The pelvic floor plays a subtle role in your pre-bedtime and sleeping habits, but it can have an impact on nighttime urination. As a pelvic floor physical therapist, I explain that waking up in the middle of the night to pee isn’t an ideal sign. It suggests that the pelvic floor may not be fully relaxed or functioning properly during sleep, which could lead to nighttime disruptions. While the connection isn’t always immediately obvious, addressing the pelvic floor’s health can help reduce the need for nighttime bathroom trips.