Most married couples get asked “when,” but Charli Worgan and her husband Cullen frequently received “why” questions.
The parents, who live in Sydney, are frequently in the spotlight due to their unique forms of dwarfism, most notably when Charli got pregnant with their first child.
After giving birth to their first child, the content Australian mother created a social media account to share updates on their family life with others. Little did she know how well-liked her account would become.
With two stunning daughters under their belt, Charli has amassed over 300,000 Instagram followers.
Charli recently revealed that she was fourteen weeks pregnant with her third child, but the announcement was bittersweet.
Charli has had to undergo thorough genetic testing during each pregnancy. Experts warn that if Charli and Cullen’s offspring inherit just one type of dwarfism, inherit both forms, or are of average height due to their genetic problems, the results might be fatal.
Charli expressed her disappointment at not being able to celebrate her pregnancy’s 12-week mark with her family, as most mothers do.
But at 12 weeks, I was preparing for a procedure called Chorionic Villus Sampling (CVS), which is similar to an amniocentesis, whereas most individuals are pleased to be able to announce their pregnancy. To check the embryo’s genetic composition, a big needle is placed into my abdomen to extract a sample of the placenta, which has a 2% miscarriage rate.
Their two daughters, Tilba, 4, and Tully, 2, each have one of the two varieties of dwarfism, so they waited to find out which of the four possible dwarfisms Charli’s third child would have.
In an Instagram post, Charli explained, saying, “Our child would be of ordinary height.”
Our child would have achondroplasia and be dwarfed similarly to me.
Our child would have geleophysic dysplasia, the same type of dwarfism that Cullen has.
As a result of inheriting both genetic defects, our child would be born with “double dominant dwarfism,” which is fatal according to every expert medical assessment. In the event that this had occurred, I could have decided to terminate the pregnancy or to go on and see how things turned out.
Doctor Reveals Why Women Should Avoid Peeing in the Shower
The debate over peeing in the shower continues, with many advocating for the practice due to its water-saving benefits. However, Dr. Alicia Jeffrey-Thomas, a pelvic health specialist, warns that for those assigned female at birth, this habit could have unintended health consequences.
The Water Conservation Argument
One of the strongest arguments for urinating in the shower is its potential to save water. By eliminating the need for a separate toilet flush, a person could save approximately 2,190 liters (579 gallons) of water per year. If the entire U.S. population adopted this practice, it could lead to an annual water savings of 699 billion liters (185 billion gallons). This significant reduction in water consumption highlights the environmental advantages of shower urination.
Potential Health Risks: The Pelvic Floor Connection
Despite the environmental benefits, the potential health consequences of this habit must be considered. Dr. Jeffrey-Thomas explains in a TikTok video that regularly peeing in the shower may lead to pelvic floor and bladder control issues.
The Pavlovian Response
Dr. Jeffrey-Thomas likens this habit to Pavlov’s classical conditioning experiment, where dogs learned to associate the sound of a bell with food. Similarly, repeatedly urinating in the shower can train the brain to link the sound of running water with the urge to pee. This association may result in involuntary urination triggered by running water sounds, such as a faucet, toilet flush, or even rain.
Pelvic Floor Dysfunction Risks
For individuals with existing pelvic floor dysfunction, this learned association can exacerbate bladder control problems. Dr. Jeffrey-Thomas explains that urinating while standing in the shower does not allow the pelvic floor muscles to fully relax, potentially leading to incomplete bladder emptying. Over time, this can contribute to urinary retention and increase the risk of urinary tract infections (UTIs).
Some argue that squatting while urinating in the shower might alleviate pelvic floor strain. Dr. Jeffrey-Thomas acknowledges that a full squat position allows for better pelvic floor relaxation, but she still advises against making shower urination a habit. If one must urinate in the shower, a proper squatting position is preferable to standing.
Why Doesn’t Toilet Flushing Trigger the Same Response?
A common question is why flushing the toilet doesn’t condition the brain in the same way. Dr. Jeffrey-Thomas clarifies that by the time a person flushes the toilet, they have already urinated, so no association is formed. However, individuals who struggle to resist the urge to urinate when exposed to running water may already have underlying bladder control issues.
Understanding Pelvic Floor Dysfunction
Pelvic floor dysfunction is a common condition, particularly among women. The pelvic floor is a group of muscles that support the bladder, uterus, rectum, and other organs. Dysfunction occurs when these muscles become too weak or too tight, leading to symptoms such as:
- Urinary and bowel incontinence
- Lower back pain
- Pain during intercourse
- Increased urgency or frequency of urination
Factors such as childbirth, surgery, aging, obesity, and high-impact activities can contribute to pelvic floor dysfunction. Given that urinating in the shower might worsen symptoms, individuals should be aware of these risks before adopting the habit.
The Biological Factor: Why Female Anatomy Matters
Dr. Jeffrey-Thomas emphasizes that those with female anatomy are not designed to urinate while standing. Unlike male anatomy, where the positioning allows for better bladder emptying while standing, females may struggle to fully relax the pelvic floor in this position. This can lead to incomplete bladder emptying, increasing the risk of UTIs and other urinary complications.
Pros and Cons of Peeing in the Shower
Pros:
- Water conservation: Reduces toilet water usage significantly.
- Convenience: Saves time, particularly during a rushed morning routine.
Cons:
- Pelvic floor health risks: May contribute to bladder control issues and pelvic dysfunction.
- Conditioned response: Can create an involuntary urge to urinate when exposed to running water.
- Sanitation concerns: While urine is mostly sterile, it can still contain bacteria that may pose hygiene risks.
The Bottom Line
While peeing in the shower may seem like an eco-friendly and convenient habit, it is important to weigh the potential health risks. Dr. Alicia Jeffrey-Thomas’s insights serve as a reminder to consider the long-term effects of our daily routines. Striving for sustainability should not come at the cost of personal health. Ultimately, making an informed decision based on both environmental and health factors is key to maintaining overall well-being.
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