Frequent urge to go to the toilet without pain. Why do you always want to go to the toilet? Diseases of the female genital organs

If a woman is worried frequent urination without pain, the cause of the condition lies either in the characteristics of her body, or in the presence of some kind of disease. Hidden infections, disorders hormonal levels are important in regulating fluid secretion. To deal with this, you need to consult a doctor and together analyze the state of the body, identify accompanying symptoms and, if necessary, prescribe therapy.

Frequent urination, as a normal option

There are no strict rules regarding the number of trips to the toilet per day. It all depends on the physiological characteristics of the body and is directly proportional to the volume of liquid drunk. During the day, the kidneys filter up to two hundred liters of primary urine, but only about one and a half are excreted from the body.

They are formed after concentration due to the reabsorption of water, vitamins, and glucose. During one trip to the restroom, up to 300 ml of liquid is released. The rate of urination ranges from 3 to 9 times a day, but at night you can get up to go to the toilet no more than once. Increased frequency of urination during the day is called polyuria, and at night - nocturia.

Pregnancy on early stages may also be accompanied by an increase in the number of urges. This is completely normal, since the growing uterus puts pressure on the bladder, thereby reducing its useful volume. As the fetus grows, everything less space will remain for other pelvic organs and abdominal cavity, which means that episodes of urination will become more frequent.

Also, repeated urges to go to the toilet in a woman can be associated with the following conditions:

drinking plenty of fluids (workout, diet);
taking medications;
use of herbal teas and tinctures, drinks containing caffeine, alcohol;
pregnancy, menstruation, menopause;
hypothermia of the lower half of the body, incl. bladder;
prolonged stress.

All these factors can be identified even without visiting a doctor and eliminated.

Causes of frequent urination

In some cases, pollakiuria may be a consequence of some disease. It is difficult to figure this out on your own and identify the cause - a detailed examination is necessary.

Gynecological diseases

There are two main reasons for frequent urination in women without pain:

Uterine fibroids. The tumor grows inside the organ in the form of a node. When it reaches a significant size, it begins to compress neighboring anatomical formations. This leads to a decrease in bladder volume and an increase in the urge to go to the toilet.
Uterine prolapse. Violation of the elasticity of the ligamentous apparatus leads to a change in the position of all pelvic organs. The consequence of this is frequent urination and incontinence.

An obstetrician-gynecologist will help determine this reason even during a routine examination of a woman.

Kidney and urinary tract diseases

Various pathologies of the urinary system are accompanied by frequent urges to go to the toilet.

These include:

Cystitis. This is an inflammation of the bladder mucosa. Causes may include prolonged exposure to low temperatures, uncomfortable underwear, and sexually transmitted infections. Cystitis is manifested by repeated urges to go to the toilet, a burning sensation during urination, and a feeling of incomplete emptying of the bladder. In some cases, incontinence and a change in the transparency of the secreted fluid are added.
Urethritis. Inflammation of the mucous membrane of the urinary canal. It can be mechanical or infectious in nature. Accompanied by pain, itching and burning in the urethra when urine is released.
Pyelonephritis. Occurs due to bacterial or viral kidney damage. Frequent urge to urinate is a symptom of a chronic form of the disease. In addition, there is fever, lower back pain and cloudiness of the secreted fluid.
Urolithiasis. The sharp edges of the stone, passing along with urine, scratch the ureters and urethra, causing discomfort. A special symptom may be interruption of the stream during the movement of the stone.
Atony of the bladder. Normally, the organ resembles a dense ball, the walls of which contract, pushing out the contents. But if the muscles are flabby, there is repeated urge to go to the toilet, and very little fluid is released.
Neurogenic bladder. The disease is characterized by the fact that receptors in the muscles of the bladder react to any increase in pressure, generating the urge to go to the toilet.

Endocrine diseases

The reasons for frequent painless urination in women may be imbalances in hormones, which provoke retention or excessive removal of fluid from the body.

The following two pathologies are most common:

Diabetes mellitus. In this case, the tissues do not receive enough insulin or have low receptor sensitivity to it, which leads to an increase in blood sugar levels. Glucose is lost in large quantities by the body through the kidneys, taking water molecules with it. This causes a low concentration of urine with a simultaneous increase in its quantity.
Not diabetes mellitus. Dysfunction of the hypothalamic-pituitary regulation causes the human body to consume and excrete daily large number liquids. In particularly difficult cases, losses reach up to 10 liters of urine per day.

