Frequent Urination: Causes, Myths, and Solutions

Frequent urination issues?

Hello Doctor: About two years ago, I felt the urge to urinate but held it in for about four hours before finally going.
At that time, I had some difficulty urinating.
Since then, I have started experiencing frequent urination, feeling the need to urinate every hour.
Initially, I was too shy to see a urologist, and it took me two months to finally go.
I had a urinalysis done, but the results were normal.
However, I still have the symptoms of frequent urination.
The doctor suggested that it might be due to exam stress.
Unfortunately, my condition has not improved.
I later read an article stating that excessive masturbation can cause frequent urination.
I have had a habit of masturbation since elementary school (about once a day), so I wonder if this could also be a contributing factor.
I would like to ask the doctor a few questions, and I hope you can answer them one by one: 1.
Could that incident of holding my urine be the cause of my current problem? 2.
Does excessive masturbation really cause frequent urination? If so, how many times a week is considered excessive? 3.
Since I am currently preparing for exams, are there any methods to alleviate this issue? 4.
Would you recommend seeing a urologist?

Tian Tian Tian, 10~19 year old female. Ask Date: 2016/05/22

Dr. Lin Wenxu reply Urology

It may not be possible to diagnose the cause solely based on your description.
I recommend that you visit a hospital for a thorough medical history and physical examination to identify the underlying issue, which will allow for appropriate advice and treatment.

Reply Date: 2016/05/22

More Info

Frequent urination, or polyuria, can be a frustrating and distressing symptom that affects many individuals. Understanding the underlying causes, dispelling myths, and exploring potential solutions is essential for managing this condition effectively.

1. Causes of Frequent Urination
Frequent urination can stem from various factors, including:
- Physiological Factors: Normal physiological responses, such as increased fluid intake, especially from diuretics like caffeine and alcohol, can lead to more frequent urination. Additionally, anxiety and stress can also trigger a heightened urge to urinate.

- Medical Conditions: Conditions such as urinary tract infections (UTIs), diabetes mellitus, bladder infections, and prostate issues in men can cause increased urination. Neurological disorders affecting bladder control can also contribute to this symptom.

- Medications: Certain medications, especially diuretics, can increase urine production and frequency.

- Psychological Factors: Anxiety and stress can lead to a condition known as "nervous bladder," where the individual feels an urgent need to urinate more frequently, often without a significant amount of urine produced.

2. Addressing Your Specific Questions
1. Could holding urine for an extended period cause frequent urination?
Holding urine for long periods can lead to bladder overactivity or irritation, which may result in a heightened urge to urinate. However, it is unlikely to be the sole cause of persistent frequent urination unless it has led to a significant change in bladder function.

2. Does excessive masturbation cause frequent urination?
There is no direct scientific evidence linking excessive masturbation to frequent urination. However, psychological factors associated with guilt or anxiety about masturbation could potentially contribute to a nervous bladder. Moderation is key, and if you feel that your habits are affecting your daily life, it may be beneficial to reassess them.

3. What can be done to alleviate frequent urination while preparing for exams?
Managing stress through relaxation techniques, such as deep breathing, meditation, or yoga, can help reduce anxiety-related urinary frequency. Additionally, maintaining a regular hydration schedule and avoiding diuretics like caffeine and alcohol can help manage symptoms. Keeping a bladder diary to track fluid intake and urination patterns can also provide valuable insights for you and your healthcare provider.

4. Should you see a urologist?
Yes, consulting a urologist is advisable, especially since you have been experiencing these symptoms for an extended period. A urologist can conduct a thorough evaluation, including urine tests, imaging studies, and possibly a bladder diary review, to identify any underlying issues and recommend appropriate treatment.

3. Conclusion
Frequent urination can be a multifaceted issue influenced by physiological, psychological, and medical factors. It is essential to approach this symptom holistically, considering both physical and mental health aspects. Consulting a healthcare professional, particularly a urologist, can provide clarity and direction for treatment. Remember, you are not alone in this, and seeking help is a proactive step toward improving your quality of life.

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