home Diseases Treatment of frequent urge to urinate in women with medications. I often want to go to the toilet in a small way: symptoms

Treatment of frequent urge to urinate in women with medications. I often want to go to the toilet in a small way: symptoms

The symptom of “frequent urination” can occur in a person of any gender, age, lifestyle, etc.

It is worth understanding: if a person began to drink much more fluid than he had consumed before, and began to feel a more frequent urge to urinate, then this is not a pathology, but a normal reaction of the body.

If a patient urinates up to 8-10 times a day, then doctors consider this to be the norm; if more, it is a reason to pay closer attention to one’s own health. The number of nightly trips to the toilet for an adult should not exceed once.

The danger is that even a complete absence from going to the toilet can indicate serious health problems.

The possible ones are:

STI. Their presence can be suspected by some accompanying symptoms: unpleasant odor, uncharacteristic odor, burning sensation, etc.;
disorders of the prostate gland in men. The most common of them are adenoma and prostatitis;
. As a rule, this is, but bacterial cystitis can also affect. : frequent urge to urinate with a feeling of an incompletely emptied bladder, burning sensation, possible discharge of pus and;
. , there are uncharacteristic impurities in the form or pus, after a person has urinated, he again feels a strong urge;
diabetes. Beginning diabetes mellitus often “informs” itself precisely by the fact that a person begins to urinate much more often than before the development of the endocrine disorder;
. The patient complains of burning and cramping when urinating, increased body temperature, and the presence of various impurities in the urine;
. In this case, there is pain in the lower back, as well as in, hyperthermia is observed, urine comes out of a normal color, but in small portions;
. There is usually only one accompanying symptom - slight pain during urination;
cardiovascular failure. Its additional symptoms: shortness of breath, swelling, disruption of the heart;
other reasons. The most often diagnosed are: injuries to the pelvic area, localized in the specified area, weak muscles of the bladder walls.

In addition, there are physiological reasons for frequent urination. In this case, the symptom does not indicate a disease, but is a consequence of the state of the body.

Reasons not directly related to diseases:

. The fetus puts pressure on the urinary organs, which causes an increased urge to go to the toilet. No treatment is required;
taking certain groups of drugs. This includes not only decongestants, but also some blood pressure medications;
taking large amounts of alcohol or foods that have a diuretic effect (watermelon, cucumbers, melons, rice, etc.);
stressful situation;
can cause the body to overproduce urine for several hours.

If no alarming symptoms are observed, but a frequent urge to urinate persists for more than two days, consult a doctor. If there are accompanying symptoms, this should be done immediately.

Clinical picture

In order for a doctor to make a diagnosis as accurately as possible, it is important for him to evaluate the clinical picture of the disease.

In the case of frequent urination, the clinical picture consists of the following factors:

At what time of day is the problem most acute? If the patient often goes to urinate exclusively during the day, he is diagnosed with “pollakiuria”, if at night - “nocturia”. In the second case, most of the daily urine is excreted at night.
Is there any pain, discomfort or any unpleasant sensations?
How often do the urges occur? With some pathologies, a person goes to urinate literally every ten minutes.
How much urine is released each time you go to the toilet?
Are there any additional symptoms: fever, discharge, itching, burning, thirst, weight loss, increased fatigue, etc.?
Has the urine changed color or does it contain impurities?

Try to answer these questions at home, the day before your doctor's appointment. To ensure you don't forget anything, use a notepad and pen and write down your observations. It can be difficult to remember every detail in a limited amount of time.

Diagnosis of the disease

Deals with the diagnosis and treatment of urinary problems. Even though this doctor is considered a men's doctor, this does not mean that women cannot visit him. A urologist can collaborate with a gynecologist when making a final diagnosis, but this is not always necessary.

What examinations need to be completed:

blood tests and (general + biochemistry);
bacteriological tests of blood and urine;
extended examination of the urethra (urethrography);
a study of bladder function, which includes several stages and can only be carried out in a hospital setting;
Additionally, X-rays, CT scans or areas that need to be examined to clarify the diagnosis may be prescribed.

