Repeated urination a few days before the onset of periods could be a regular phenomenon for women and doesn’t necessarily have to raise an alarm as most of the healthy women go through it. However in very rare cases it could be an indicator of certain health disorders such as a urinary tract infection or Parkinson’s disease. Frequent urination among women is a part of not just menstruation but various other physiological processes such as pregnancy and menopause. Premenstrual syndrome or the premenstrual tension is also associated with frequent urination.
There is no doubt that this causes discomfort to women and usually occurs almost a week before the onset of menstruation. The changes in hormones are mainly seen as a cause for signs and symptoms before periods. The level of hormones is particularly affected in the latter period of the cycle because of the growth in the corpus luteum, a temporary structure in the ovarian follicle. With the small amount of the estrogen, a large amount of progesterone is produced that further affects the function of other hormones especially the neurochemicals such as beta-endorphins and serotonin. The neurochemicals help in the regulation of emotions, physical activities and most importantly mood, and behavior. The hormonal changes also lead to various other physical symptoms, such as menstrual and pre-menstrual cramping, tenderness in the breasts, upset stomach, bloating, and an increased frequency of urinating. Thus, the frequent urination is a common symptom of PMS like other signs and symptoms as this is the time when the body is more vulnerable in retaining the fluids such as blood and water.
The uterus begins to increase, pressuring the bladder which makes one feel like urinating more often. Some of the women have more water retention and bloating tendencies prior to the periods and it also increases the quantity of urine during menstruation. Also, the Progesterone hormone, which increases this time, makes the body retain water in order to keep the women’s body ready to maintain the placenta. In case there is no pregnancy and progesterone levels decrease the extra fluid that was retained starts releasing and causes more urination.
Causes of Frequent Urination
- Urinary tract infection: One of the most common reasons
- Pregnancy and urinary disorders.
- Injury of the nerve
- Weakness of bladder or bladder muscles
- Spinal cord injury
- Increased intake of caffeine
Frequent Urination and PMS
PMS or Premenstrual Syndrome is a phase usually experienced before the menstruation cycle begins and is characterized by certain emotional, behavioral, and physical normal or discomforting. The symptoms start 7-10 days before the menstruation starts with the shedding of uterine due to hormonal changes. These hormones are also for other physical symptoms of PMS, like gassiness, cramps, bloating, tenderness and frequent urination. Thus, frequent urination could possibly be a symptom of PMS but not as common as other symptoms like bloating, constipation, cramps, and acne.
What other things frequent urination in women indicates
- UTI (Urinary Tract Infection)
- Urinary incontinence
- Beginning of Menopause
- Weakness of bladder muscles
Frequent urination before periods and pregnancy
Frequent urination can also be a sign of pregnancy, especially before a missed period and can be related to change in the hormones. The hormone HCG that is produced in pregnancy once the embryo gets implanted in the uterus triggers frequent urination. There is an increase in the blood volume as the pregnancy advances wherein the extra fluid has to be processed with the help of kidneys after which it reaches the bladder and increases the urination frequency. In fact this extra pressure on the bladder often causes “stress urinary incontinence” among pregnant women where sneezing, exercising, coughing, or lifting heavy objects leads to urine leakage. The situation might worsen as the pregnancy moves forward.
Maintaining the comfort
When a person is tired of peeing constantly the first thing that comes to the mind is to cut back on fluids but this is one thing that must not be done as it is equally important to stay hydrated. However you can refrain from consuming liquids right before you sleep so that you don’t have to worry about getting up in the middle of night to pee. Caffeinated drinks like coffee, tea, soft drinks etc also need to be cut down.
It is also essential to maintain a healthy bladder and adopt hygienic practices as the frequent urination can also be a result of other medical conditions such as UTI and incontinence. In the case of pregnancy it is important to strengthen the pelvic muscles which can be done with the help of easy exercises. While using public toilets always use a sanitizer and keep some tissues handy as it’s the worst place to contract UTIs. Most importantly, stay hydrated and calm.
Filed in: Women's Health