My vagina spasms/twitches and I have to push to pee. Spasms even when I'm just sitting/laying down. Hurts a lot, no UTI and just had well woman exam.?

Depends. Did you discuss this with your doctor at your recent well women exam because I would imagine some findings on your physical exam. You might need to see a urogynecologist, or someone who specializes in pelvic prolapse. That's one one cause of discomfort and these symptoms could be a lot of different things.