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.
Man Storms Church after Priest’s Words, ‘Speak Now or Forever Hold Your Peace’ & Yells, ‘Stop It!’

As Noah and Alice prepare for their upcoming wedding, Noah grows suspicious of the new lavish purchases that Alice has made—items that are above their pay grade. Later, a mysterious man disrupts their wedding. Who is he, and what does he want?
After three years together, Alice and I were finally getting married. Initially, we didn’t care about having a big wedding—we just wanted the day to be a culmination of our love story, a day where we’d stand before our family and friends.

A wedding invitation and RSVP card | Source: Pexels
And yet, despite everything unfolding perfectly, a cloud of unease had settled over me, one that had nothing to do with the weather and everything to do with the recent changes I’d noticed in Alice.
“I just can’t wait for our big day,” Alice gushed over breakfast one morning. “I have a few surprises, but nothing set in stone yet.”
I had no clue what she was talking about, but I figured it would be worth it—Alice was always trying to make things special in her own way.
After three years together, Alice and I were finally getting married. Initially, we didn’t care about having a big wedding—we just wanted the day to be a culmination of our love story, a day where we’d stand before our family and friends.

A wedding invitation and RSVP card | Source: Pexels
And yet, despite everything unfolding perfectly, a cloud of unease had settled over me, one that had nothing to do with the weather and everything to do with the recent changes I’d noticed in Alice.
“I just can’t wait for our big day,” Alice gushed over breakfast one morning. “I have a few surprises, but nothing set in stone yet.”
I had no clue what she was talking about, but I figured it would be worth it—Alice was always trying to make things special in her own way.

A couple eating breakfast in bed | Source: Pexels
But then, in the weeks leading up to our wedding, Alice acquired several expensive accessories—a branded bag, designer shoes, and even a pair of enormous diamond earrings. It all seemed out of reach for us.
We’d always been practical about our finances, understanding our limitations. So, when I saw these designer items, I couldn’t help but question how Alice could afford them.
I asked her about it—I didn’t want to begin a new life with Alice without knowing.
“Are you sure we can afford this?” I asked, holding up the shopping bag, its content a silent accusation.

A pair of bridal shoes and earrings | Source: Pexels
Alice had been gone for most of the day, with her phone set to silent. I didn’t know where she had been, and my mind ran marathons. For a moment, I assumed the worst—that Alice was seeing someone else, someone who had splurged on luxury items.
“I got a bonus at work, Noah,” she said. “I just want to be perfect for our wedding. I want to go all out for this one day in my life.”
Alice smiled at me, a slow and reassuring smile.
I believed her. Of course, I did.

A woman smiling at the camera | Source: Pexels
Her explanation eased my worries, temporarily silencing the nagging voice in my head. And I was grateful because I wouldn’t willingly get married to Alice while nursing these treacherous thoughts.
As the ceremony began, Alice looked radiant, the very image of happiness, yet her eyes occasionally drifted to the hall’s entrance.
We stood there, listening to the priest speak about love and commitment inside and outside of marriage. Alice’s hand, tucked inside mine, grew sweatier as he spoke.
She continued to glance at the entrance the entire time.
“Are you okay?” I murmured to her. “What’s wrong?”
Alice shook her head slightly and smiled ahead at the priest.

A priest holding the bride and groom | Source: Pexels
We went ahead and said our vows, Alice’s eyes still flickering to the door.
Who did she expect to show up? I wondered.
The priest’s voice echoed through the venue once more—a solemn call for any objections to our marriage.
“If anyone here has any objection, speak now or forever hold your peace.”
Silence reigned, causing me to smile.
But it was shattered within seconds by the dramatic entrance of a man whose presence immediately caused Alice’s face to light up in a way that I hadn’t seen throughout the entire ceremony.

A man wearing a suit | Source: Pexels
Every muscle in my body seized.
“Stop it!” the man boomed. “Stop the ceremony!”
Alice gasped, clasping her hands to her chest.
“I’m so sorry for interrupting the ceremony! I know I’m late, Father,” he said. “But please, let me just walk my little girl down the aisle. I’ve broken all promises to her, but this one, I can’t.”
Our guests murmured, their shock evident. Alice’s mother was on her feet, her hands clutching Alice’s bouquet tightly.

A shocked woman wearing blue | Source: Pexels
“Alice, is that…?” I began, my voice trailing off as the reality of the situation dawned on me.
Of course. Alice had the man’s eyes, and his chin. It was clear.
“Yes,” she whispered. “That’s my dad.”
Her father, a man who had been more absent than present in her life, had chosen this moment to fulfill a promise, to be there for his daughter when it mattered the most.
“Shall I carry on?” the priest asked me.
“No, let’s do the walk again,” I smiled.

A bride holding her father’s hand | Source: Pexels
As her father took her arm, guiding her toward me, I saw Alice in a new light. She finally looked like a bride who had been waiting for this day.
She beamed.
We began the ceremony again. This time, Alice laughed through her vows and cried through mine.
Afterward, her father embraced me tightly.
“Thank you,” he said. “Thank you for looking after my girl.”
Later, when Alice and I were in our rented car, being driven off to the airport for our honeymoon, she told me everything.

A bride and groom sitting in a car | Source: Pexels
It turned out that Alice had reached out to her father a few weeks before the wedding. They had been speaking on and off over the years, but when it came down to our wedding—she just wanted him to walk her down the aisle.
“My dad bought me the handbag,” she admitted. “But the shoes and earrings were from my bonus.”
I’m not sure if my father-in-law plans on being a part of our lives, but I do know that I’m grateful he walked Alice down the aisle.
“Maybe he’ll stick around,” she said later when we were sipping on champagne.
Maybe he will.

A person holding a glass of champagne | Source: Pexels
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