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4 Bladder Cancer Symptoms Every Woman Should Know

More than 18,000 women are diagnosed with bladder cancer each year—and spotting the signs early can save your life.

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Every woman has been there before: Your day is going fine—until you take a bathroom break and realize that something is off. Maybe it hurts to go, or you find blood in your urine. Whatever it is, you ignore it only until things seem to get worse.

When you think of these issues, your mind probably jumps to a UTI, period problems, or even menopause—but that’s not always the case. One thing that may not be on your radar at all? Bladder cancer, in which a tumor begins to form after the cells in your bladder start to grow out of control, according to the American Cancer Society.

It makes sense, bladder cancer is much more common in men than women and most cases affect people over the age of 65—but that doesn’t mean you’re completely in the clear.

“Many people mistakenly think bladder cancer is only a disease of older men,” says Arjun Balar, MD, an oncologist at NYU Langone Medical Center. “But there are more than 18,000 women who are diagnosed with this cancer every year in the United States.”

Because women may not be on the lookout for early symptoms of the disease, they’re actually more likely to be diagnosed at an advanced stage, when the cancer has already spread to other parts of the body and becomes harder to treat.

The good news: The earlier you catch the cancer, the better chance you have of beating it. Knowing how to spot the symptoms can help you get diagnosed sooner, which can save your life. Here are the most common ones to look out for—and the number one habit that can bump your risk.

There is blood in your urine

bladder cancer symptoms blood in urine
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This is the most common early symptom of bladder cancer, and it’s an easy one for women to overlook—especially because it’s typically painless and you can go weeks or even months between occurrences.

“Many women ignore this symptom because they connect it with menstruation or menopause,” says Dr. Balar. “Blood in the urine doesn’t always mean you have bladder cancer, but it’s important to discuss with your doctor.”

You think you have a UTI

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Bladder cancer can often be mistaken for a urinary tract infection, because many of the symptoms overlap.

“Patients may experience increased frequency of urination, urgency to urinate, pain with urination, or urinary incontinence,” says Susan Constantino, MD, an oncologist with UF Health Cancer Center at Orlando Health.

If you’ve noticed any pee-related problems—you have to go all the time, or you feel like you have to go but can’t, or you have a hard time emptying your bladder—or if antibiotics don’t seem to be helping your UTI symptoms, talk with your doctor.

You feel pain come out of nowhere

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“Pain is often associated with more advanced bladder cancers,” Dr. Constantino says. “The pain can be in the flank area, abdomen, or pelvis. Patients can also develop pain in their bones if the cancer has spread to their bones.”

If you’re having aches and pains in those areas, tell your doctor—especially if you’ve also had the aforementioned spotting or UTI symptoms.

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You never feel like eating

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Losing your appetite is a common cancer symptom, and bladder cancer is no exception. If the cancer has grown or spread, “you might have weight loss or feel tired and weak,” explains Dr. Balar.

Of course, there are plenty of other things that can mess with your appetite, so don’t automatically assume the worst—but do talk with your doctor about it if it persists.

The surprising risk factor for bladder cancer

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While several things may cause bladder cancer—like having a family history of the disease, being exposed to certain chemicals, drinking water contaminated with arsenic, and chronic UTIs—about 50 percent of women diagnosed with bladder cancer are smokers, according to the National Institutes of Health.

“Smoking is the biggest risk factor for bladder cancer,” Dr. Constantino says. Why? Smoking causes harmful chemicals to build up in your urine. As they’re released, they can wreak havoc on the lining of your bladder, spiking your risk of cancer, according to the Mayo Clinic.

So if you notice any of the above symptoms and you smoke, let your doctor know ASAP. He or she can determine if it’s a minor infection or something more serious.

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Kara Wahlgren
Kara Wahlgren is a New Jersey-based freelance writer specializing in health, entertainment, and personal finance.
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