You’re Always Waking Up at midnight to Pee? [How to Make It Stop]

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Yes, it is possible to sleep through the night without a single bathroom trip.

You’re Always Waking Up at midnight to Pee [How to Make It Stop]

Getting a good night’s sleep is hard enough without having to get up to urinate every hour.

“Nocturia,” Called to have to spend the night is actually quite common and according to research in The Journal of Urology happens more often women than men. In fact, the research found that up to 44 percent of women aged 20-40 up to urinate at least once a night, while up to 18 percent pee at least twice a night.

“But just because something is common does not make it normal,” says Lauren Streicher, MD, associate clinical professor of obstetrics and gynecology at the Feinberg School of Medicine at Northwestern University and author of Sex Rx. That’s because not only need to urinate during the night super annoying, but by interfering with the quality of your sleep, you can zap your energy levels, intelligence and general health. It could also be a symptom of an underlying health problem.

Do You Really Have to Go?

Well, we are sure of your immediate answer is an emphatic yes, but think about it for a minute. Often, women who pee frequently during the night are not really waking up because they need to go, said Streicher. (Your brain actually has a mechanism used to avoid having to interrupt their sleep to pee.) Often, women just wake up overnight and the figure might also happen while they’re up. If that’s you, insomnia can be a bigger problem than bladder control, she says.

On the other hand, if you are actually doing the dance-pee in your dreams, how much you leave when you get up to go? If you only have a small urine to give, you may be suffering from overactive bladder, she says.

Meanwhile, if your bladder is filled to the brim, you are taking in too many fluids, including diuretics like caffeine and alcohol close to bedtime. “The consumption of caffeinated beverages in the afternoon and later, and alcohol before bedtime, are often discouraged because it can interfere with your sleep,” says Eric A. Serrano, MD, internal medicine physician with MDVIP , a network of doctors. This may make you think she woke up because you need to relieve yourself, even if it is not actually the case. “In addition, caffeine can trigger overactive bladder, which can lead to the need to urinate frequently during the day and night,” says Serrano.

He recommends cutting back on your fluid intake after 6 p.m. and limiting any caffeine intake to the morning. However, he notes that, in general, people who suffer from nocturnia generally have multiple underlying factors, so switching up your fluid intake may not be enough to help you make it ’til morning.

Is Your Middle-of-the-Night Peeing a Bigger Issue?

The list of conditions that can contribute to urination including frequent overnight are endless. But large include diabetes that is new or poorly controlled and heart disease, says Serrano. Gestational diabetes also counts.

Any condition that alters the anatomy of the urinary tract, such as uterine prolapse, can play a role, too. The same goes for other issues down there, including urinary tract infections and pelvic inflammatory disease, says Serrano. Interstitial cystitis, an inflammation that occurs in the lining of the bladder, can also cause frequent urination, but his pain is usually what leads people to the doctor for her, said Streicher. Some medications can also increase your need to go.

And most women could get some benefits from the bladder from strengthening the pelvic floor muscles, which contribute to both the celebration and empty the bladder when full, says Benjamin Brucker, MD, assistant professor of urology and gynecology and obstetrics at NYU Langone Medical Center. He notes that some women relieve their Nocturnia through physical therapy exercises like Kegel exercises aimed at strengthening the pelvic floor muscles.

If you are constantly up to urinate more than once or twice during the night, Brucker recommends checking with your doctor. To prepare for your appointment, keep a journal detailing at least 24-48 hours of symptoms, fluid intake, and bathroom schedule, says Serrano. If a simple blood test and examination did not reveal the guilty, he may refer you to a urologist or urogynecologist that can help put your problems in bed pee forever.