Why do I have to go to the bathroom several times at night after menopause?

Dr. Michael Roizen, MD
Internal Medicine
Remember the time when you could hold your urine like a camel? Those were the days when you could sleep through the whole night. You may think you’re racking up frequent pee-er miles because you are making more urine, but in fact nighttime awakenings can happen even when you have little urine in the bladder. Aging reduces bladder capacity, the pelvic floor muscles are weaker (due to childbirth or weight gain), and the wall of the bladder is thinner and less responsive, because you said ta-ta to estrogen. These factors make everything more sensitive, meaning your brain gets messages telling you to get up to empty it more frequently, no matter what time it is.

Nocturia is a bladder control problem that can occur after menopause. This condition causes you to have to get up from bed frequently during the night to go to the bathroom. You should always talk to your doctor when there are changes in normal body function such as this.

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