It is not always the urologist who deals with the problem. If there is chronic stress, the patient is sent to a neurologist, in case of hormonal imbalances - to an endocrinologist, in case of heart problems - to a cardiologist.

A urinary diary is very informative. In this case, the patient records the approximate volume of fluid drunk and excreted over a certain amount of time.

Treatment

It is prescribed strictly individually after the reasons that caused the violations have been established. Applicable:

drug therapy. There is a whole group of drugs whose purpose is to reduce the volume of urine produced. These medications include: Midodrine, Spazmex, Duloxetine, Driptan and others. Each of the drugs is prescribed in strictly defined cases, so you can take them only as prescribed by a doctor;
physiotherapy. The following procedures are most effective: UHF on the lower abdomen, electrical stimulation;
Regular implementation gives good results;
hormone replacement therapy, used in some cases, also shows good results;
a decoction of birch buds, as well as tea from cherry twigs and corn hair are popular folk remedies that help overcome unpleasant symptoms;
it is important to follow the regime: do not drink a lot of liquid at night, exclude spicy and salty foods from the diet, avoid drinking teas and drinks that have a diuretic effect;
if the cause of unpleasant symptoms is either an infection, modern ones are prescribed;
tumors are treated only surgically;
in case of diabetes, the patient is treated by an endocrinologist, in case of cardiovascular pathologies - by a cardiologist;
if present, therapy is aimed at crushing them and removing them from the body, or surgical removal.

Please note that the volume of liquid you drink per day cannot be reduced under any circumstances. For an adult, it should not be less than two liters. By reducing the amount of clean water in your diet, you cause irreparable harm to your health.

Video on the topic

How to get rid of frequent urination? Answers in the video:

If something in the body begins to function incorrectly, a person loses calm, good mood and well-being. Do not expect that frequent urination will stop bothering you on its own - consult a doctor so that the disease does not become a latent form.

It is impossible to name the normal frequency of urination. For everyone, this indicator is purely individual. If we take the average value, then the norm for women is to go to the toilet up to 9 times a day. Such indicators are relevant in the absence of factors provoking diuresis (taking diuretics, large amounts of fluid intake).

Visiting the toilet 1-2 times at night is not considered a deviation. Frequent urge to urinate usually occurs in women, which is associated with the physiological characteristics of the urinary system. If this process is not accompanied by pain, then it is quite possible that it is caused by physiological reasons, and not by the presence of any disease. This phenomenon should alert you and become a reason to visit a doctor and undergo a thorough examination.

Causes of pathology

Every day, when an adult urinates, up to 2-2.5 liters of liquid are released. About 30% of the total volume occurs at night. When exposed to certain factors, the proportion of nighttime increases. The causes of nocturia in women can be both physiological factors and pathological processes.

Physiological

Physiological causes of frequent urination in women:

Pregnancy - in the early stages, hormonal changes occur, and in later stages, the increasing size of the uterus puts pressure on the bladder, disrupting the process of urination. If nocturia in pregnant women is not accompanied by pain, fever and other symptoms, then there is no need to worry.
Excessive consumption of liquids and drinks that have a diuretic effect (coffee, alcohol).
Taking diuretics, which have a diuretic effect.
Before menstruation, fluid retention occurs due to hormonal changes in the body. Therefore, the balance between night and daytime urine output changes. After menstruation, the urination process returns to normal.
Menopause - gradually the tissues and muscles of the bladder lose their elasticity. His work is destabilizing. The organ loses the ability to retain large volumes of urine, which leads to frequent urination at night.
Stress, anxiety.

Pathological

Frequent urination can occur during the day or at night; the reasons may be different. Nocturia without pain is a specific syndrome that manifests itself in a limited number of pathologies. If you have a disease that causes frequent nighttime urination, other symptoms usually occur.

Often the cause of frequent nocturnal diuresis is or -,. Nephrosis, which has developed against the background of improper protein metabolism, can also manifest itself as nocturia.

Night trips to the toilet can occur against the background of infectious lesions:

sexually transmitted diseases;
and other organs;
malaria.