The reasons for frequent urination in women during menopause can be natural changes in her body, while the urge is always without pain.

The following factors may be at play:

Aging of fabrics. With age, the muscles of the bladder lose their elasticity and firmness; they develop areas of atrophy, areas of salt deposition, and ischemic areas. This changes the function of the organ.
Erroneous imperative urges. Due to disruptions in the functioning of the nervous system over the years, receptors transmit false signals about the fullness of the bladder, causing another desire to visit the toilet.
Complicated anamnesis. Infections, diseases of the heart, blood vessels, endocrine glands, a large number of pregnancies and childbirth negatively affect the condition of the bladder, control of the processes of formation and secretion of fluid in general.
Reception medicines . Diuretics, sedatives, and sleeping pills can provoke another trip to the toilet.

It should be borne in mind that many inflammatory processes in elderly women are hidden or asymptomatic, without causing significant inconvenience to patients. This leads to chronicity and worsening of the condition.

Associated symptoms

Painless frequent urination in women may be accompanied by other unpleasant symptoms that are difficult to associate into one nosology.

Such clinical manifestations are:

turbidity of urine, the presence of impurities in it;
discomfort, burning, pain during urination;
lower back pain;
bleeding from the genitals not associated with menstruation;
discomfort during intimate relationships, foreign body sensation, etc.

Night urination in a woman can be associated with such not very common infections as tuberculosis, malaria, and pathologies of the cardiovascular system. The kidneys cannot cope with the load and, by increasing the excretion of fluid, they try to maintain the efficiency of their work and the stability of the body.

Additional symptoms in this case may be shortness of breath, swelling, cough, profuse sweating, and increased body temperature.

Diagnostics

The doctor begins getting to know the woman by collecting the necessary information - anamnesis. It includes her family's medical history, lifestyle, number of children, sexual partners, travel abroad, vaccination status and much more. Then there is an examination of the abdomen, palpation and tapping of the anterior abdominal wall.

The second stage is laboratory and instrumental examinations:

Clinical blood test. The results indicate the presence of inflammation.
General analysis urine. Detailed the presence of infection specifically in the urinary system. Quantity, density, acidity, color and sediment narrow down your search.
Biochemical blood test. Allows you to assess kidney function. This is important for determining pyelonephritis and urolithiasis, diabetes mellitus.
. Allows you to identify tumors and structural anomalies of the genitourinary system.
Vaginal smear and cervical canal . Rules out or confirms the presence of sexually transmitted infections.

Additional studies may be prescribed at the discretion of the specialist, based on the clinical situation.

Treatment

If repeated trips to the toilet are not normal and cannot be explained by natural causes, the condition requires correction. After determining the etiology, the doctor prescribes the woman drugs and methods that eliminate the pathogenic factor.

These could be:

Antibiotics. Used to combat infections and helminthic infestations. It is better to take probiotics and antifungal drugs together with them to reduce side effects.
Drugs to increase or decrease the acidity of urine. Allows you to dissolve stones and prevent their appearance in the future.
Diet, reduced fluid intake. Limiting foods that have a diuretic effect.
Hormone therapy. If the pathology is associated with menopause or caused by endocrine diseases.

Means traditional medicine help reduce discomfort, but for complete therapy and reliable prescriptions it is better to contact a certified specialist.

Rose hips, lingonberry leaves, heather and yarrow help well for the treatment and prevention of urinary tract infections.

A collection of chamomile, poplar buds, horsetail and peppermint is effective. Pour a tablespoon of the mixture into a glass of boiling water and leave for two hours.

To prevent the appearance of sand and stones, you can eat watermelon. It has a pronounced diuretic effect. And drops based on boron uterus help normalize hormone levels.

Prevention

The following is important:

daily hygiene;
examination by a specialized specialist at least once a year;
stopping alcohol consumption or significantly reducing its amount;
correction of nutrition and drinking regime;
selection of clothes in accordance with the weather outside the window, and not the date on the calendar.

A woman should listen sensitively to her body and respond to the slightest oddities. After all, a minor change in daily routine can be a consequence of a hidden disease. If in doubt, it is better to consult a doctor to determine whether the condition is normal or pathological.

