Are you up two, three and even four times a night having to pee even though you withhold drinking fluids hours before bedtime?
Menopause is often a first thought as to the cause when a woman is in this stage of her life.
When a woman reports to her primary care physician or OBGYN that she gets awakened several times a night by the urge to urinate—and she just happens to be menopausal—she may hear that menopause is a possible culprit. pee
Hearing this is especially likely if she reports that during waking hours, the number of trips to the toilet is normal. pee
If the patient reports that the frequent overnight trips to the bathroom overnight that pull her out of sleep have been occurring on a chronic basis, it’s not unusual for her to be told it’s being caused by an older bladder, stress, drinking too many fluids too short to bedtime, and even the effects of the postmenopausal phase.
Menopause Does Not Cause
Frequent Urination Overnight!
Having to get up at least twice in the middle of the night to urinate is called nocturia. A urinary tract infection can cause this, as can an overactive bladder.
However, a UTI is transient, and an overactive bladder would cause frequent bathroom trips during the DAY too. pee
“While menopause is a time of great transition in a woman’s body and life, frequent bathroom trips are not caused by menopause,” says Mylaine Riobe, MD, founder of Riobe Institute of Integrative Medicine. Dr. Riobe, board certified in OB/GYN and integrative medicine, is the author of “The Answer to Cancer.”
“If a woman is stressed and depleted while undergoing a menopause transition, the body will exhibit symptoms due to the depletion and stress, but that doesn’t mean it’s caused by menopause,” explains Dr. Riobe. peeing
“Menopause is a very complex and energy-consuming transition, and if there’s not enough energy to support the transition, it will occur with great dysfunction leading to hot flashes, night sweats, frequent urination, insomnia, weight gain and many other symptoms usually attributed to menopause.”
But What If… pee
• The nocturia was present before the onset of menopause?
• The patient is handling menopause quite well and is even very relieved that “finally” it has arrived, as this means the end of painful periods?
• The patient completed menopause several years ago yet the nocturia persists? pee
• The nocturia began a few years AFTER the completion of menopause?
Obstructive sleep apnea is a common driver behind frequent urination overnight.
However, it’s been said that sleep apnea awakens the woman, and then, because she’s awake, she realizes she has to go and gets up and urinates.
But it’s crucial to understand that the bladder is not supposed to fill overnight in the first place! The body is designed to sleep through the night for optimal restoration. pee
Kidney production of urine is thus inhibited, allowing us to sleep straight through without being awakened by a full bladder.
In sleep apnea, the breathing against resistance that occurs due to airway obstruction alters the pressure within the thoracic cavity.
• This fools the atrial cells of the heart into thinking there’s congestive heart failure and hence, fluid overload.
• The atrial cells then secrete a hormone called atrial natriuretic peptide which instructs the kidneys to create urine (i.e., rid the body of the phantom fluid overload) and fill up the bladder.
• For many sufferers of nocturia, a bladder that needs to be emptied is what awakens them.
If you have intractable nocturia, you should march straight to a sleep medicine doctor instead of blaming menopause, postmenopause or perimenopause.
There is nothing about the hormonal changes of menopause that cause the kidneys to fill the bladder with urine in the middle of your sleep and make you have to pee!