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According to MSNBC a new study finds that one in five U.S. men have to get up at least twice a night to empty their bladders — which for some could signal an underlying medical problem or even contribute to poorer health.

Known as nocturia, those frequent overnight trips to the bathroom can be a sign of a health condition, ranging from a urinary tract infection to diabetes to chronic heart failure. In men, a benign enlargement of the prostate can also be a cause.

For some people, the constant sleep disruptions can themselves cause problems — contributing to depression symptoms or, particularly in older adults, falls.

On the other hand, getting up during the night to urinate can also be normal. If you drink a lot of fluids close to bedtime, for example, don’t be surprised if your bladder wakes you up at night.

Nocturia also becomes more common with age. Part of that is related to older adults’ higher rate of medical conditions. But it could also result from a decrease in bladder capacity that comes with age, explained Dr. Alayne D. Markland, the lead researcher on the new study, which appears in the Journal of Urology.

Men are commonly reluctant to pursue preventative medical health measures. Dr. O’Toole explains to patients that men should not only consider their physical health but also their aesthetic health. Men are much more likely to wait before considering procedures like facelift, or blepharoplasty. Addressing the face and eye area earlier could help men to enjoy better results because the skin has more laxity when these procedures are performed earlier. Men who take care of their appearance preventively are able to enjoy better benefits from anti-aging products and procedures.

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