Frequent urination during the day without pain. Frequent urination in women - causes, treatment with medications and folk remedies

Usually people do not pay too much attention to the frequency of visiting the toilet, and it is not customary to discuss this process publicly.

However, when a person begins to feel the urge to urinate more often than usual, he or she involuntarily becomes concerned about health problems.

Women often experience an increased urge to empty the bladder. But for men, this problem sometimes becomes very relevant.

Let's look at the facts

Statistics say that diseases of the urinary system, accompanied by a frequent desire to urinate, are more common in women than in men.

This is due to the easier penetration of infections into female internal organs. This increases the frequency of urine output.

The process itself becomes painful, which indicates the manifestation of the disease. The woman realizes the need to consult a doctor in order to receive treatment.

However, it happens that the urge to urinate becomes more frequent. But the process itself does not cause unpleasant, painful sensations.

The reasons for this problem can be various, in many cases they are not symptoms of the disease.

What is considered normal

The frequency of urine output is so individual that it is difficult to talk about a normal amount. frequency of urges.

It is only possible from the words of the patient who contacted the doctor to compare how much their frequency has increased and become a problem.

On average, patients report the need to go to the toilet about 6-10 times a day.

Although many people, even with a full bladder, can do without emptying it during the entire night's sleep, which lasts 6-8 hours, visiting the toilet a couple of times a night is not outside the norm.

However, if a person is forced to urinate more than ten times per day, it is necessary to find out the causes of the problem.

Perhaps frequent urination is a sign of some kind of disease in a woman.

Looking for trigger factors

Why is there a frequent urge to pacify and excessive painless urination in women during the day and at night?

Before you start worrying about possible illnesses, one of the symptoms that may be an increase in the number of visits to the toilet, you should remember your diet.

For women whose daily diet includes a lot coffee, drinking it will cause a significant increase in the frequency of urination.

This is especially noticeable if coffee is used in its natural form, because this drink is a strong diuretic.

Instant coffee does not have such a strong effect, so many people don’t notice its effects until they start drinking coffee made from freshly ground beans.

Alcoholic drinks have the same effect on humans. And if he is also a passionate beer lover, then it is not surprising that even a small amount of his favorite drink will force him not to move far from the toilet.

What else causes frequent urination without pain in women? Many women suffer from excess weight, which forces them to constantly include in their diet tea for weight loss.

This drink also causes the need to go to the toilet, as weight loss is caused by fluid loss. This is the principle of action of any tea that gives a weight loss effect.

Some women taking medications for hypertension do not suspect that high blood pressure urination associated with blood pressure lowering medications.

What other reasons do women experience frequent urination without pain? If the urge is painless, it happens for example, for physiological reasons, these include pregnancy.

The hormonal changes that occur at this time provoke an increase in the urge to go to the toilet.

Has the same effect pressure on the bladder of the uterus, which has increased in size.

During this important period for a woman, the kidneys begin to work more intensely, which increases the amount of urine excreted. The urge to release it occurs much more often than usual.

The uterus also increases in size during menstruation, which also increases the frequency of urges.

The end of the reproductive period causes a woman hormonal changes, which also becomes a factor affecting the frequency of trips to the toilet.

The same factor can be hypothermia of the body, especially the legs.

How to avoid inconvenience

With frequent urination due to physiological reasons, It is quite possible to make your life more comfortable.

After all, the frequent need to go to the toilet causes constant stress. Frequently getting up at night disrupts sleep, causing constant sleep deprivation.

To improve quality of life You must follow a few simple rules that will significantly improve your quality of life:

• the first thing to do is to reduce the amount of liquid consumed in the evening, shortly before bedtime;
• During the day, limit the consumption of coffee, green tea, rosehip decoction and other liquids that have a diuretic effect;
• to reduce the total amount of liquid consumed during the day, exclude spicy and salty foods that make you thirsty;
• When urinating, try to completely empty the bladder, tilting your torso slightly forward.

However, even painless urination that occurs too often cannot be ignored.

When you consult a doctor, reasons may be revealed that are impossible to determine on your own.

Timely prescribed treatment can help not only reduce the frequency of needing to go to the toilet.

With its help, you can avoid the occurrence of more serious problems.

Cases when it is impossible to do without visiting a doctor

Frequent, painless urination, causes a woman not only physical, but also psychological discomfort, usually does not harm her health.

However, if you experience painful sensations, cloudy urine, or the appearance of blood in it, you cannot do without consulting a doctor.

Such symptoms are characteristic of many diseases of the urinary system., among which there may be both infectious diseases and emerging pathologies.

