As we get older, urinary frequency tends to increase for a variety of reasons. Here’s a quick look at some of the key factors that can lead to peeing more often as you age:
Decreased Bladder Capacity
The bladder is a muscular sac that stores urine before you pee. As you get older, the bladder can become less elastic and lose some of its capacity to store urine. This means you may not be able to hold as much urine as when you were younger, leading to more frequent trips to the bathroom.
Hormonal Changes
Declining estrogen levels in women after menopause can cause changes to the urinary tract that may increase urinary frequency. Things like urinary tract infections (UTIs) and incontinence become more common after menopause as well.
Enlarged Prostate in Men
As men age, the prostate gland tends to enlarge in a condition called benign prostatic hyperplasia (BPH). An enlarged prostate puts pressure on the urethra, partially blocking urine flow. This can make it feel like the bladder doesn’t empty completely and cause urge urinary incontinence.
Medical Conditions
Various medical conditions become more common as we age and can contribute to peeing more often, such as:
- Diabetes
- Stroke
- Multiple sclerosis
- Parkinson’s disease
- Hypertension
These conditions can affect signals between the brain and bladder or cause excessive urine production, leading to urinary urgency and frequency.
Medications
Many common medications prescribed to older adults can increase urination as a side effect, including:
- Diuretics
- Calcium channel blockers
- Antidepressants
- Sedatives
- Muscle relaxants
Always read medication labels for potential side effects. Speak to your doctor if a new medication seems to be increasing your urinary frequency.
Caffeine and Alcohol
Consuming beverages like coffee, tea, soda, and alcohol can have a diuretic effect. This leads to increased urine production and may cause you to pee more often. Moderate your intake as needed.
Decreased Physical Activity
As we get older, physical activity levels tend to decline. Lack of movement can contribute to weak pelvic floor muscles used to control urination. This makes it harder to “hold it” and can lead to leaking.
Tips to Manage Frequent Urination
If frequent urination is disrupting your life, try some of these strategies:
- Limit diuretic beverages like caffeine and alcohol
- Stay hydrated but don’t over-drink fluids
- Urinate on a scheduled timed voiding routine
- Do Kegel exercises to strengthen pelvic floor muscles
- Discuss bothersome medications with your doctor
- Manage underlying medical conditions
- Use protective pads/undergarments if needed
When to See Your Doctor
Consult your physician if frequent urination:
- Comes on suddenly
- Is accompanied by pain or discomfort
- Occurs at night (nocturia)
- Happens along with leakage/incontinence
- Interferes significantly with sleep or daily activities
This can help identify any underlying medical issues requiring treatment.
The Bottom Line
Needing to pee more often is common as we get older. Things like hormone changes, prostate issues, medications, weak pelvic muscles, and medical conditions can all contribute to increased urinary frequency.
Make an appointment with your doctor if it becomes bothersome. Simple lifestyle changes and treatment for underlying issues can typically improve symptoms.