Burning when I pee

Burning with urination is most often a urinary tract infection (UTI) and is usually treatable with a short course of antibiotics — but it can also be an STI (chlamydia, gonorrhea, trichomoniasis), yeast infection, or prostatitis. A licensed provider can review symptoms online, order urinalysis or STI testing, and prescribe antibiotics (nitrofurantoin, TMP-SMX, fosfomycin) or antifungals when appropriate.

Also called: painful urination · stinging when peeing · dysuria · burning urination · urine burns · pee hurts · sharp pain when peeing · burning after sex

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

Seek urgent care or the ER if you have:

  • Symptoms that are sudden, severe, or rapidly worsening
  • High fever (over 103°F / 39.4°C) that doesn't respond to treatment
  • Chest pain, trouble breathing, fainting, or confusion
  • Signs of dehydration — dizziness, dark urine, unable to keep fluids down
  • Symptoms in someone who is pregnant, immunocompromised, or over 65

What burning when i pee could be

The most common causes a clinician considers. This isn't a diagnosis — it's the differential a provider works through with you.

Urinary tract infection (UTI)

Urinary tract infection (UTI) is one of the more common causes of burning when i pee. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Yeast infection

Yeast infection is one of the more common causes of burning when i pee. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Bacterial vaginosis

Bacterial vaginosis is one of the more common causes of burning when i pee. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Chlamydia

Chlamydia is one of the more common causes of burning when i pee. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Gonorrhea

Gonorrhea is one of the more common causes of burning when i pee. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Typical workup

What a clinician usually orders or asks about when someone presents with burning when i pee.

  • History of sexual activity, discharge, prior UTIs, and pregnancy
  • Urinalysis; STI panel (chlamydia, gonorrhea, trichomoniasis) if risk factors
  • Vaginal swab if discharge is present to check for BV or yeast

When to see a clinician

  • Symptoms have lasted more than a few days without improving, or keep coming back
  • You're not sure if this needs antibiotics, prescription treatment, or watchful waiting
  • You have a chronic condition (diabetes, heart disease, immunocompromised) that raises the stakes
  • You want a same-day plan without a trip to urgent care

Common questions