These diseases require immediate medical attention, as they can become chronic, which greatly complicates their treatment.

Prevention

What to do if women have frequent urination? Every woman should know about the need to maintain intimate hygiene.

This prevents infections that cause inflammation of internal organs, and will prevent the occurrence of diseases accompanied by increased urination.

Linen must be made of cotton fabric and change daily, and outerwear must protect against hypothermia.

A way to prevent the occurrence of urolithiasis in a woman is the natural regulation of water-salt balance, which is achieved by drinking at least one and a half liters of drinking water every day.

Don't put off going to the toilet, if necessary.

To prevent possible problems, it is important to visit a gynecologist at least twice a year, who can notice the first symptoms of an incipient disease.

The normal frequency of urination is determined in each individual case. Medical statistics indicate that women experience more problems with the urinary system than men. This is due to the anatomical structure and the tendency for infection to quickly penetrate the urethral canal.

The disorder may be based on physiological reasons:

• Drink plenty of fluids. During the hot season and when eating certain foods, thirst increases. To restore salt balance, the body requires a certain amount of fluid. In such cases, water may be consumed in excess, causing frequent urination for two hours. When the drinking regime is normalized, the urge to go to the toilet returns to normal. Coffee, green tea, special teas for weight loss and alcohol have a diuretic effect.
• Pregnancy. From the moment of conception, the female body begins to rebuild, and the uterus grows. Gradually, the organ begins to compress the walls of the bladder. As early as 16 weeks of pregnancy, the number of trips to the toilet to urinate doubles. In the later stages, not only frequent urination, but also incontinence is a concern. After childbirth, the pelvic floor muscles gradually return to normal, and contractility is restored. The urinary system relaxes and reduces its functionality. If a pregnant woman does not experience additional symptoms indicating an infection with frequent urination, then there is no cause for concern.
• High blood pressure. Females are at risk for developing hypertension. Some drugs to lower blood pressure have a powerful diuretic effect. Sometimes patients are prescribed targeted diuretics.
• Beginning of menopause. With the onset of hormonal imbalance during menopause, changes occur in the body. Women experience hot flashes and increased sweating. If water-salt metabolism is disturbed, this affects the bladder. It quickly fills and puts pressure on the urinary canal.
• Age-related changes, physical work, frequent births. Gradually, loads lead to a deterioration in the elasticity of the walls of the organ. He becomes lethargic. With slight filling, the organ reacts with contractility, causing a sharp urge to go to the toilet.
• Anxious state. The central nervous system can react unpredictably to nervous stress. Sometimes impulses are transmitted to the nerve fibers of the bladder. It may contract with little filling.

Frequent urination does not always go away without symptoms. If the condition is accompanied by pain, a burning sensation in the urethral canal, or blood is released in the urine, it is necessary to establish a diagnosis. Such conditions require timely and correct treatment.

Violations can have different characteristics:

1. acute and chronic diseases of the genitourinary system;
2. endocrine pathologies;
3. venereal diseases.

Pathological causes are:

• . The inflammatory process of the renal pelvis leads to impaired urine output. Its quantity decreases sharply per serving. Additional symptoms accompany pyelonephritis. The most common is frequent urination. In the acute stage, fever is observed, the general condition worsens, and signs of hematuria (discharge with blood) are common.

• . The pathology is characterized by a pronounced inflammatory process in the bladder. With cystitis, frequent urination is observed, but pain in the canal and pain in the pubic area also occur. The disease in the acute phase brings serious discomfort. Sometimes trips to the toilet increase up to 25 times a day.
• . Infectious lesions of the urethra lead to frequent contraction of its walls. A slight movement of urine along the canal causes a feeling of fullness and pain. The urge to urinate persists during the day and during sleep. Sometimes urethritis occurs in a complicated form if a sexually transmitted disease is associated with it.
• Urolithiasis disease. When stones appear in the kidneys, regardless of their structure, the risk of blockage of the ureters remains. The disorder leads to the release of urine in small portions. The patient feels the urge to go to the toilet, but it is not always possible to urinate. If the stones begin to move, renal colic occurs, but the outflow of urine does not resume.
• Uterine fibroids. A benign formation may remain silent for a long time. As fibroids grow, nearby tissues and organs are compressed. The bladder takes the first blow. Due to constant voltage, its functionality is significantly reduced.
• Uterine prolapse. The displacement of organs causes a feeling of heaviness, bleeding in the middle of the cycle and the sensation of a foreign body in the vagina. Pain in the lower abdomen is accompanied by frequent urination. Uterine prolapse is characterized by incompetence of the pelvic floor muscles.
• Uterine cancer. The most dangerous disease for women associated with the reproductive organ. A malignant tumor grows rapidly, replacing healthy cells with an atypical agent. The woman begins to experience breakthrough bleeding, debilitating pain and frequent urination.
• Diabetes. This type of endocrine disorder leads to increased production of sugar in the blood. The body begins to retain fluid, which it removes along with excess glucose. Diabetes mellitus is characterized by a nighttime urge to go to the toilet and increased sweating.
• Venereal diseases. Infectious pathologies of the reproductive system can cause frequent trips to the toilet. This is due to the inflammatory process in the tissue and the reaction of the defense system, trying to remove a large number of microbes in the urine.

