Prostate and bladder
Frequent urination in men: common causes and natural support
Needing to urinate often, or waking at night to go, is common as men get older, but it is not something you have to accept. Here are the main causes of frequent urination in men, and what helps.
In short: Frequent urination in men is often caused by an enlarged prostate (BPH), but can also be due to diabetes, urinary infections, an overactive bladder, high fluid, caffeine or alcohol intake, some medicines, and sleep apnoea. A weak stream, pain, blood in the urine or thirst with weight loss should be checked promptly.
Common causes
Enlarged prostate (BPH)
The prostate grows with age and can press on the urethra, causing frequent urination, a weak stream, hesitancy and night-time urination. See enlarged prostate natural remedies.
Diabetes
High blood sugar makes the kidneys produce more urine. Signs include thirst, tiredness and weight loss. Diabetes also affects erections. See how to reverse erectile dysfunction caused by diabetes.
Urinary tract infection or prostatitis
Burning, urgency and frequency, sometimes with fever. See painful ejaculation causes.
Overactive bladder
Sudden, strong urges to urinate.
Caffeine and alcohol
Both increase urine production and irritate the bladder. See does coffee help erectile dysfunction.
Medicines
Diuretics (“water pills”) for blood pressure increase urination.
Sleep apnoea
Can cause night-time urination. See lack of sleep and erectile dysfunction.
Warning signs to get checked
- Blood in the urine
- Pain or burning
- Fever
- Difficulty starting or a very weak stream
- Feeling the bladder never empties
- Being unable to urinate (an emergency)
- Excessive thirst or unexplained weight loss
An appropriately registered medical professional can examine you and arrange urine, blood sugar and prostate tests.
Natural ways to help
- Reduce fluids in the two hours before bed, but drink enough during the day.
- Cut back on caffeine, alcohol and fizzy drinks, especially in the evening.
- Double void: wait a moment after urinating, then try again.
- Stay active and keep a healthy weight.
- Train your pelvic floor. See Kegel exercises for men.
- Eat plenty of vegetables; pumpkin seeds may help prostate symptoms. See pumpkin seeds benefits for men.
How we can help
Our naturopaths can support bladder and prostate comfort with natural remedies and lifestyle guidance, alongside medical assessment. Read also prostate health symptoms men shouldn’t ignore.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Do you have pain, swelling, redness or itching in the genital area?
- Have you noticed discharge, sores, a lump or blood in your urine or semen?
- Do you have a fever or feel generally unwell?
- Has this lasted more than a few days, or keep coming back?
- Is it affecting your sex life, sleep or confidence?
A yes to questions two or three, or sudden severe pain, means you should see an appropriately registered medical professional promptly. For recurring or lifestyle-related concerns, a naturopath can help with natural support alongside medical care.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our men’s clinic prices for details.
Frequently asked questions
Why do I pee so often at night?
Common causes include an enlarged prostate, drinking late in the evening, caffeine or alcohol, diabetes and sleep apnoea.
Is frequent urination a sign of prostate problems?
It can be. An enlarged prostate is a common cause in men over 50, but other causes should be ruled out.
When should I worry about frequent urination?
Get checked if you have blood in the urine, pain, fever, a very weak stream, thirst or weight loss.
How can I reduce frequent urination naturally?
Limit evening fluids, caffeine and alcohol, double void, train your pelvic floor and stay active.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.
References and further reading
- NHS: Benign prostate enlargement
- Mayo Clinic: Benign prostatic hyperplasia (BPH)
- Mayo Clinic: Prostatitis
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
