Bladder cancer is often seen as something that mostly affects older men — but that assumption can put women at serious risk. Armine Smith, M.D., a urologic oncologist and co-director of the Women’s Bladder Cancer Program at Johns Hopkins University, wants women to know the truth: bladder cancer affects women too, and it often gets diagnosed too late.
Why? Because the signs can be subtle or mistaken for other issues — especially urinary tract infections (UTIs). Dr. Smith shares what women need to watch for, when to speak up, and how early action can save lives.
1. Blood in Your Urine Is Never Normal
Seeing even a small trace of blood in your urine — just once — is a major red flag. Don’t write it off or wait for it to happen again. According to Dr. Smith, any blood in the urine warrants a closer look.
Unfortunately, many women are repeatedly treated for UTIs when they actually have something more serious going on. If your symptoms return, or don’t go away despite treatment — especially if your urine tests come back negative — ask your doctor if more testing is needed.
2. Bladder Cancer Isn’t Just a Man’s Disease
Because it’s more common in men, doctors sometimes overlook the possibility in women. That means many women are diagnosed at later stages, when the disease is more difficult to treat.
Don’t be afraid to speak up and advocate for yourself. If something feels wrong or you’re not getting answers, ask for a referral to a urologist. A simple test called a cystoscopy — a quick, minimally uncomfortable exam — is often the most effective way to check for bladder cancer.
3. It’s Very Treatable — When Caught Early
Here’s the good news: bladder cancer is often highly treatable, especially if it’s found early. In many cases, treatment can be done with outpatient procedures, meaning no long hospital stays or invasive surgeries.
That’s why early detection is key. The sooner you speak up, the more options you’ll have.
4. Know the Risk Factors and Trust Your Instincts
Besides symptoms like blood in the urine or frequent UTIs, it’s important to be aware of your risk factors. These include:
- Smoking
- Exposure to certain workplace chemicals (like those found in dyes or industrial settings)
- Family history of cancer
While bladder cancer isn’t usually hereditary, some syndromes tied to colorectal or gynecologic cancers can increase your risk.
Most importantly, if you feel like something’s wrong or your concerns are being dismissed — trust your gut and get a second opinion. You know your body better than anyone.
Speak Up, Stay Aware
Your voice matters. Tracking your symptoms, asking questions, and pushing for answers can be the first steps toward catching bladder cancer early — and protecting your health.
Don’t let outdated assumptions get in the way of getting the care you deserve. When it comes to bladder cancer, awareness can make all the difference.