To prevent pathologies associated with frequent urination, you need to:

1. Undergo routine examinations.
2. An examination by a gynecologist is recommended every year. The female doctor prescribes an ultrasound and detects the slightest deviations in the functioning of the reproductive system.
3. To normalize metabolic processes, you will need to reconsider your diet and drinking regimen. It is advisable to drink in small quantities, but often. This will reduce the load on the kidneys.
4. For urolithiasis, a special diet is followed depending on the nature of the stones. Sometimes the only way out to eliminate the pathology is surgery.
5. For each pathology accompanied by frequent urination, there is its own therapy. It is prescribed only by a specialist. Self-medication leads to worsening pathologies.
6. If the disorder is caused by weakness of the pelvic floor muscles, special exercises are suggested to strengthen them. The woman will need to change her working conditions and regularly undergo gynecological massages.

You can also learn about frequent urination during pregnancy from this video.

Urination is a normal process of life for every person. It is the removal of excess fluid from the body through the bladder. It is difficult to say how often a healthy person should visit the toilet. This may depend on the characteristics of the body, the amount of fluid consumed, and also on age. But there are average statistics according to which an adult empties the bladder 10-12 times a day. If this indicator is exceeded, you should think about your health.

When should you see a doctor?

Many are accustomed to seeking medical help when the disease is already advanced. Meanwhile, frequent urination in women, the causes of which can be very
varied, can lead to serious consequences. Therefore, even if there is no pain, you should immediately contact a specialist.

Sensations such as burning and pain in the lower abdomen should also alert you. Diseases of the genitourinary system should be treated with particular seriousness. After all, the possibility of procreation often depends on this.

Is frequent urination in itself dangerous?

A healthy person should drink about 2 liters of fluid per day. If this indicator is exceeded, then frequent urination in women has corresponding reasons. The more often a representative of the fair sex drinks water, the more often she will visit the toilet. There is nothing dangerous about this.

We cannot know for sure what is the reason for the changes in the body. Therefore, in any case, it is worth visiting a doctor. Let him confirm that everything is fine with his health, and frequent visits to the toilet are a consequence of excessive fluid intake.

There are also liquids that enhance the diuretic effect. These include coffee, various herbal teas, and alcoholic drinks. You should not consume these foods before a long trip or an important meeting.

Pregnancy and frequent urination

Many expectant mothers may ask their doctor why women experience frequent urination. The reasons (cases without pain) lie in the fact that with each month of gestation the fetus with
The size of the uterus is increasing at an incredible rate. In addition, the fetus grows and the internal organs change their position slightly. This puts enormous pressure on the bladder. Even a small amount of liquid drunk provokes the urge to urinate.

Often, urination in women also occurs in the early stages of pregnancy, when even the expectant mother does not know about her situation. This is caused by changes in hormonal levels. Often, frequent visits to the toilet can arouse suspicion in a girl. In most cases, guesses are confirmed by a pregnancy test.

There is no need to treat frequent urination during pregnancy. Everything will get better after the baby is born. You just need to try to drink less liquid and, if possible, stay in places where there is a toilet nearby.

Age-related changes in the body

More than 30% of women over 40 years old have problems with frequent urination. The reason may lie in both hormonal changes in the body associated with menopause, and a decrease in tissue elasticity.

Frequent urination in women, the causes (without pain) of which are usually not dangerous, may be due to weakness of the pelvic floor muscles. The problem is most often encountered by representatives of the fairer sex who were injured during childbirth. The problem is solved surgically or with the help of special physical exercises.

Urinary tract infection

Almost any disease of the genitourinary system provokes repeated visits to the toilet. At the same time, frequent urination in women can have quite serious causes. This can be not only a disease of the bladder, but also the uterus, as well as the appendages. You should immediately undergo an examination and begin appropriate treatment. Neglecting your own health is fraught with serious consequences.

Frequent urination in women (with pain) can be caused by the irritating effect of bacteria on the urinary canal, kidneys, and bladder. The pain can be both sharp and aching. During the treatment process, it is important not only to choose the right pain reliever, but also antibiotics. Self-medication is strictly forbidden!

