enlarged prostate?

I'm 34, male, healthy BMI, and no known conditions, i.e.non diabetic although my father has diabetes type 2 (diagnosed in mid 50s).. I am taking mirtazipine for the last 2 months and have had anxiety/depression on and off for many years.

The last month or so I've woken up in the early morning (range from 230am - 6am) and had this strange but slight sensation that I need to pee. I awake to find I have it and sometimes I go pee, other times I have not. At times I've been able to fall asleep after peeing so I have the required sleep. It definitely isn't a strong, intense, desperate urge but rather just a slight awareness if that makes sense. That's why when I do urinate, most of the time not a great deal comes out - around 8-10 ounces which is actually the normal urine produced by the kidneys overnight. However, there is no reason my bladder cannot hold this amount of urine, cos during the day I can hold in far more than this. I always make sure I empty my bladder before bed so this urine can only be the urine produced by the kidneys overnight. I do tend to have tea before bed which I'm trying to cut down on but again I've always had this and never had an issue.

Flow of urine is normal, no pain, burning etc. AND I've never been more than once. I know nocturia is usually diagnosed for people who go at least twice in the night. I realise once in the night for a mid 30s man may be normal but when I've never had to wake up before in my life it's a bit frustrating.

During the day I have no real telling symptoms although on a few occasions I have got the sudden urge to urinate even though I emptied my bladder just prior and no liquid intake AND occasionally I have a slight strain to get rid of all the urine after emptying even though only a few drops come out. Possibly a slightly dry mouth the moment I wake but that soon disappears.

I had two urinalysis done both of which came back normal (so infections, inflammation etc). Doctor also mentioned it could be just anxiety and to monitor my symptoms. I guess worrying about this makes it worse, I know.

Do you think this is a prostate issue, like enlarged prostate? I've never had any problems with sleep and never had to wake up to pee before in my life so this is why it's worrying me.

At your age it's unlikely to be a prostate issue. Focusing on your anxiety/depression is more likely the best path. Worry, stress, depression all have physical effects on the body. Learning to manage these and improving your emotional/spiritual/mental health will have the more positive benefit to you and your life.

Personally I'd recommend practicing mindfulness, walking daily, and doing things that energize your spirit. A good therapist might be helpful too.

and don't drink anything within an hour or two of going to bed.

Peace,
Andrew

i have had prostate issues for frequent urination since i was 35, your age roughly. My doctor called it bph from day 1, but like you ive had anxiety all my life. At the time this started many years ago the two most common meds for bph were flomax and cardura. I tried both but they always made me dizzy when i stood up, probably because i was already on a blood pressure pill. So I had to stop them and use saw palmetto for years. I don't know if it really helped or not but that was all there was then. I was about to start avodart when my prostate cancer was discovered. What i never really understood about bph early on is that you can pee now and need to go again in 1/2 hour because you never really emptied the bladder in the first place! So i suffered endless sleepless nights because of peeing. Avodart seems to work for most men so that would be your first treatment of choice if your condition persists. After that there are cold fusion surgeries I think they're called which could get rid of some of the prostate tissue and they appear very effective too...

I was getting up every 2 hours , soo aggravating and no I don’t think bph is necessarily associated with prostate cancer

I think it's well documented and factually correct to state that BHP diagnosed at any age does not pose a risk factor for developing prostate cancer later in life.
However, can having other prostate/urinary problems pose a risk for developing it? Hard to say, I don't think there are studies that underline one particular cause/risk factor (other than having an immediate family history)?