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Frequent Urination in Women

What is frequent urination?

Frequent urination is the need to urinate more than you normally would. The urge can strike suddenly and can cause you to lose control of your bladder. It can feel uncomfortable, like your bladder is extremely full. This is also referred to as having an overactive bladder. Urologists, which are doctors that specialize in the urinary system, consider going more than eight times in 24 hours to be frequent urination.

The key to treating frequent urination is addressing the underlying cause. Read on to learn more about frequent urination and how it’s treated.

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Causes

What causes frequent urination?

Urinary tract infection

A urinary tract infection (UTI) is a common cause of frequent urination. This happens when bacteria enter the bladder through the urethra. It’s estimated that 50 to 60 percent of women will experience at least one UTI in their lives. One-third of women will experience one before the age of 24 that’s severe enough to require antibiotics.

Women are more at risk for a UTI than men because their urethra is shorter. Bacteria have less distance to travel before they can infect the urinary tract and cause symptoms.

Common risk factors for a UTI include:

  • not staying hydrated
  • holding your urine for prolonged periods of time or not fully emptying your bladder
  • vaginal irritation and inflammation
  • improper wiping (going from back to front) after using the toilet, which will expose the urethra to E.coli bacteria
  • sexual intercourse, which can introduce bacteria into the urinary tract
  • changes in the structure of the urinary system, like during pregnancy
  • chronic medical problems, like diabetes, that affect the immune system

Overactive bladder

An overactive bladder is another common cause of frequent urination. According to the American Urological Association, an estimated 33 million Americans have an overactive bladder. This affects about 40 percent of all women. Overactive bladder is usually a collection of symptoms that can lead to frequent urination as a result of overactive bladder muscles. Common symptoms include:

  • urinary urgency, or the sudden urge to urinate, sometimes resulting in leaks
  • nocturia, or the need to urinate at least two or more times a night
  • urinary frequency, or having to go at least eight times a day

There are several causes for an overactive bladder. These can include:

Other causes

Other causes of frequent urination can include:

Excessive caffeine, nicotine, artificial sweeteners, and alcohol may also irritate the bladder walls and can worsen frequent urination symptoms.

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Symptoms

What are the symptoms?

Your symptoms will depend on the cause of your frequent urination.

UTI symptoms

UTIs can develop anywhere in the urinary system, but they commonly occur in the bladder and urethra. They’re more common in women than men because women have a shorter urethra. This allows bacteria to travel more easily to the bladder and cause infection. The symptoms of a UTI include:

Overactive bladder symptoms

Frequent urination is the primary symptom of an overactive bladder. However, you should not feel ill or have any pain with urination. Other symptoms include:

  • inability to postpone the need to urinate
  • leaking urine
  • waking up multiple times at night to urinate, known as nocturia
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Diagnosis

Diagnosis and testing

Your doctor will perform tests to determine what’s causing you to urinate frequently. They’ll ask you some questions, such as:

  • When did your symptoms begin?
  • How often do you urinate?
  • What other symptoms are you experiencing?
  • Do you have any unexpected leaking of urine and in what situations?

Your doctor will most likely ask you for a urine sample to check for infection, blood, or other abnormal findings like protein or sugar. Your doctor will also conduct an exam of your abdomen and pelvis. This will likely include a pelvic exam and evaluation of your urethra and vagina. Other tests that can be useful include:

  • Bladder scan: This is an ultrasound done on your bladder after you have urinated to see how much urine is left behind.
  • Cystoscopy: Using a lighted instrument the doctor can take a closer look inside the bladder as well as take tissue samples if necessary.
  • Urinary testing (urodynamic testing): This involves a variety of tests that look to see how well the urinary system is working.
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Treatment

Treatment for frequent urination

Treatment for frequent urination depends on the cause. Your doctor will first treat any primary disease responsible for frequent urination. If an infection is at fault, your doctor will prescribe antibiotics for getting rid of the infection.

Medications that control the muscle spasms in the bladder can help reduce urinary incontinence, or loss of bladder control. Your doctor also may suggest doing pelvic exercises, such as Kegels or bladder retraining exercises, to help delay urination.

Acupuncture

Acupuncture is an ancient Chinese form of healing that has been used to treat illness for centuries. A common use is for urinary conditions such as overactive bladder and urinary incontinence. However, currently there is no consistent data suggesting that acupuncture is a reliable treatment option for these conditions. A recent review of a wide variety of studies on acupuncture and incontinence failed to show its effectiveness. According to the British Medical Journal, a scientific review of acupuncture studies and overactive bladder is now underway. It will evaluate how acupuncture compares to other treatments and how acupuncture compares to no treatment at all.

Best treatments for overactive bladder »

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Prevention

Preventive measures

You can take some steps to reduce your likelihood of developing frequent urination. You can also avoid certain foods and drinks closer to nighttime that are known to increase the likelihood of nocturia. Examples include:

  • alcohol
  • citrus juice
  • coffee
  • tea
  • tomatoes and tomato-based products
  • artificial sweeteners

Constipation can also contribute to frequent urination by putting pressure on the bladder, so increase your fiber intake to maintain regularity.

Talk to your doctor about the proper way to perform Kegel pelvic exercises. These can strengthen your pelvic floor. Also, ask your doctor about physical therapy that targets your pelvic muscles. These go beyond Kegel exercises to broadly strengthen the muscles that support your bladder and pelvic organs.

If you develop symptoms of frequent urination, it’s important to know the cause. See your doctor for proper diagnosis and treatment. 

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