Cystitis

Inflammation of the bladder wall is one of the most common causes of frequent urination. Most often, pregnant women and older people suffer from the disease. This is due to decreased immunity. According to statistics, every seventh woman has a chronic form of the disease. And there are practically no people who would not have to suffer from this unpleasant illness at least once in their lives.

Cystitis can primarily cause frequent urination in women. The causes and treatment of the disease should be clarified by a specialist. As soon as the first symptoms of the disease appear, you should consult a doctor to avoid acquiring a chronic form.

Urolithiasis disease

Problems with urination can also be a consequence of kidney stones. In this case, frequent urination is most often observed in women. The causes and treatment of the disease in this case should also be described by the doctor.

Urolithiasis may also be accompanied by other symptoms. These include: change in the color of urine, nagging pain in the lower back, increased body temperature, as well as blood pressure. If the body temperature is elevated and the woman feels unwell, it means that the inflammatory process has already begun. In this case, it is advisable to treat the disease in a hospital under the round-the-clock supervision of specialists.

Frequent urination in women. Other reasons

Quite often, an increase in the number of urges to go to the toilet can be associated with the manifestation of diabetes mellitus. This is due to the fact that the body, through the urinary
the system tries to remove excess glucose. In addition, during the development of the disease, the nerve endings that are responsible for the urge to urinate are damaged. A person may want to go to the toilet even when the bladder is not yet full. The problem cannot be solved by eliminating diuretic products from the diet. Only medications prescribed by a doctor will come to the rescue.

Frequent urination in women (causes with pain), treatment of which should begin immediately, may depend on the structural features of the body. The urge especially often increases after operations. Deformation of the urinary canal or bladder can cause an increase in the number of urges.

The cause of the problem can also be a change in a woman’s hormonal levels. Most often this is associated with menopause. In this case, the urge to go to the toilet will be accompanied by excessive sweating, weakness, dry mouth, etc. In this case, pain is most often absent.

Increased urge to urinate at night

Certain changes in the body can cause women to urinate more at night. In medicine, there is a disease known as nocturia. Its main symptom is the predominance of nighttime urination over daytime urination. At the same time, the patient does not get enough sleep and feels tired. Pain is not a symptom of the disease.

Frequent urination in women (at night) may also have other causes. As in the daytime, this can be due to excessive fluid intake. It is not recommended to drink caffeinated drinks or alcohol an hour before bedtime. Coffee can not only disrupt your sleep at night, but also increase the number of times you need to go to the toilet.

A healthy person, if he visits the toilet at night, does so no more than once. If this happens more often, you should seek advice from a specialist. There may be a kidney disease that is virtually asymptomatic.

Treatment of the bladder with traditional methods

Today, frequent urination in women is considered a fairly common problem. Of course, only an experienced doctor should tell you the reasons and how to treat the disease. But there are also many folk remedies that help relieve inflammation of the genitourinary system and normalize the amount of urination.

Chamomile has excellent anti-inflammatory properties. This plant is used for almost all diseases. Douching with chamomile solution has a beneficial effect. In addition, tea from this plant will be useful.

Rose hips also have an excellent effect. The root of this plant is often used in folk medicine. Make a special decoction or alcohol tincture. When consumed daily, rose hips reduce inflammation in a matter of days. The effect will be even better if folk remedies are combined with medications prescribed by a doctor.

Some advise treating inflammatory diseases of the genitourinary system by heating. This absolutely cannot be done without consulting a specialist. An infectious disease may be accompanied by the formation of pus. Thermal procedures will only worsen the patient's condition. Self-medication in this case is life-threatening.

Frequent urination is the urge to go to the toilet, which is observed in an adult more than 10 times a day, provided that he drinks no more than 2 liters of fluid per day. In children under 12-14 years of age, the normal frequency of urination exceeds that in adults and depends on age.

Frequent urge to urinate should make you think about the cause of this phenomenon.

The amount and/or volume of daily urine excreted may increase due to various diseases. Thus, similar symptoms can be caused by diseases of the prostate in men and the uterus - inflammation of the kidneys and even a brain tumor. Doctors of narrow specialties should understand the causes and prescribe appropriate treatment: urologist, nephrologist, gynecologist, endocrinologist and neurologist. The purpose of our publication is to provide guidance on which specialist should be visited first.

