Unclear, but: If all bladder eval is normal, i would think of unusual things like endometriosis if you are a female or uterine fibroid. Also, an empiric trial of Azithromycin is worth doing due to poss atypical infection like chlamydia and ureaplasma whether a man or woman especially if sexually active. An eval by gyn is advisable if female. I forwarded your question to urology for input and suggestions too.
Answered 6/24/2014
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