essential for any woman experiencing blood in her urine to seek proper medical attention for an accurate diagnosis and appropriate treatment. The healthcare professional will take into consideration the individual's medical history, perform any necessary tests or imaging studies, and may recommend further management based on the underlying cause.