The norm for going to the toilet in small ways

Before considering the causes of frequent urination, you need to evaluate whether we are really talking about frequent urination. To do this, familiarize yourself with the physiological norms:

These are the values ​​that should be observed under the following conditions:

• human body temperature – 36.2-36.9°C;
• ambient temperature – less than 30°C;
• 30-40 ml/kg of body weight was drunk (this figure will be different for children under one year of age);
• did not use diuretics in tablets, as well as rosehip decoction, coffee, green tea in large quantities;
• no shortness of breath and/or rapid breathing.

At the same time, a person should not urinate at night, a maximum of 1 time, and the volume of urine excreted should not exceed 200-300 ml in an adult.

Advice! If your or your child’s numbers are higher than the above norm, then in order to understand the etiology of this condition, you need to measure the total volume of daily urine, and also pay attention to the accompanying symptoms. Further we will consider frequent urge to go to the toilet in conjunction with these signs.

If urination is frequent and painful

The appearance of this symptom indicates problems of the genitourinary system in both women and men. The cause is indirectly indicated by the location of the pain, so we will look at it.

Pain in the lumbar region

If your kidneys hurt and you experience frequent urination, this usually indicates the following pathologies:

1. Pyelonephritis. The acute process is difficult to miss: there is an increase in temperature and severe pain in the lower back, which can radiate to the abdomen. With an exacerbation of chronic sluggish pyelonephritis, frequent urination and pain in the kidneys and lower abdomen come to the fore. In addition, the volume of daily urine will also be increased, and single portions, on the contrary, will be reduced. The color of urine is usually unchanged.
2. Urolithiasis disease. Single portions of urine are reduced, the color is either normal, or an admixture of blood is visible. People urinate more often during the day, but walking a few times is also possible at night. Also, the temperature often rises and the urine becomes cloudy.

Pain in the lower abdomen

Pain in the lower abdomen that accompanies frequent urination indicates problems with the bladder neck and urethra.

If the bladder hurts and frequent urination, this indicates a pathology of the lower parts of the urinary system:

1. Inflammation of the urethra (urethritis). At the same time, the daily volume of urine increases, the urine itself becomes cloudy, and mucus, pus or blood can be seen in it with the “naked eye.” A characteristic symptom is that, despite the painfulness of the urination process, there is a persistent desire to urinate at the very end (when the entire volume of urine has been released).
2. Cystitis. This disease is the most common cause of frequent urination. In this case: the urine is reddish, sometimes pus is visible in it, it is released with pain in the pubic area, in small portions, with an imperative urge. Body temperature is elevated, symptoms of intoxication are observed: weakness, nausea, loss of appetite.
3. Tumors in the bladder neck area may have symptoms similar to cystitis, but there will be no symptoms of intoxication, pus in the urine or increased body temperature.
4. Bladder stones can have similar symptoms if the stone blocks the flow of urine. An increase in temperature is possible, but there will be no symptoms of intoxication. The pain may go away with taking antispasmodics and changing body position.
5. Prostate adenoma. In this case, the urge to urinate is not painful, but the process itself is felt by pain in the suprapubic region, a feeling of incomplete emptying of the bladder. Night urination is also noted.
6. Neurogenic (overactive) bladder. In this case, the person’s condition is not disturbed, the urine does not change color, but frequent urination occurs after a strong urge, which is painful.
7. Narrowing of the urethra due to acquired or congenital causes. Apart from difficult and painful urination, there are no other symptoms.

Frequent and painless urination

Frequent urination without pain is a symptom of a huge number of diseases. Let's try to consider some of them.

Physiological causes in adults and children

Urination may become more frequent when:

• taking large amounts of spicy, sour and salty foods, alcohol. There will be no pain, an increased volume of light urine is released, more than 200 ml at a time. Other symptoms include only mild tickling in the urethra during urination;
• stress, tension, excitement: a large daily amount of urine of normal color is released, while the single volume of urination is not increased. There may be a feeling that you need to urinate more, although the person has just gone to the toilet;
• pregnancy: in this case, other signs indicating this condition will be observed;
• along with menstruation;
• after freezing - for several hours.

Pathological causes

They can be roughly divided into those that cause predominantly nighttime and increased urination around the clock.

Frequent urination at night can be caused by:

1. Cardiovascular failure. In this case, swelling will be noted in the legs, sometimes even higher (on the abdomen), interruptions in the functioning of the heart or pain in it, and shortness of breath.
2. Diabetes. Increased thirst and dry mouth are also noted; the skin becomes dry, wounds and cracks easily appear on it, which do not heal well.
3. Adenoma and carcinoma of the prostate. Symptoms other than nighttime urination may not be noticed. During the day, a man can feel quite well, only urinate in small portions. You can get more information about these and other male diseases that lead to frequent urination from the article:.

