Hello doctor, I am a 31 year old woman. This problem started about four years ago around the same time I was diagnosed with Hashimoto's thyroiditis. And, I suffer from a constant and persistent urge to urinate concentrated in my urethra. Sometimes, it is accompanied with pressure, discomfort, slight pain, twitching, or spasming. My urine flow is weak and hesitant, and I have to strain or push to empty my bladder, and sometimes I feel that I have not completely emptied my bladder. The urodynamics study did not show an overactive bladder, and my urogynecologist told me that it showed that my bladder did not mount a good contraction. Please advise.
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