Waking up often at night to pee, known as nocturia, may seem like a small inconvenience but can signal underlying health problems. About 50 million Americans experience it, with women aged 18–49 more affected, while rates rise for men after 60. In most cases, 88% have nocturnal polyuria—producing more urine at night than during the day.

Experts warn it’s not just lost sleep; it may mean missing REM sleep, vital for mood, memory, and health. Normally, during REM sleep, the body releases antidiuretic hormone (ADH) to reduce urine production. If REM sleep is disrupted, ADH stays low, and the body produces urine as if it were daytime.

Frequent nighttime urination can indicate issues such as overactive bladder, prostate problems, or chronic conditions. “It’s a sign your body isn’t getting the restful sleep it needs,” experts caution.

Ways to reduce nighttime bathroom trips include keeping a consistent sleep schedule, avoiding caffeine and alcohol before bed, limiting evening fluids, exercising earlier in the day, and creating a cool, dark, quiet bedroom environment.

Don’t ignore this symptom—addressing it early can help prevent long-term complications like sleep deprivation, reduced quality of life, and other serious health risks.