A person will urinate equally often both during the day and at night when:

• diabetes insipidus. At the same time, he is constantly tormented by thirst and drinks a lot, but, unlike his sugar “brother,” there is no dry mouth, dry and itchy skin;
• cystocele (prolapsed bladder): more common in women who have given birth. In addition to painless frequent urination, urinary incontinence will also be noted: when coughing, lifting heavy objects, laughing, and later during sexual intercourse;
• spinal cord injuries and tumors;
• weakness of the muscles that make up the wall of the bladder. The disease begins in childhood and is characterized by no changes in the general condition, but only frequent urination in small portions of urine, as well as a strong urge to urinate;
• uterine fibroids. In this case, painful periods, intermenstrual bleeding, and a large volume of monthly blood loss will also be noted;
• taking diuretics.

What to do if you have frequent urination

Treatment of pollakiuria is prescribed by a doctor, since it directly depends on the cause of this condition

Given the large number of different causes of this condition, treatment for frequent urination should be prescribed by a doctor:

• cystitis, urethritis and pyelonephritis are treated with antibiotics, less often with antiviral agents;
• diabetes insipidus is treated with synthetic vasopressin;
• cystocele – surgically;
• for diabetes mellitus, either insulin or tableted hypoglycemic drugs are prescribed;
• for urolithiasis, the treatment of choice is stone crushing with laser or ultrasound;
• adenoma and prostate cancer are treated with surgery, only the volume of interventions will be different.

Advice! Do not limit your drinking regime under any circumstances! The body must receive at least 2 liters of fluid per day for its normal functioning. To get rid of such an unpleasant symptom as frequent urination, at home you can only introduce a diet, limiting salty, smoked foods and alcohol.

There are several physiological explanations for frequent urination in women, which do not significantly affect the health of the fair sex, but provoke unpleasant symptoms:

• Excessive fluid intake. If a woman drinks a lot of coffee, tea, and other types of drinks, then she more often feels “the urge to have a small need”;
• Stressful situations. Depression, nervous breakdowns, and psychological stress, which are so relevant in our modern era of global urbanization and frantic pace of life, overly activate the body’s sympathetic system, causing various negative manifestations, including frequent urination;
• Unbalanced diet. Excessive consumption of salty, spicy and fried foods irritates a number of organs and systems, including the bladder;
• Taking medications. A number of medications have side effects in the form of urological spectrum disorders, including frequent urination;
• Menstruation. This regular physiological event is inextricably linked with the accelerated removal of fluid from the body due to hormonal changes;
• Elderly age. During the onset of menopause, the female body undergoes fundamental hormonal changes, one of the side effects of which may be increased urination;
• . In the early stages, frequent urges due to little need are explained by changes in hormonal levels. Starting from the 2nd trimester, the growing fetus itself comes to the fore, putting pressure on individual organs (including the bladder), which provokes frequent urination.

The above physiological causes are diagnosed in only 10–15 percent of patients who complain to a urologist or gynecologist with complaints of frequent urination. The provoking factors of the symptom in the rest of the fair sex are various pathologies - gynecological, urological, endocrine and other types of diseases.

Gynecological diseases

A typical cause of excessive urination, due to too tight mutual work of the woman’s urinary and reproductive systems. The most famous in this context are prolapse and uterine fibroids.

• Uterine prolapse. The prolapse of the main genital internal organ of a woman is caused by problematic conditions of the pelvic floor muscles, abdominal cavity and abdomen. They can have both a physiological (postpartum prolapse) and pathological nature. In this case, provoking factors are excessive physical activity, chronic constipation, and increased intra-abdominal pressure. Most often, frequent urination occurs due to prolapse of the anterior wall of the vagina and the corresponding part of the uterus - they put pressure on the bladder and urethra, causing pathologies with urination;
• . Benign tumors in the inner layer of the female smooth muscle organ can also provoke deterioration of the urinary system.

Kidney and urinary tract diseases

The most common cause of urinary disorders in women, regardless of age. The most common pathologies:

• Urolithiasis disease. Urolithiasis is the formation of stones in the urinary system. Most often diagnosed in patients aged 20 to 50 years, in an acute condition (with ureteral obstruction), in some cases requiring surgical intervention;
• . Classic inflammation of the bladder. It can be acute or chronic, caused by both pathogenic microorganisms (the vast majority of cases) and tumors and stones in the genitourinary system. In women, this disease occurs much more often than in the stronger sex due to the wide and short urethra, through which the infection quickly enters the bladder;
• Urethritis. Inflammatory process of the urethra. Most often caused by bacteria or viruses that infect the inner walls of the urethra;
• Pyelonephritis. The inflammatory process in the renal tubular system is the most common disease of the nephrological spectrum, regardless of age and gender group. Representatives of the fair sex suffer from pyelonephritis six times more often than men.