Nocturia develops in chronic heart failure due to blood stagnation and malfunction of the urinary system. In a supine position, the blood supply to the kidneys increases and more urine is produced. But the organ cannot fully cope with its function. By urinating more frequently at night, the body reduces the load on the kidneys.

Other symptoms of heart failure include:

swelling of the limbs;
dyspnea;
wheezing in the lungs;
cough;
increased sweating.

On a note! In diabetes mellitus, a characteristic symptom is frequent urination not only at night, but also during the day. The woman is worried about constant thirst and dry mouth, which leads to excessive fluid intake.

Diagnostics

If a woman urinates frequently without pain at night, she needs to see a doctor to find out whether this process is pathological or is caused by physiological reasons. It is necessary to establish how much urine is excreted per day, how much urination occurs at night, whether the patient takes water, and how much liquid she drinks.

After interviewing the patient, the doctor will prescribe a number of diagnostic tests:

and blood;
blood biochemistry;
Older women need to study antidiuretic hormone levels.

Any deviations from the norm in urine parameters (presence, mucus, etc.) indicate the presence of an infectious process in the urinary system. The inflammatory process in the body can also be shown by a blood test. Elevated glucose levels may be a sign of developing diabetes.

To rule out genital tract infections, you need to visit a gynecologist and get a smear test.

Additionally, instrumental diagnostic methods are carried out, which allow us to assess the condition of organs and systems:

, abdominal cavity, ;
kidney x-ray;
excretory;
and a paired organ.

Therapeutic measures

Only when the test results are ready and the cause of frequent night urination is identified, treatment is prescribed. There is no universal treatment regimen for nocturia. It may include medication, physical therapy, nutritional and drinking regimen adjustments, and in some cases, surgery.

Medications

To get rid of the frequent urge to urinate at night, you need to remove the root cause of this phenomenon. If it occurs against the background of infectious inflammation of the urinary system, a course of antibiotics and antiseptic drugs is prescribed.

Antibacterial drugs to treat frequent urination:

Zenix.

Along with antibiotics, you need to take drugs that protect the gastrointestinal tract from their effects. It is also necessary to restore the microflora with the help of probiotics (Linex, Acidolact).

Antimuscarines are prescribed. The treatment regimen often includes alpha-adrenergic receptor blockers and 5-alpha reductase inhibitors.

If frequent urination is a consequence of stressful situations, it is necessary to take sedatives:

Sedavit;
Novopassit;
Magne B6.

To improve overall well-being and increase tone, you need to take vitamin and mineral complexes.

During treatment, you need to reduce fluid intake before bed, give up coffee, alcohol, and exclude fried, spicy, and smoked foods. Do not overload the body with increased physical activity.

Increased in adult patients: what does it mean? We have the answer!

Treatment methods and possible complications of acute glomerulonephritis in children are described on the page.

Go to the address and find out what a horseshoe kidney is and how to treat the pathology.

Traditional medicine remedies and recipes

Traditional medicine is used as an additional measure of treatment, not excluding traditional methods prescribed by a doctor.

Effective recipes:

Dilute 2 tablespoons of oak bark in 1 liter of water. Boil and leave for about an hour. Drink 100 ml of the strained broth twice a day, half an hour before or after meals. The active substances of the bark help suppress pathogenic microflora and relieve inflammation.
Prepare tea from 1 spoon of St. John's wort or mint per glass of water. You can add a little honey to taste. Tea accelerates the removal of toxins and breakdown products from the body and has a sedative effect.
Grate 1 onion. Place the pulp in cheesecloth. Apply the compress to the lower abdomen for 1 hour. The product normalizes the process of urination.

Advice for patients with urinary disorders:

Reduce fluid intake at night, especially those with a diuretic effect.
Empty your bladder promptly and completely, and do not hold back the urge to urinate.
Do not overcool, especially if there are problems with the excretory organs.
Control blood glucose.
Regular examination by a gynecologist (at least 2 times a year).
Do not eat foods that make you feel very thirsty.
Avoid stressful situations and worries.

