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.
MY HUSBAND LEFT ME WITH KIDS AND ALL THIS HEAVY LUGGAGE TO GET HOME ON MY OWN WHILE HE HUNG OUT WITH FRIENDS – THE LESSON I TAUGHT HIM WAS HARSH.
The roar of the airplane engines faded into the background as I stepped off the plane, two tired toddlers clinging to my legs. I scanned the crowd, expecting to see Tom, my husband, his familiar smile a welcome sight after a long flight. But he wasn’t there.
I called him, my heart sinking with each unanswered ring. Finally, he picked up, his voice casual, almost breezy. “Hey, honey! How was the flight?”
“Where are you?” I asked, my voice tight. “You were supposed to pick us up.”
“Oh, right!” he said, a hint of sheepishness in his tone. “Mike called. He’s in town, and we decided to grab a drink. Just for a few hours. You can manage, right?”
“Manage?” I repeated, my voice rising. “Tom, I have two toddlers, a stroller, and three heavy suitcases. I can’t ‘just manage’!”
“Come on, it’s just for a few hours. You can manage,” he replied again, dismissing my concerns with a wave of his voice.
I hung up, my anger a burning ember in my chest. He had abandoned me, his family, for a few hours of drinks with a friend. I felt a surge of resentment, a feeling that had been simmering for years, now boiling over.
The next few hours were a blur of chaos. I struggled to wrangle the kids, their tired whines echoing through the airport. I wrestled the stroller, a monstrous contraption designed to fold with the dexterity of a Rubik’s Cube, and lugged the suitcases, each one a testament to the sheer volume of “essential” items toddlers require.
By the time I finally made it home, I was exhausted, my body aching, my patience frayed. But as I collapsed onto the couch, a plan began to form in my mind. Tom had underestimated me. He had assumed I would simply accept his dismissive attitude, his blatant disregard for my time and effort. He was wrong.
The next day, I woke up with a renewed sense of purpose. I packed a small bag, kissed the kids goodbye, and left a note on the kitchen table.
“Gone to visit a friend. Will be back when I feel like it. You can manage, right?”
I drove to a nearby spa, a place I had always wanted to visit but never had the time or money for. I spent the day indulging in massages, facials, and manicures, reveling in the quiet solitude.
I turned off my phone, ignoring the barrage of calls and texts from Tom. I wanted him to experience what I had experienced: the feeling of being abandoned, of being taken for granted.
The next day, I went shopping, buying myself a new outfit, a pair of designer shoes, and a luxurious handbag. I spent the evening at a fancy restaurant, savoring a delicious meal and a glass of wine.
I returned home late that night, to find Tom pacing the living room, his face etched with worry. The kids were asleep, the house a mess.
“Where have you been?” he demanded, his voice laced with anxiety.
“Out,” I replied, my voice cool.
“Out? All day? All night?”
“Yes,” I said, “I needed some time to myself.”
“But… but the kids,” he stammered. “I didn’t know what to do.”
“You managed,” I said, a hint of sarcasm in my voice.
He looked at me, his eyes filled with confusion and a dawning realization. “You… you did this on purpose.”
“Yes, Tom,” I said, “I did. I wanted you to understand what it feels like to be left alone, to be taken for granted.”
He looked down at his feet, shamefaced. “I’m sorry,” he mumbled. “I didn’t think…”
“That’s the problem, Tom,” I said, my voice soft but firm. “You didn’t think. You assumed I would always be there, always manage, no matter what.”
He nodded, his eyes filled with remorse. “I understand,” he said. “I won’t do it again.”
I looked at him, searching his eyes for sincerity. I saw genuine regret, a flicker of understanding.
“Good,” I said. “Because I won’t tolerate it again.”
From that day on, Tom was a changed man. He became more attentive, more considerate, more appreciative of my time and effort. He learned that partnership meant sharing the load, not dumping it all on one person.
And I learned that sometimes, a little bit of payback can go a long way in teaching a valuable lesson.
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