A woman’s well-being and health condition depend on many factors. The correct functioning of the excretory system is important. Therefore, the fact that her urination pattern has changed should alert the woman. Although in many cases in women without pain it does not cause discomfort or cause discomfort. The lady reassures herself that the frequency of visits to the toilet is associated with a changed lifestyle and is the body’s reaction to increased physical activity, changes in diet and drinking regime. She hopes that the problem will gradually disappear on its own; she consults a specialist only when urination is accompanied by pain.

However, ignoring such a problem can have serious consequences. Various diseases may develop.

Therefore, timely consultation with a specialist is very important. He will help determine and recommend adequate treatment if necessary.

When does frequent urination occur?

Experts state that frequent urination in women without pain is possible with diseases of the urinary system. Cystitis, in which inflammation of the bladder occurs, can manifest itself in a similar way. The spread of infection comes from the urethra to the organs located above. Inflammation of the urethra changes urination patterns.

Frequent urination without pain is characteristic of pyelonephritis, because an inflammatory process occurs in the kidneys. With saline diuresis, when stones block the urethral canal leading to the bladder, the urge is more frequent due to the fact that urine does not come out completely. In this case, the woman experiences severe discomfort.

Urination regime for various pathologies

All systems of the human body are interconnected. The urination pattern often changes not only due to inflammatory processes in the urinary system. Diseases of other organs and systems can also provoke a similar phenomenon. Women experience gynecological problems without pain. In many cases, a similar symptom is caused by uterine fibroids, which are a fairly common pathology these days.

The pressure that a benign tumor puts on the bladder provokes frequent urge. Another gynecological disease that causes a similar manifestation is uterine prolapse.

If the infection affects the genitals, irritation of the urethra occurs. At the same time, the frequency of the urge to urinate increases.

Such a common disease as thrush forces a woman to frequent visits to the toilet.

A woman with diabetes experiences extreme thirst if her blood sugar remains elevated for a long time. She has to drink a lot of fluids, so she needs to go to the toilet more often.

Vascular pathologies and heart diseases lead to the appearance of edema and provoke frequent urination. The urge increases in the dark.

Pathological changes in the spine, resulting from injuries or mechanical stress, disrupt urination.

Once again we would like to emphasize that treatment is determined by a specialist in any case. If frequent urination is caused by an infection, it is necessary to prescribe antibiotics and antifungal drugs. In case of urolithiasis, correction of the salt content in the urine is necessary. For this purpose, appropriate medications are prescribed.

When frequent urination is normal

The frequency of urination and the amount of urine changes at different times and fluctuates throughout life. They depend on the individual anatomical structure, age, habits. In such cases, frequent urination can be considered normal. But this is only possible when a woman does not experience pain when urinating.

If a woman drinks a lot of liquid, takes herbal decoctions that have a diuretic effect, diuretics, drinks a lot of coffee, likes compotes and fruit drinks, the urination pattern changes. She needs to go to the toilet more often.

With strong anxiety and stressful situations, the urge to urinate in women becomes more frequent. Hypothermia has the same consequences.

Even a small amount of alcohol disrupts water metabolism, increases urine output and provokes the appearance of edema.

Hormonal changes and urination patterns

Various changes in a woman's hormonal status also change her urination patterns. Often women notice a similar phenomenon during menstruation. Many experts note a frequent occurrence during pregnancy. This is explained by the fact that the uterus is located next to the bladder. When the blood supply to the uterus increases, the blood supply to the bladder increases, which leads to an increase in the urge to go to the toilet. This process is natural and does not require correction. Over time, the frequency of urination normalizes.

Frequent urination in women without pain, caused by menopause, is also well known. Functioning is impaired during menopause endocrine system, there is a significant decrease in estrogen production. The functioning of the smooth muscles of the bladder and the work of the sphincters depend on the amount of sex hormones.

Therefore, during menopause, when their number decreases, under heavy loads, during coughing, laughing, and sneezing, women experience the urge to urinate.

The frequency of urges increases at night. This occurs due to muscle spasms. The amount of urine excreted is insignificant.

Many women consider such phenomena to be temporary and passing, they are in no hurry to treat the pathology, and do not turn to specialists for help. This is wrong. During menopause female body reorganizes its work, the imbalance in the work of all systems increases, and resistance to various infectious diseases decreases. Excessive urination can be caused by pathogenic microorganisms that enter the urethra or bladder. This provokes the development of vaginitis, urethritis, and other inflammatory diseases of the urinary system. If diagnosis is not made in a timely manner and treatment is not prescribed, complications may arise.