Frequent urination at night, which bothers you for a long time, should not be ignored by a woman, even if it is painless. Serious diseases may be hidden behind nocturia, the treatment of which should not be delayed. It’s better to play it safe and examine your body. If any deviations are detected, take appropriate measures immediately.

Learn more about the causes and treatment of frequent painless urination at night after watching the following video:

Frequent urination in women is common. It may be associated with any pathology or manifestation of a special physiological condition. Frequent urge to urinate is termed “pollakiuria.”

Quite a lot of women face such a delicate problem in the modern world. The reasons for frequent urination in women without pain can be very different, and therefore there is no need to compare your case with a similar one from a friend. This condition does not cause any particular inconvenience, so women do not always rush to visit the doctor, which is a mistake.

Normally, a woman visits the toilet for minor needs 10-13 times per day. If this figure is much higher, then this is the first signal for concern. You should be especially wary when urination is accompanied by pain in the lower abdomen.

In this article we will look at why women experience frequent urination, the causes of this condition, as well as modern methods of diagnosis and treatment.

Are there standards?

Each female body has its own standards, so it is impossible to say unequivocally how much each person should walk small every day. There are many factors. How much fluid you consume during the day depends on how many trips you take and your urination rate increases or decreases.

As a rule, if frequent urination is pathological, it is accompanied by one or more symptoms:

burning, pain or itching in the urethra when emptying the bladder;
a small volume of urine released during urination (normally 200-300 ml);
if the frequency of urination disrupts the normal rhythm of life (creates discomfort at work or at night).

If you go to the toilet up to 10 times a day and 1-2 times at night, and do not experience other unusual symptoms, then there is nothing to worry too much about.

Causes of frequent urination in women

In women, frequent urination without pain often occurs in situations that are associated with natural processes in the body. In particular, these are the following factors:

drinking large amounts of liquid;
taking certain medications, such as diuretics;
the use of infusions or decoctions of herbs that have a pronounced diuretic effect;
bearing a child;
hypothermia;
stressful situations or extreme anxiety;
in older women.

Pathological disorders in a woman’s body can also cause a frequent urge to urinate, which may or may not be accompanied by pain:

. Signs of frequent urination in women without pain can appear in diabetes mellitus, when blood sugar remains elevated for a long time. The thirst that arises in this case leads to the fact that the woman drinks a large amount of liquid, as a result of which she goes to the toilet copiously and often “in small ways.”
. Acute cystitis is characterized by frequent and painful urination, the appearance of blood in the urine, pain in the bladder and perineum. These symptoms are also observed in the chronic form of the disease during periods of exacerbation. The most common pathogen is Escherichia coli. The bacterium enters the bladder through the urethra, attaches to the walls of the bladder and begins to eat away the mucous membrane.
. Frequent urination and prolonged aching pain are symptoms of pyelonephritis. During an exacerbation, weakness, chills, nausea, and a sharp increase in temperature are observed. Pyelonephritis takes a long time to be treated. Painkillers, antispasmodics, and antibacterial therapy are prescribed.
Dysfunction of the pelvic muscles of a neurological nature. With neurological disorders, problems arise with the innervation of the muscles responsible for emptying the bladder, because of this the regularity of urination changes.
. As salt conglomerates increase, painless frequent urination is gradually complicated by increasing pain.
Diseases of the heart and blood vessels. Frequent urination causes problems with blood vessels and heart failure. The process worsens at night. Vigorous activity during the day can lead to swelling. They go away at night and are expressed in frequent urination. Therapeutic measures are etiological in nature, they must compensate.
Gynecological diseases. One of the common pathologies that causes this symptom after 35 years is advanced uterine fibroids. It is a benign tumor that puts pressure on the bladder. In younger girls, the cause of frequent urination may be STDs, as well as vaginitis of various etiologies, etc. Sometimes the problem becomes a consequence of uterine prolapse.
Chronic renal failure. It can develop due to some chronic ailments of the excretory system. The most common cause is glomerulonephritis, urolithiasis, renal amyloidosis, polycystic disease and other defects in the development of this organ. One of the early manifestations of kidney failure is frequent urination at night, as well as increased urge during the day.
Spinal cord injuries. The fact of any mechanical impact on the spine cannot be ignored.
Genital infections. They lead to inflammation of the urethra, and its irritation provokes a frequent urge to urinate. Even simple thrush can lead to the need to visit the toilet more often than usual.

