Evaluation of White Blood Cells in Urine During Menstruation

Diagnostic Approach

• The Centers for Disease Control and Prevention recommends evaluating for pelvic inflammatory disease (PID) if there is uterine/adnexal tenderness or cervical motion tenderness in patients with white blood cells in urine during menstruation 1, 2
• The presence of white blood cells on saline microscopy of vaginal secretions supports PID diagnosis, according to the Centers for Disease Control and Prevention 1, 2
• The Centers for Disease Control and Prevention suggests testing for N. gonorrhoeae and C. trachomatis with nucleic acid amplification testing in patients with symptoms of PID 3, 4