It is possible to develop inflammatory processes in the reproductive system, irritation of the epithelium in places of constant contact with urine, the appearance of cracks and ulcers in the intimate area, and fecal incontinence.

Treatment methods

A timely visit to a specialist will help you avoid unpleasant problems and receive adequate treatment. Sometimes it is enough to normalize the hormones, and the problem disappears. The doctor may recommend non-drug methods to solve the problem. Bladder training has a good effect. By gradually increasing the intervals between urinations, the woman gradually gets used to refraining from going to the toilet for a long time. Interesting special exercises to strengthen the pelvic floor muscles using the Kegel technique. Long walks on foot bring good results.

In some cases, the doctor prescribes physiotherapeutic procedures that improve blood circulation and eliminate congestion in the pelvic organs.

At the same time, muscles and ligaments are strengthened. Procedures using microcurrents and electromagnetic pulses are especially effective. A specialist may prescribe a course of medications that relax the bladder muscles. Along with them, you need to take medications that calm the nervous system in order to block the impulses responsible for the urge. Surgery is extremely rarely used. It should be noted that such an operation will be minimally invasive and will take place without complications.

In order to prevent frequent urge to urinate, you need to stabilize your metabolism by normalizing your diet. It also gives a woman a reason to give up alcohol and moderate her caffeine intake. This will help you avoid speed dialing excess weight. Sometimes it is advisable to follow a certain diet.

Treatment folk remedies gives an effect in combination with traditional methods. Healers recommend using tinctures medicinal plants, teas and herbal decoctions. An effective remedy considered an infusion of oak bark. It kills pathogenic microbes and promotes the formation of a protective barrier on tissues in the body. Tea made from mint and St. John's wort has an anti-inflammatory effect and removes toxic substances from the body.

A popular remedy among traditional healers is a compress made from fresh onions. To normalize the process of urination, they recommend grinding a medium-sized onion in a blender, putting the pulp on a bandage or gauze, and applying it to the lower abdomen. The compress should be left for 1–2 hours. The course of treatment lasts 7–10 days.

Every day we go to the toilet “small” at least 12 times. Of course, this figure is very arbitrary and depends on physiological characteristics, and they are individual for each of us. But approximately this amount of urination per day is considered normal by doctors and does not cause them concern. But if the number of “visits” to the toilet per day increases, then it’s time to sound the alarm. After all, frequent urination in women can be a symptom of serious diseases that require long-term treatment. What could cause this unpleasant phenomenon?

When is this normal?

First of all, it is necessary to determine the cases when frequent urge to go to the toilet can be considered normal. Usually in such cases no treatment is required, although, of course, the attending physician should be aware.

1. Undoubtedly, frequent urination during pregnancy should be considered normal. Almost every woman carrying a child encounters it. This problem can be especially acute in the first and last trimesters. The frequency of urination in this case is influenced by several factors. This includes increased kidney function, an increased amount of fluid in the body, and pressure from the uterus on the bladder. Frequent visits to the toilet should not be a concern expectant mother On the contrary, rare urination should cause concern. After all, this may mean that the pregnant woman is not drinking enough fluid, and this can lead to problems with the urinary system.

2. Another reason why frequent urination will be the norm is taking various diuretics. For example, various herbal teas for weight loss, most of which, as is known, contain herbs with a diuretic effect. Uncontrolled consumption of drinks containing caffeine and alcohol can also provoke increased urination.

3. Also, the female body can react to the cold or to any stressful situation with an increased urge to go to the toilet.

4. And finally, in women experiencing menopause, this phenomenon may be a consequence of hormonal changes and goes away over time.

When to sound the alarm?

Infectious and inflammatory diseases

1. In the first place among the causes of frequent urination in women are inflammatory diseases of the urinary system. And cystitis holds the palm among them. Every second woman probably hears this diagnosis in her life. Cystitis not only leads to the problem described, it is also accompanied by a burning sensation when urinating and other unpleasant symptoms. If detected in time, this disease can be treated quickly enough, but in the future the woman should be very attentive to her health in order to avoid the risk of relapse.

2. Advanced cystitis is a direct road to pyelonephritis. In addition to frequent urges and fever, this disease is characterized by cloudy urine and urinating blood. Treatment of pyelonephritis takes a long time character, and its violations threaten that the disease can become chronic.

