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.
We Adopted a Rescue Dog — The Next Night, My 8-Year-Old Son Was Gone
What began as a simple family outing to adopt a rescue dog quickly turned into a night of panic, hidden secrets, and difficult truths. That night made me question everything I believed about trust and family.
Last weekend, I thought I lost my son.
It all started with a dog. My son, Andy, had been begging for one for months. Every day, he’d ask, “Dad, can we please, please get a dog?” He was relentless, and I was getting close to giving in. But he also had to convince Kelly, my wife.
After a lot of talking, my wife finally agreed. She looked at me seriously and said, “Fine, but only if it’s small and well-behaved. We’re not getting some big, messy mutt.”
Kelly had grown up in a tidy home, where pets were seen as small, clean, and polite. A poodle or a Yorkie, maybe, but definitely not a scruffy dog. Our son, though, wanted a real friend.
The shelter was loud, full of barking and howling. Andy’s eyes lit up as we walked down the rows of kennels, skipping over the fluffy dogs we were supposed to be considering.
Then he stopped. In front of us was a kennel with the scruffiest dog I’d ever seen. She had tangled fur, big brown eyes, and a tail that looked crooked. She didn’t bark, just looked at us, tilting her head as if curious.
I squatted down next to Andy. “She’s not exactly what your mom wanted, buddy.”
“She needs us,” he said, looking at me with a stubborn glint. “Look at her. She’s… sad. We could make her happy.”
“All right,” I said, ruffling his hair. “Let’s bring her home.”
When we walked in, my wife’s face fell. “She’s a little scruffier than I imagined,” she said, glancing between the dog and me.
“Come on, Daisy’s great,” I said, grinning. “Besides, they’re already best friends.”
She forced a small smile, looking unconvinced. “I just hope she doesn’t ruin the carpets.”
That evening, as we got ready for bed, Daisy wouldn’t settle down. She paced around, whining softly.
“Can’t you do something about that?” Kelly sighed, looking irritated.
“She’s probably nervous being in a new place,” I said. “Maybe she just needs some attention.”
Kelly hesitated, then swung her legs over the bed. “Fine. I’ll give her a treat or something,” she muttered and left the room.
Minutes later, she returned, saying, “She just needed a treat.” She climbed into bed, and the whining stopped.
I woke up around 3 a.m. to a strange quiet. Something felt wrong. I got up to check on Andy. His bed was empty, the covers on the floor, and the window slightly open.
A cold panic crept over me.
I rushed down the hall, checking every room, calling his name louder each time. But he was nowhere.
I ran back to the bedroom and shook my wife awake. “He’s not in his room,” I said, my voice shaking. “The window’s open. Daisy’s gone too.”
She sat up, her eyes wide, but there was something else—guilt?
“Maybe she escaped, and he went after her?” I asked, desperate for an answer.
She bit her lip, hesitating. “I don’t… I don’t know,” she stammered.
I picked up my phone and called the police, praying he was somewhere nearby.
Just as I was about to step outside, there was a soft scratching at the door.
When I opened it, Daisy sat there, covered in mud, panting. I dropped to one knee, feeling a mix of relief and confusion.
“Daisy?” I whispered. “Where were you?”
It felt strange to ask a dog, but I was desperate. She just looked up at me with tired eyes.
Hours later, just as dawn broke, my phone buzzed. It was Mrs. Carver, an elderly neighbor who lived nearby.
“I saw a little boy near the woods behind my house,” she said. “He looked… lost.”
I thanked her, grabbed my keys, and headed to the car. Kelly and Daisy followed, looking tense. The woods weren’t far, but it felt like miles.
When we arrived, I ran into the woods, calling his name. And then, finally, I saw him.
He was curled up under a tree, shivering, his face dirty. I knelt beside him, pulling him close.
“Buddy,” I said, my voice breaking. “You scared us half to death.”
He looked up, his face lighting up when he saw Daisy behind me. She’d followed us, sniffing the ground.
“Daisy,” he whispered, hugging her. “I thought you ran away because of me.”
I picked him up, wrapping him in my arms. “Let’s go home, all right?”
He nodded, looking back at Daisy like she was the only thing keeping him safe.
When we got back to the house, relief washed over me. My son was safe, Daisy was with us, but something still felt off.
My wife was tense, her eyes avoiding mine. She seemed distant, almost nervous. After we’d settled Andy on the couch with a blanket, I turned to her.
“I swear I locked the door. How did Daisy get out?”
She looked down, her hands twisting. After a long pause, she took a deep breath. “I… I let her out.”
I stared, not understanding. “You… let her out?”
Her eyes filled with tears. “I thought… maybe if she disappeared, he’d get over it. She wasn’t the dog I wanted. She’s… scruffy, and I didn’t think she fit here.”
I felt anger and hurt boiling inside. “So you just… let her go?”
“I didn’t know he’d… he’d go after her,” she whispered, her voice breaking. “I thought he’d be sad, then move on. I didn’t want this mess. I just wanted things to be normal.”
“Normal?” I repeated. “You put him in danger because you couldn’t handle a little mess?”
She sank into a chair, covering her face. “I’m so sorry. I didn’t know he’d do something so brave or that Daisy would stay with him. I didn’t think.”
I shook my head, struggling to understand. I looked at Andy, snuggled up with Daisy on the couch, her head on his lap. They’d bonded through something none of us had expected.
“I don’t know how we move past this,” I said quietly. “But for now… Daisy stays. She’s part of this family, and you need to accept that.”
She nodded, wiping her eyes, realizing the weight of what had happened.
As I watched Andy stroke Daisy’s fur, a small, hopeful warmth rose in my chest. Family wasn’t about having things perfect. Sometimes, it was about the imperfect moments, the scruffy dogs, and the quiet forgiveness that held us all together.
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