Nocturnal polyuria requires multiple interruptions of sleep to go to the toilet, which not only affects the mental and physical strength of the next day, but studies have confirmed that it may further affect libido and erectile function.

schematic diagram.

(Photo by reporter Wu Liangyi)

[Reporter Wu Liangyi/Taipei Report] Men should pay attention to their "sexual happiness"!

Nocturnal urination more than 2 times will lead to extremely poor sleep quality, and the drop of testosterone hormone will affect libido and erectile function. The doctor warns that the more frequent urination after waking up, the lower the testosterone level in the body, and the weakening of sexual function will lead to a vicious cycle.

Liao Junhou, chairman of the Taiwan Urinary Incontinence Prevention Association, pointed out that nearly 40% of adults over the age of 40 suffer from nocturia, which is comparable to the prevalence of common metabolic syndrome (three highs).

If estimated based on the total population of Taiwan, there may be more than 2.5 million mature men over the age of 40 suffering from nocturia.

Please read on...

According to the definition of the International Association for the Prevention and Treatment of Urinary Incontinence, "nocturia" refers to the occurrence of at least 2 or more strong urges to urinate in one night and interrupts sleep. Among them, nearly 95% of nocturia patients have nocturnal urine output greater than 1/3 of the day's urine output "Nocturnal polyuria".

Liao Junhou added that there are many causes of nocturia, including poor bladder storage capacity, medication for chronic diseases, and sleep problems.

According to clinical observations, the main reason for patients’ “nocturnal polyuria” is insufficient secretion of hormones. Usually, when sleeping at night, the pituitary gland secretes antidiuretic hormone (ADH) to reduce urine output and concentrate urine.

However, as we age, the pituitary gland will gradually degenerate. Once the antidiuretic hormone secretion is insufficient, it will cause too much urine at night, and we have to get up frequently to go to the toilet, resulting in the inability to sleep well at night.

Nocturnal polyuria requires multiple interruptions of sleep to go to the toilet, which not only affects the mental and physical strength of the next day, but studies have confirmed that it may further affect libido and erectile function.

schematic diagram.

(Photo by reporter Wu Liangyi)

Liao Junhou pointed out that after a man reaches the age of 40, the hormone "testosterone" that affects libido and sexual function will gradually decline at a rate of 1% per year, and the pituitary gland will gradually degenerate, resulting in insufficient secretion of antidiuretic hormone, causing nighttime polyuria. Need to interrupt sleep many times to go to the toilet, thereby depriving sleep quality.

Huang Guanhua, executive director of the Taiwan Urological Association, said that when polyuria at night causes varying degrees of sleep, and even makes it difficult to fall asleep again, it will not only affect the mental and physical strength of the next day, but the blood pressure may also be unstable. Men are very concerned about intercourse performance. It will raise the alarm; in addition, international studies have also confirmed that men who lack sleep will also reduce the secretion of testosterone hormone, affecting libido and erectile function.

A Korean study also showed that as the frequency of nocturia increases, the testosterone level in patients with nocturia will also decrease.

Huang Guanhua said that there are currently hormonal drugs such as antidiuretic hormone that can help patients relieve nocturnal polyuria symptoms, reduce the number of nocturia by as much as 50%, and increase the continuous sleep time of more than 2 hours to improve sleep quality.

People at home can simply understand their urination problems and evaluate their own conditions through the LINE "Yewen AI Smart Chat Room". This smart chat room collects information from more than 300 urology medical institutions in Taiwan.

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keywords

  • Testosterone

  • sexual desire

  • sleep quality

  • nocturia

  • erectile function

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