3. Urethritis should also be included among the causes of inflammatory nature. This disease can occur with mild symptoms, but frequent urination in women is one of its signs. And even if nothing else bothers you, you should definitely consult a doctor, since independent treatment in this case is impossible.

4. An increased number of urges to go to the toilet can also be caused by some sexually transmitted diseases - for example, gonorrhea, genital herpes, etc. By the way, cramps and pain when urinating in women, accompanied by discharge with unpleasant smell, may be the first symptoms of the disease. In this case, patients (as well as their sexual partners) will face a long drug treatment with constant monitoring of analyses.

Gynecological diseases

1. Frequent urge to go to the toilet may also indicate some gynecological diseases. For example, about fibroids (benign tumors) of the uterus. In addition to the main symptoms (bleeding from the uterus, menstrual irregularities, pain in the lower abdomen), women may also experience frequent urination. This usually happens when the tumor has increased in size and begins to put pressure on nearby organs, including the bladder.

2. Similar symptoms may also manifest as uterine prolapse - a phenomenon when, due to a decrease in the elasticity of the pelvic muscles, the uterus can no longer be in a physiological position. correct position and moves lower. Along with it, the position of the pelvic organs, including the bladder, changes.

Endocrine system diseases

Speaking about endocrine diseases that may accompany an increased number of urinations, diabetes mellitus should be mentioned first of all. Moreover, as endocrinologists note, most often the urge to go to the toilet begins to bother you at night. In addition, many patients begin to increase the amount of drink they drink, which is associated with constant thirst, and this also cannot but affect the amount of urination.

Urolithiasis

An increased frequency of the urge to empty the bladder may indicate the presence of stones (one or more) in it. In this case, sudden urges can arise even from the slightest physical exertion and be accompanied by pain. In addition, the process of urination itself may suddenly stop, although there is no sensation that the bladder has emptied.

Treatment and prevention of frequent urination in women

Since frequent trips to the toilet “in small ways” can be one of the symptoms of any disease, then by eliminating its causes, you can get rid of frequent urination. And, of course, the treatment in each example listed above is selected purely individually, only by a specialist (or group of specialists) and only after collecting all the necessary tests.

Thus, for inflammatory and infectious diseases of the urinary tract, drugs with antibacterial and analgesic effects and antispasmodics are prescribed. Medicinal prescriptions are supplemented with various herbal infusions and teas.

In some cases (with gynecological diseases and urolithiasis), in addition to medications, surgery, hormonal therapy, and strengthening exercises may be required.

Well, so that such a phenomenon as frequent urination does not ruin your life, you need to remember preventive measures.

drink at least one and a half liters every day clean water,
go to the toilet regularly (preferably every 3 hours), even if you don’t have a strong desire,
monitor genital hygiene and cleanliness of underwear,
don't get too cold,
Visit your gynecologist at least twice a year, even if nothing worries you, and take all the required tests.

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 medicines have side effects in the form of urological spectrum disorders, among which frequent urination can be identified;
Menstruation. This regular physiological event is inextricably linked with the accelerated removal of fluid from the body due to hormonal changes;
Old age. During the onset of menopause, the female body undergoes a radical hormonal change, 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 reasons 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. Prolapse of the main genitalia internal organ women cause problematic conditions in the pelvic floor, abdominal and abdominal muscles. 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

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

Urolithiasis. 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 daily dose The secreted liquid sometimes reaches 2–3 liters. Mechanics 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;
. 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 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 urine. Usually characterizes the acute course of genitourinary pathology. On initial stages diseases are present only in trace quantities, with 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 bladder and causes pathology;
Physiological aging. Over the years, organ cells are restored more and more slowly, soft fabrics 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 activities prescribed by doctors.

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, are caused by 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. Usually this group medications 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 removal pain syndrome and relief of severe attacks. Typical representatives are analgin, paracetamol, ibuprofen, dimexide. In especially severe cases, analgesics of the narcotic spectrum may 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 separately developed 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 chronic illness. Exercises are prohibited in the presence of an inflammatory process, as well as any acute conditions.

Basic measures are mainly aimed at preventing the prolapse of the uterus, as well as training the pelvic muscles and other support 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.

Problems with urination can occur in a person at any age; they are quite common in both sexes. The cause of this phenomenon can be both physiological (“natural”) factors and diseases that require immediate treatment.

Frequent urination often remains without the necessary diagnosis for a long time, especially if there are no other complaints. However, we should not forget that frequent urination is not always a harmless symptom, because serious illnesses may be hidden behind it.