It is important to understand that without proper treatment for frequent urination in women, the symptoms of a possible disease can develop into a chronic form, and in the future negatively affect the reproductive system, or lead to severe consequences for overall health.

How to treat frequent urination in women?

We can talk about treating frequent urination in women only after the disease that caused it has been discovered. After all, the schemes for combating various pathologies differ significantly, and sometimes even radically, from each other.

Therefore, when a frequent urge to urinate begins, you first need to exclude physiological causes of this phenomenon:

a diet that is enriched with foods or drinks with a diuretic effect, abuse of coffee, alcoholic beverages;
stressful situations;
pregnancy;
hypothermia of the body;
taking certain medications, such as diuretics.

Main indications for going to the doctor are the following:

general weakness in the body;
urinary retention or incontinence;
discharge (bloody) from the genitals;
lack of appetite.

Depending on the identified cause, After undergoing the examination, a woman may be prescribed:

antibacterial therapy;
pre- and ;
antispasmodics;
hormonal drugs;
uroantiseptics;
sedatives;
physiotherapy, including UHF, iontophoresis, electrophoresis, inductothermy, etc.;
Exercise therapy, including Kegel exercises;
herbal medicine.

However, even frequent urination without pain, which bothers you for a long time, should not be ignored. There is no need to neglect your health, because only a timely visit to the doctor will help you find out the real causes of the problem and prescribe effective therapy.

Which doctor should I contact?

If you experience frequent urination, you need to consult a therapist and undergo an initial examination: take blood and urine tests, and undergo an ultrasound of the urinary tract. If you have kidney diseases, you should be treated by a nephrologist, and if you have bladder pathology, you should be treated by a urologist. Diabetes (sugar and non-diabetes) is treated by an endocrinologist.

The need to empty the bladder occurs at different frequencies: it depends on how you feel, the amount of fluid you drink, and the weather. But even taking into account all the factors, the desire to urinate should not appear more than 7-8 times during the day and 1-2 at night. In practice, everything is different. Many people complain of much more frequent urination without pain: in women, such behavior of the body can indicate the presence of certain problems. In what cases should you worry and consult a doctor, and when can you get rid of an unpleasant symptom on your own?

Frequent urination in women without pain: reasons related to diet

In many cases, frequent urges are not associated with any health hazard and are provoked by the following factors:

The habit of drinking a lot of coffee. This drink has a pronounced diuretic effect and can “force” a woman to visit the restroom with enviable regularity.
Drinking large amounts of alcohol, especially beer. The effect is the same as that of coffee: increased urge to urinate.
Abundant fluid intake as such. The more water enters the body, the more it is excreted.
Losing weight with the help of special teas. Pharmacies widely stock all kinds of drinks that help you lose weight. In particular, the result is achieved due to the diuretic effect: for teas of this type, such an effect is absolutely normal and should not cause concern.
Presence of diuretic products in the diet. Among them are melons, watermelons, cranberries, tomatoes, cucumbers, pineapples, grapes, garlic, celery, carrots, radishes. In the drinks category, green and ginger teas are the leaders (especially if a slice of lemon has been added).

The above-mentioned reasons for frequent urination in women without pain are associated exclusively with eating habits. It is enough to adjust them a little to reduce the number of urges. Although, if the rhythm of life allows you to constantly visit the toilet, then you don’t have to give up diuretic products: you need to focus on your own well-being.

