14 y.o. female with pain and bleeding during urination

Looking for remedy suggestions for the following chronic:

14 y.o. female, first menses three years ago. Second month instead of menses, had fainting spell; next few months thereafter, no period, then her period reinstated itself at the same time as her twin's first menses.

During the amenorrhea period of several months, she developed slight burning during urination. Once menses resumed, this symptom did not fully go away. She has had something wrong with her urination for three years, since beginning menses. Symptoms included burning or stinging during and after urination, frequent urination, and at some point along the way she noticed the urinary symptoms were worse when she was expecting her period and during her period.

Her periods tend to be light and late. Various herbs were tried as well as remedies which suit hormonal imbalances, and all of these would temporarily abate urinary issues (though not entirely) and then the urinary problems would resume. All the main typical urinary troubles type remedies have been tried without success. Standard herbals (cranberry, d-mannose, vitamin c) have failed as well.

Last year, her older sister was hospitalized for serious illness for two months; when her older sister returned home again, the urinary symptoms escalated to a drop or two of blood at the end of urination, and needing to urinate once overnight. This then progressed to cutting and shooting pains, making it difficult to walk or sit down.

Different remedies seem to abate the bleeding but the pain remains and is sometimes severe. Presently urination is hourly, she has to get up several times overnight to relieve herself. Only a small amount comes out each time. Recently success with Nat-phos in water doses brought the distance between urination to 2-3 hours, and no bleeding, and greater comfort, and reduction to one overnight voiding. But then it stopped working.

While it seems the symptoms are worsened at certain times in her menstrual cycle (i.e. hormonal fluctuations) it does not seem that the etiology is hormonal. The time of her first complaint was after her first period (menarche) and she cried all day and was upset about getting a period; fearing she was too young to get a period and that something must be wrong with her. She is a twin; her twin did not get a period when she did and this may have had something to do with the emotional reaction. The strength of the emotional reaction seemed enough to halt her menses for several months until her twin had a first period, and then she, too, resumed having periods.

Since early childhood, she would be afraid to speak up if she had any symptom, that to tell someone about it meant something was very wrong with her and she was very ill (i.e. even headaches, etc) This may have had to do with having an older sister with a chronic illness. Worse for being observed, for condition observed. She is an emotionally closed, reserved person; cries somewhere privately if she needs to, hard to get her to elaborate about her symptoms.

Father left the family home when she was two; she was previously nighttime continent and after his departure she developed enuresis. Her twin did not. Used to hold (retain) her urine as a toddler, as though she did not want to stop what she was doing to go to the bathroom and then urge would be stronger and harder to retain the following time.

Enuresis was resistant to the likely childhood enuresis remedies (Equis, Caust, etc). Was cured with graduated water doses of Ignatia for disappointed love; this was a guess based on the onset happening after the father's absence from the home. This leads me to suppose that perhaps her current complaint is also emotionally caused and perhaps has to do with her reaction on getting a first period.

Any helpful thoughts/observations would be appreciated.

missingmyth44