Most patients consult a doctor quite late, often when the desire to urinate becomes very frequent, or any other dysuric disorders (pain, cramping, discomfort, etc.) join the clinical picture.

It is especially important to monitor the frequency of bladder emptying during the day, not only in adults, but also in children. This should take into account the fact that children normally visit the toilet more often than older people.

Normal urination rates

Before getting down to the question of what frequent urination is and what its main causes are, it is necessary to understand what frequency of bladder emptying is considered normal.

For people of different age groups, the number of trips to the toilet “in small ways” varies. This is influenced by factors such as the time of day, the amount of fluid drunk during the day, the nature of the diet, the level of physical activity, etc.

Young children have the urge to urinate much more often than teenagers and older people, which is absolutely normal.

Average normal urine output is presented in the table below:

Age	Number of urinations per day	Volume of urine excreted per day
Child from birth to 28 days	20-25	150-450 ml
Child from 1 month to one year	8-10	300-800 ml
Child from 1 year to 5 years	5-8	500-1000 ml
Child from 5 to 10 years old	6-7	650-1200 ml
Child from 10 to 14 years old	5-6	1000-1500 ml
Adult men and women	4-8	800-1600 ml

Main causes of frequent urination

Physiological reasons

Frequent urge to urinate does not always indicate the onset of some pathological process; sometimes they are associated with the influence of one or more of the following factors:

a large volume of liquid drunk during the day (more than 3 liters of water), which includes compotes, fruit drinks, coffee, alcohol, carbonated drinks, etc. (this results in frequent and copious urination);
eating foods that have a strong diuretic effect (for example, cucumbers, watermelon, melon, lingonberries and others);
the body is in a state of stress or strong excitement (due to nervousness, oxygen starvation of the cells of the whole body occurs, which results in frequent urination without pain and other unpleasant symptoms);
with a cold or general hypothermia of the body, against the background of which blood circulation centralizes and blood flow in the kidneys improves, which stimulates the act of urination (most often observed in young girls staying in the cold);
pregnancy period (we are talking about the early and late stages of gestation, when the most intensive growth of the uterus and its pressure on the bladder occurs).

Watermelon has an excellent diuretic effect, so eating it always causes frequent and abundant emptying of the bladder.

If frequent painless urination is caused by one of these factors, then, after eliminating them, the patient’s well-being returns to normal, and no special treatment is required.

Pathological causes

Diseases of the urinary system

Among the main causes of frequent painful urination, it is necessary to highlight the following pathological processes:

Inflammation in the bladder (cystitis). It is characterized by a clear clinical picture of dysuric disorders (most often diagnosed in females who lead an active sexual life).
Damage to the walls of the urethra (urethritis). The disease is associated with the introduction of infectious agents into the tissue of the urethra, most often associated with sexually transmitted diseases (gonorrhea, chlamydia, thrush, etc.).
Inflammation of the parenchyma of one or both kidneys (acute or chronic form pyelonephritis). With this disease, the patient is bothered by frequent urination and lower back pain on the affected side.
Urolithiasis, namely the advancement of a formed stone along the urinary tract, which causes an attack of severe pain (renal colic).
Overactive bladder syndrome. The pathological process is characterized by increased excitability of the organ, which receives too many signals from the cerebral cortex.
Weakness of the musculo-ligamentous apparatus of the pelvic floor or bladder wall, which leads to a constant desire to go to the toilet, as well as urinary incontinence.
Oncological processes in the bladder of benign or malignant origin.

Diseases of the reproductive system

The uterus can have a direct impact on the bladder, especially when it grows or moves relative to the anatomical bed. This is observed during the following processes:

proliferation of fibroids (tumor-like node), in which a woman has a stomach ache, the menstrual cycle is disrupted, periodic bleeding appears, etc.;
prolapse of the uterus due to congenital or acquired weakness of its ligamentous apparatus.

Diseases of the cardiovascular system

At hypertension(high blood pressure), there is often an increased urge to go to the toilet, especially against the background of an adrenal crisis.

An increased desire to go to the toilet is observed in patients suffering from varying degrees of heart failure, especially those receiving diuretic therapy in large doses

Diseases of endocrine origin

Frequent urination, combined with a symptom such as dry mouth, is a hallmark of diabetes mellitus or diabetes insipidus, which are based on dysfunction of the endocrine apparatus and require immediate treatment.