Frequent urination without pain in women as a result of the influence of negative external factors

The body reacts very sensitively to everything that happens to it. And the frequency of the urge to go to the toilet directly depends on the characteristics of a woman’s life. In particular, urination can increase:

Hypothermia. A long stay in an unheated room or outside in cool weather can provoke an increased number of daily urges. As soon as the woman is warm, the unpleasant symptom goes away. Rare freezing is not capable of harming a healthy body, but hypothermia on a constant basis may well cause the development of all kinds of diseases, including cystitis, urethritis, and pyelonephritis.
Strong emotions, stress, anxiety. Hyperstimulation of the nervous system leads to the fact that a woman constantly feels the desire to empty her bladder. Very often this phenomenon is observed before exams, interviews, important business meetings and romantic dates.
Treatment of diseases requiring the use of medications with a diuretic effect. Diuretics are prescribed for inflammation of the genitourinary system, heart failure, hypertension, and liver pathologies. Among such drugs are Hypothiazide, Britomar, Veroshpiron. While therapy is ongoing, the woman will have to visit the restroom regularly.

If frequent painless urination is very bothersome, you should try to reduce the influence of negative factors. It is necessary to dress warmly, avoid stress and practice relaxation exercises, and, if possible, ask your doctor to change your medication.

Frequent urination without pain in women: physiological reasons

During the development of the body, factors may arise that provoke frequent urges. Among them:

Pregnancy. When carrying a child, the pressure on internal organs, including the bladder, increases significantly. It is absolutely normal for a woman in this position to constantly want to go to the toilet: after giving birth, the situation gradually returns to normal.
Changes in hormonal levels. As a rule, this phenomenon “meets” a woman on the verge of menopause and with the onset of pregnancy. True, sometimes a failure can occur at other times: in this case, you must be examined by a doctor.
Elderly age. All organs gradually wear out. The walls of the bladder become thinner, and the sphincter ceases to function normally. The desire to go to the toilet may occur even with a small amount of accumulated urine.

Separately, mention should be made of urinary incontinence, which can result in an imperative urge. This is especially true for pregnant and elderly women. Special exercises for training the pelvic floor muscles will help you cope with this problem: gymnastics is invisible to others, so classes can be done anywhere.

Pregnant women will also benefit from a bandage. It will distribute the load on the internal organs so that the bladder does not experience excessive pressure.

Frequent urination in women without pain due to diabetes

Endocrine diseases provoke urinary disorders. Diabetes is not only a common cause of frequent urges, but also a dangerous disease, so you should take seriously the likelihood of having this pathology.

There are two types of diabetes:

Sugar (sugar diabetes). It is caused by a metabolic failure and is characterized by an increased concentration of glucose in the blood. Due to an increase in the osmotic pressure of urine, polyuria begins to appear - increased urine output. Diabetes mellitus can be recognized by the following basic signs: headaches, constant itching, blurred vision, decreased muscle tone, dry mouth, and difficult-to-treat inflammations on the skin.
Sugar insipidus (diabetes insipidus). The disease is diagnosed relatively rarely. The disease is associated with a decrease in the blood levels of vasopressin, a hormone responsible for regulating water in the body. Diabetes insipidus is characterized by very strong thirst, which becomes the obvious cause of the constant urge to urinate.

If there have been cases of diabetes in the family, then the woman should definitely see an endocrinologist. Patients who lead a sedentary lifestyle and whose diet is rich in all kinds of sweets and baked goods are also at risk: in such cases, type 2 diabetes is often diagnosed.

Frequent urination in women without pain caused by a disease of the genitourinary system

Painless frequent urges may indicate quite serious diseases of the genitourinary system. Sometimes the cause of this symptom is:

Pyelonephritis. The inflammatory process localized in the kidneys provokes increased urination. Characteristic signs of the disease are sharp pain in the lower back, high fever, vomiting, nausea, weakness, chills. The disease can also occur in a chronic form, in which case the symptoms will be less pronounced, although still quite noticeable. Frequent urination in the case of pyelonephritis is caused not only by the disease, but also by the prescribed treatment: doctors almost always recommend that patients use diuretics and drink plenty of fluids.
Urolithiasis disease. The disease is associated with the presence of stones in the internal organs. If stones are located in the bladder, they will put pressure on it and provoke the urge to urinate. The disease is often asymptomatic, although it is characterized by sudden and very severe pain that does not respond to antispasmodics and analgesics.
Uterine fibroids. This is a benign tumor of muscle tissue. The neoplasm initially develops without showing itself in any way. Then the woman may notice disruptions in the menstrual cycle, heavy and painful periods, and a feeling of a foreign body inside her. When it comes to frequent urination, the fibroid has usually already reached an impressive size. It is with the growth of the tumor that the increased urge is associated: constant pressure on the bladder causes regular signals about the need to empty it.
Prolapse of the uterus. Due to weakening of the muscles and ligaments, the organ may shift from its normal position. In addition to frequent urination, the woman notices heavy discharge, nagging pain, pressure in the lower abdomen, and also suffers from constipation.

A painless urge to urinate against the background of other symptoms should be a mandatory reason to consult a doctor. It is necessary to visit a therapist and get a referral from him to specialized specialists - a urologist, nephrologist, gynecologist.

when the symptom is more pronounced - at night or during the day;
how many times a day does the bladder signal the need to empty;
whether urination becomes more frequent after taking a medicine or eating a certain food;
whether frequent urges are associated with increased physical activity;
How long ago did the symptom begin to bother you?

Frequent painless urination in many cases turns out to be a completely harmless phenomenon. But it's better not to take risks. If there is even the slightest suspicion that there is something wrong with the body, you should urgently consult a doctor. The earlier the visit takes place, the higher the chances of positive results of therapy.

Frequent urination (pollakiuria) is a sign of disturbances in the urinary system, which can be caused by physiological (natural) or pathological reasons.

Normally, the average number of urinations in women reaches 8-10 times per day and 1-2 times at night. During the day, the body produces about 1-1.5 liters of urine, which is 65-70% of the fluid consumed.

Causes of frequent urination in women without pain

Among women who face the problem of frequent urination, 15-20% of cases are caused by physiological reasons:

Drinking large amounts of liquid. Frequent urination without pain can be caused by drinking liquid (water, tea, juice, coffee, etc.) in volumes of more than 2-2.5 liters per day.
Hypothermia. As a result of hypothermia, women may experience the development of inflammatory processes, which leads to increased urination (15-20 times per urination).
Stress. Stressful situations have a significant impact on the functioning of the body, including the sensitivity of the bladder, as a result of which women experience a frequent urge to urinate without an increase in the daily volume of urine.
Critical days. During permenstrual syndrome and on critical days, additional fluid accumulates in the body, which needs to be eliminated. Also, during menstrual periods in women, the concentration of the hormone progesterone increases, which leads to increased urination.
Fruits. Eating fruits that have a diuretic effect (apples, watermelon, cherries, etc.) causes frequent urination.
Diuretics. The use of diuretics (diuretics) is aimed at removing excess fluid, reducing swelling and lowering pressure, as a result of which the frequency of urination increases by 20-30% per day.
Climax. In women during menopause (after 50-60 years), the concentration of the hormone estrogen in the blood decreases, which leads to a decrease in muscle tone and causes a frequent urge to urinate.

Diseases that lead to frequent urination

In some cases, the causes of frequent urination in women are disturbances in the functioning of the endocrine, nervous, cardiovascular systems, as well as gynecological diseases:

Diabetes mellitus types I and II are accompanied by frequent and painless urination as a result of an increase in blood volume (to reduce glucose concentrations) and the development of kidney pathology.
Diabetes insipidus develops as a result of a deficiency of the antidiuretic hormone vasopressin, as well as a decrease in the sensitivity of the kidneys to vasopressin. Diabetes insipidus leads to increased thirst, increased activity of the excretory system, decreased saliva production and weight loss.
Diseases of the cardiovascular system, which are accompanied by high blood pressure, increased swelling and other disturbances in the water-salt balance, lead to frequent urination at night (the body accumulates water during the day, and during sleep the swelling partially goes away, contributing to the formation of significant volumes of urine).
Tumors of the reproductive system. Frequent urge to urinate in women with the release of a small amount of urine can be caused by the formation of benign tumors of the female genital organs (fibroids, fibroids, cysts) with subsequent pressure on the pelvic organs.
Prolapse of the uterus. In some cases, uterine prolapse causes increased frequency of urination and stagnation of urine as the uterus descends into the vagina and puts pressure on the urinary system.
Cystocele. One of the diseases that causes painless frequent urination is cystocele. The pathology appears after pregnancy, difficult childbirth, and also due to genetic predisposition (weak muscles and ligaments of the pelvis).
Overactive bladder is a neurological pathology with disruption of nerve receptors. The pathology is manifested by an increased urge to urinate.