Endocrine diseases

Endocrinological problems often cause polyuria syndrome - frequent and copious urination, when the daily dose of excreted fluid sometimes reaches 2-3 liters. The mechanics of this process is associated with a deterioration in the reabsorption of water in the renal tubules, resulting in a decrease in its absorption by the body as a whole. This pathology is characteristic of diabetes mellitus and diabetes insipidus.

• Diabetes insipidus. A rare syndrome associated with dysfunction of the pituitary gland or hypothalamus. The mechanism of the pathology is tied to a decrease in the production of vasopressin (peptide antidiuretic hormone), which results in the formation of prerequisites for frequent and copious urination. Diabetes insipidus is caused by tumors and metastases in the brain, disorders of the blood supply to the hypothalamus, pituitary gland and supraoptic-pituitary tract, primary tubulopathy, genetic predisposition;
• . An endocrine disease associated with an absolute or relative lack of insulin production. One of its basic symptoms is frequent urination.

Frequent urination, as mentioned above, is a symptom of many diseases and physiological conditions. In some cases, this manifestation is accompanied by:

• Pain syndrome during the act of urination. The pain is often sharp, piercing, radiating to the rectum and neighboring organs;
• Incomplete emptying of the bladder. It can be subjective (by sensations) or true, when after the process of urination a woman still feels the urge to carry out the activity, while the urine itself is no longer released even with effort;
• Discomfort . May be accompanied by pain of unclear localization, most often mild or moderate, disappearing 10–20 minutes after the act;
• Bloody discharge in the urine. Usually characterizes the acute course of genitourinary pathology. At the initial stages of the disease they are present only in trace quantities; in advanced complications they are expressed in large clots visible to the naked eye;
• Decreased sexual desire. As a rule, inflammatory processes in the genitourinary area lead to a weakening of sexual desire and decreased libido;
• Nephrological symptom complex. If the kidneys are involved in the pathological process, the patient may experience a complex of symptoms characteristic of manifestations of this type - general intoxication, weakness, nausea with vomiting, convulsions, itching, discoloration of the skin, arrhythmia, etc.;
• Symptom complex of endocrinological type. Classic manifestations of diabetes are characterized by primary symptoms in the form of polyuria, polydipsia, polyphagia and sudden changes in body weight;
• Other nonspecific symptoms associated with the course of a particular disease, one of the manifestations of which is frequent urination.

Urinary incontinence in women after 50 years

As modern medical statistics show, as a woman ages, frequent urination becomes a regular problem for her, which is sometimes very difficult to get rid of. This is due to a number of objective reasons:

• Accumulation of chronic diseases over the years. Chronic diseases over time, in the absence of adequate therapy, practically do not respond even to complex treatment, as a result of which they significantly affect the quality of life and the development of persistent forms of pathologies;
• Many years of physical labor. If a representative of the fair sex has led an active life for decades, and her work was associated with regular physical activity, then after 50 a woman develops specific problems that cause prolapse of the uterus and deterioration of the pelvic floor muscles, which leads to mechanical pressure on the urinary tract. bubble and causes pathology;
• Physiological aging. Over the years, organ cells recover more and more slowly, soft tissues lose elasticity, mucous membranes gradually lose their protective function, which leads to an increase in the risk of infectious lesions even under favorable hygienic and epidemiological conditions;
• . Serious hormonal changes on an ongoing basis are an additional risk factor for the development of a number of syndromes, pathologies, diseases that cause frequent urination;
• Other reasons that directly or indirectly create the prerequisites for the development of pathology.

Solving a problem with urination after 50 years is much more difficult than at a young age, however, with timely contact with a gynecologist, urologist, and other specialized specialists, the chances of recovery increase significantly. In addition to complex drug therapy, lifestyle correction, regular physical therapy, proper nutrition and other measures prescribed by doctors will be necessary.

There is no specific treatment for frequent urination, since the pathology is a symptom of a number of diseases of the genitourinary, nephrological, and endocrinological spectrum. The exact therapeutic regimen is prescribed by the attending physician only after the final diagnosis has been established and confirmed by laboratory tests and instrumental research techniques.

Self-medication in this case is unacceptable and can only worsen the patient’s condition, complicating the basic task for specialized specialists!

Possible treatment regimens may include medications, physical therapy, surgery, and exercise therapy.

