What is the reason for frequent nighttime urination?

Patient's question:

I am a 54-year-old male. I have severe nocturia with 4 to 5 times in 10 hours at night, and during each sleep, the penis is erect, then retracts after urination. For 3 years, I have been experiencing lower back and leg pain, overall weakness, excessive sweating, and frequent colds. What is wrong with me?

Doctor's answer:

Traditional Chinese Medicine believes that the kidneys govern the perinatal period. Kidney Yang deficiency manifests as soreness and weakness in the lower back and knees, frequent urination with clear and copious urine, or premature ejaculation and nocturnal emissions. People with a weak constitution are prone to frequent colds due to susceptibility to external pathogens. The treatment in TCM focuses on tonifying essence and marrow, warming and replenishing Kidney Yang, and then adjusting the formula based on other accompanying symptoms. You can try taking Chinese herbal medicine. For severe male sexual dysfunction, it is recommended to seek medical attention promptly and follow the doctor's advice for timely treatment. Avoid changing medications arbitrarily, as this may lead to counterproductive effects.

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