Frequent urination with unpleasant sensations (pain, pain, itching) may indicate diseases caused by bacterial or viral infections:

Cystitis is an acute or chronic inflammation of the mucous membrane of the bladder caused by bacterial infection (streptococci, staphylococci, E. coli) in the urinary system. Cystitis is manifested by frequent and painful urination with the release of a small amount of fluid. The development of cystitis can be the result of serious pathologies of internal organs, such as pyelonephritis, urolithiasis, and sexually transmitted infections.
Sexually transmitted diseases (STDs) are viral, fungal or bacterial infections (chlamydia, trichomoniasis, mycoplasmosis, genital herpes, candidiasis, human papillomavirus) that affect a woman’s reproductive system, as well as the urinary tract.
Pyelonephritis is a bacterial infection of the kidneys in acute or chronic form, leading to impaired urination and changes in blood composition. Symptoms of pyelonephritis are dull pain in the lower back from the affected kidney, fever, nausea, vomiting, and increased blood pressure.
Urolithiasis is the pathological formation of stones in the organs of the urinary system, which causes inflammation of the mucous membrane of the ureters and urinary tract. Urolithiasis is accompanied by frequent urination with pain, small urine output at a time, fever, etc.

During pregnancy

Problems with frequent urination during pregnancy occur in all trimesters, since hormonal changes occur in the first months after conception, and in the third trimester the uterus puts pressure on the bladder.

There are a number of reasons that cause frequent urination without pain in women during pregnancy:

an increase in the volume of fluid in the body (including blood and amniotic fluid);
cleansing amniotic fluid in the placenta puts additional stress on the kidneys, causing increased urination;
a high concentration of progesterone in the blood, changes in urine acidity to a more acidic one, the development of iron deficiency anemia and a decrease in hemoglobin in the blood lead to high sensitivity of the bladder walls, resulting in increased urination with a simultaneous decrease in the amount of fluid released at a time;
as pregnancy progresses, the volume of fetal waste products increases, which leads to frequent urge to urinate in late pregnancy;
increased frequency of urination before childbirth (1-2 weeks) is caused by the fact that the fetus drops lower and creates additional pressure.

Treatment

To treat frequent urination in women caused by pathological causes, medication and physiotherapeutic methods are used. The main therapeutic agents prescribed for infectious and systemic diseases are as follows:

Antibiotic therapy. If a bacterial infection is detected, a group of fluoroquinolones (Levofloxacin, Norfloxacin) with a wide spectrum of bactericidal action is used.
Antibacterial therapy using uroantiseptics - antimicrobial drugs for the complex treatment of inflammation that causes frequent urination. Uroantiseptics include Furadonin, Palin, Nitroxoline, Biseptol.
Hormonal therapy. For type 2 diabetes mellitus, in addition to glucose-lowering medications, insulin therapy in tablets or injections is prescribed, and for type 1 diabetes, the use of insulin is mandatory. For diabetes insipidus, a synthetic analogue of vasopressin is used (antidiuretin SD, desmopressin, tipressin tanate).
Use of painkillers. If an increased urge to urinate is accompanied by pain and unpleasant symptoms, then symptomatic treatment is prescribed using antispasmodics and painkillers (No-shpa, Drotaverine, Spazmolgon, Riabal).

Physiotherapeutic treatment methods are aimed at stimulating the organs of the excretory system to normalize urination processes using:

UHF lower abdomen;
electromyostimulation of the pelvic floor muscles;
myostimulation using rectal and urethral sensors.