Conservative therapy

• Antibiotics. Since most diseases, where one of the manifestations is frequent urination, is caused by a bacterial infection against the background of a decrease in local or general immunity, it is antibacterial agents that more often than other drugs become the basis of a woman’s therapy. Specific drugs are prescribed after identifying the type and type of pathogen. Typical groups of drugs are penicillins, cephalosporins, aminoglycosides, fluoroquinolones;
• Antifungal agents. Sometimes, the causative agent of the inflammatory process is a pathogenic fungal microflora. In this case, antifungal drugs are used - nystatin, levorin, nitrofungins, urosulfan;
• Immune modulators. They can be included in any therapy regimen, but they must be prescribed if the infection is of a viral nature. Medicines based on interferon and its derivatives are usually prescribed;
• Detoxification drugs. Most often prescribed in cases of acute forms of disease, in the presence of complications and severe forms of infection with severe intoxication. Typically, this group of medications is administered parenterally. Typical representatives are glucose, sodium chloride, hemodez, reopolyglucin, neocompensan, etc.
• Vitamin and mineral complexes. Introduced into therapeutic regimens as support for primary therapy. A specific combination drug is selected based on the identified disease, and it necessarily contains elements of groups B, C, P, PP, calcium, zinc and other components;
• Antispasmodics. Prescribed to relieve spasms of the periphery of blood vessels and soft tissues. Typical representatives are papaverine, drotaverine, mebeverine;
• Anti-inflammatory drugs. Both non-steroidal drugs (aspirin, ketorolac, nimesulide) and hormonal drugs (corticosteroids in the form of dexamethasone, prednisolone) are used;
• Antihistamines. They are used for the allergic nature of the pathology, to reduce the body’s autoimmune reaction, and also as a supplement to the anti-inflammatory effect of other groups of drugs. Typical representatives are clemastine, loratadine, Zyrtec, suprastin;
• Analgesics. Designed for temporary pain relief and relief of severe attacks. Typical representatives are analgin, paracetamol, ibuprofen, dimexide. In especially severe cases, analgesics of the narcotic spectrum can be prescribed - morphine, butorphanol, promedol, pentazocine, fentonyl;
• Other groups of drugs for life-saving and symptomatic indications, from cardiovascular drugs, probiotics/prebiotics and angioprotectors to anticoagulants, calcium channel blockers and antiplatelet agents.

Physiotherapy includes an extensive list of classical techniques used in the post-reactive period of illness to speed up the recovery of the body. Typical measures are vacuum drainage, perineural sympathetic blockade, hyperbaric oxygenation, infrared irradiation, UHF, ultrasound, electrophoresis, biogalvanization, and so on.

If there are complications and special indications, the patient may be prescribed surgery. The specific list of actions depends on the severity of the identified disease that provokes frequent urination and the characteristics of its course. Typical surgical options include catheterization, necrectomy, fasciotomy, pyelostomy, decapsulation, etc.

Other procedures include physical therapy, a specially designed diet and lifestyle correction, as well as giving up bad habits.

Treatment of urinary incontinence in women at home with folk remedies

Urinary incontinence or frequent urination in the vast majority of cases is one of the manifestations of a serious disease, pathology, syndrome that cannot be cured by traditional medicine. Such drugs are considered only in the context of an addition to the main therapy, agreed with the attending physician.

The most famous folk remedies are considered to be infusions of knotweed, bearberry, horsetail, celandine, chamomile, lingonberries and cranberries, used both internally as an oral dose and topically for douching. The specific composition, concentration, scheme of use and other characteristics are indicated by a qualified herbalist with the obligatory participation in the process of a urologist, gynecologist and other specialized specialists involved in the treatment of the patient.

Exercises for urinary incontinence

Therapeutic exercise for urinary incontinence is included in the basic therapy scheme at the stage of the post-reactive period of the disease during the rehabilitation of patients or the presence of stable remission of a chronic disease. Exercises are prohibited in the presence of an inflammatory process, as well as any acute conditions.

Basic measures are mainly aimed at preventing the uterus from descending, as well as training the pelvic muscles and other supporting systems related to the genitourinary area. Possible procedures:

• Contraction and relaxation of the vaginal sphincter. 5–8 sets 20 seconds apart (rest periods);
• Extension and contraction of the legs to the sides. Performed while lying down. 10–15 times in 2 approaches.
• Classic "bridge". The exercise, known since Soviet times, must be performed 5–7 times, taking breaks of 10–15 seconds;
• Cat bending. Performed from a kneeling position 10–12 times in several approaches;
• Squats. From 5 times or more (depending on the condition of the body and the woman’s fitness);

Other procedures as prescribed by a physiotherapist.