Taking medications

Quite often, the use of medications can lead to an effect such as frequent trips to the toilet (especially if this happens at night). The patient may not have any pain, and frequent urination is the only unpleasant symptom.

The main medications that can affect the frequency of bladder emptying are the following: diuretics, anti-inflammatory, antipyretic, antihypertensive drugs and others.

Other reasons

Among the non-infectious causes of polyuria, it is necessary to highlight vegetative-vascular dystonia (VSD), a condition in which the normal functioning of the autonomic nervous system is disrupted, which can directly affect the filtration capacity of the glomerular apparatus of the kidneys.

Predisposing factors

The main factors that can trigger increased frequency of bladder emptying:

congenital or acquired deformities of the genitourinary system;
sudden gain or loss of body weight;
hormonal disorders, the onset of menopause;
presence of connective tissue diseases;
frequent recurrence of genitourinary tract infections;
gynecological operations;
history of difficult childbirth and others.

Symptoms to watch out for

You should not delay visiting your doctor if, in addition to frequent urination, you experience one of the following symptoms:

body temperature suddenly rises, apathy, malaise and other signs of intoxication syndrome appear;
urination is frequent and painful, with pain in the kidneys, lumbar region or lower abdomen;
rises blood pressure, diffuse headache appears, etc.;
discharge appears from the lumen of the urethra of different nature(mucous, purulent, bloody and others);
the color and natural smell of urine changes, it becomes cloudy or darker;
urine is released in small portions, and the patient has to make an effort to empty the bladder.

Frequent urination is often accompanied by severe pain

Diagnostic algorithm

Before proceeding with laboratory and instrumental diagnostics, the doctor conducts a thorough examination of the patient and collects an anamnesis of the disease.

Women are required to undergo a bimanual examination on a gynecological chair, and men need to do a digital rectal examination.

Laboratory instrumental diagnostics includes the following examination methods:

general blood and urine analysis;
biochemical analysis of blood and urine;
urine analysis according to Nechiporenko, Zimnitsky test;
hCG (if pregnancy is suspected in a woman of reproductive age);
glycemic profile, glucose tolerance test;
X-ray diagnostics (general X-ray, excretory urography and others);
Ultrasound of the kidneys, bladder and pelvic organs;
additional studies according to indications, their choice depends on the reason for increased urination (cystoscopy, CT, MRI and others).

Each patient should keep a urinary control diary.

Tactics for managing patients with frequent urination

To get rid of such an unpleasant and sometimes debilitating symptom as frequent emptying of the bladder, it is necessary to establish the exact cause of its occurrence.

Treatment of frequent urination requires an etiological, pathogenetic and symptomatic approach. The choice of therapy methods is determined only by the doctor, so do not postpone your visit to him.

If the cause of frequent urination is physiological, then eliminating them will relieve the patient of the unpleasant symptom. We are talking about the following events:

restoration of the water regime, exclusion from the diet of alcohol, highly carbonated drinks, spices, herbs, watermelon, etc.;
exclusion of stressful and exciting situations;
During pregnancy, women are recommended to take a knee-elbow position, which helps reduce the load on the bladder.

Etiological therapy involves influencing the underlying cause of the disease, which allows you to cure an unpleasant symptom or reduce it as much as possible.

We are talking about prescribing antibacterial agents, hormonal drugs, sugar-lowering tablets and others.

Pathogenetic therapy consists of eliminating various links in the pathogenesis of the disease (for example, surgical intervention for malformations of the bladder).

Symptomatic treatment includes the prescription of such groups of medications as painkillers, anti-inflammatory, antispasmodics, psychotropic drugs and others.

Physiotherapeutic methods of treatment are widely prescribed, the choice of which is determined by the underlying pathology (UHF, electrical stimulation, etc.)

Prevention

Prevention measures are as follows:

timely diagnosis and treatment of diseases (genitourinary, endocrine, cardiovascular and others);
maintaining an adequate drinking regime;
conducting gymnastic exercises to strengthen the pelvic floor muscles (if they are weak);
maximum avoidance of hypothermia of the body, being in a draft;
carrying out activities for general hardening of the body, maintaining a healthy lifestyle, etc.

Conclusion

It is necessary to understand that any disturbance in the functioning of the body requires immediate contact with a specialist, even if general health remains satisfactory.

Only a doctor knows how to treat frequent urination, because only he can determine the exact cause of what is happening and prescribe adequate therapy.