What is the cause of excessive nighttime urination in women?

In pregnant women, the size of the uterus increases as the gestational weeks increase, which can lead to increased nocturia when the bladder is compressed.

In addition, large bladder stones, bladder tumors, uterine tumors, and ovarian tumors can reduce the size of the bladder or compress the bladder, leading to increased nocturia.

Nocturia in women should be excluded from diabetes mellitus. The typical symptoms of diabetes mellitus are excessive drinking, eating and urinating but weight loss, and diabetic nephropathy may be considered when diabetic patients have a sudden increase in nocturia.

Urological infections such as pyelonephritis, urethritis, and cystitis can lead to increased nocturia, and patients may also have bladder irritation signs such as urinary frequency, urinary urgency, and painful urination, which can be identified by urine bacterial culture + drug sensitivity to clarify the presence of infection.

Inflammatory diseases of the female reproductive system, especially in postmenopausal women, can also lead to increased nocturia, often accompanied by abnormal vaginal discharge, itching and burning sensation in the pubic area, such as trichomoniasis, vulvovaginal pseudomonal yeast disease or senile vaginitis, and vaginal discharge examination can confirm the diagnosis.