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 6-Year-Old Granddaughter Came to Visit for the Holidays—Then Spilled the Beans About What Her Mom Says Behind My Back
Every grandmother loves spending quality time with their grandkids during the holidays. But when my six-year-old granddaughter started calling me names, I put a plan in motion that helped me discover that not everyone in your life will appreciate you.
Every holiday, I look forward to having Brittany, my six-year-old granddaughter, stay with me for the winter break. I was excited about our usual traditions: baking cookies, watching movies, and spoiling her with gifts. But last year changed everything.
Chocolate chip cookies baking on a pan on the stove counter at Christmas | Source: Midjourney
The week before her arrival, I transformed my house into a winter wonderland. Also, my kitchen counters disappeared under bags of flour, sugar, and chocolate chips for her favorite Christmas cookies. I really went all out to make it special for her.
Anyway, when I pulled up to my son, Todd, and his wife Rachel’s house to pick her up, Brittany burst through the front door with her PAW Patrol backpack bouncing behind her. Her pink winter coat was only half-zipped, and one of her boots was untied.
Little blonde girl running through the front yard holding a Paw Patrol backpack | Source: Midjourney
“Nanny!” she squealed, launching herself into my arms. Her hair smelled like strawberry shampoo, and she squeezed my neck so tight I could barely breathe. “Did you get the special hot chocolate? The one with the little marshmallows?”
“Of course, I did, sweetheart. And maybe some other surprises too.” I winked at her while fixing her coat and boot.
Rachel appeared in the doorway, phone in hand. “Her pajamas are in the front pocket,” she said without looking up. “And try not to give her too much sugar this time. Last visit, she was bouncing off the walls for days after.”
I gave Rachel a reassuring smile and ushered Brittany to my car.
Elegant woman in her 60s smiling in her front yard | Source: Midjourney
That first night, Brittany refused to sleep in the guest room. “Please, Nanny? I want to see the Christmas tree lights!” She looked up at me with those big brown eyes, clutching her favorite stuffed dog. “Chase wants to see them too!”
I wasn’t sure about a child sleeping in the living room, but I figured one time wouldn’t hurt. So, I helped her make a nest of blankets on the couch, right where she could see the tree.
While I cooked dinner, she sprawled out with her coloring books, humming along to the Christmas music playing softly in the background.
Little blonde girl coloring on a kitchen island | Source: Midjourney
“Hey, old lady,” she called out suddenly, giggling. “Can I have some juice?”
I nearly dropped the spatula. “What did you say, honey?”
“Old lady!” she repeated, giggling harder. “Can I have apple juice?”
I gave her the juice and brushed off her words… at first. I knew kids picked up all sorts of things at school.
But over the next few days, things got worse. The playful “old lady” turned into “wrinkly hag” and other names that made my stomach twist.
Elegant woman in her 60s looking worried in her living room | Source: Midjourney
These weren’t things children should say, but Brittany never said them maliciously. I think she thought they were just nicknames, but I had to find out for sure.
One afternoon, while Brittany was coloring again, I pulled up a chair beside her. “Brit, honey, where did you learn to call me ‘old lady’ and ‘ha-hag’?” I stuttered. “Was it at kindergarten? Did you hear the other kids say them to others?”
Without missing a beat, she shook her head. “That’s what Mom and Dad say about you all the time when you call!”
A little blonde girl coloring with an elegant woman in her 60s sitting beside her looking worried | Source: Midjourney
My heart stopped.
Todd and Rachel? My own son and daughter-in-law were speaking about me like this? To their six-year-old? That wasn’t fair, especially after everything I’d done for them over the years.
My late husband and I had helped them buy their home, and I’d later chipped in with their mortgage payments. Also, I’d often rearranged my schedule to watch Brittany when their babysitter canceled.
I’d even paid for their family vacation to Disney World last summer. My eyes watered, remembering Rachel’s tight smile when I handed her the check. “You really don’t have to do this,” she’d said, but she took it anyway.
Woman in her 30s with a tight face holding a check in her living room | Source: Midjourney
Had she been resenting my help all along?
That night, I came up with a plan, but I knew I had to wait until my granddaughter’s vacation was over
The next day, I gently explained to Brittany that calling me those names wasn’t nice, and to her credit, she stopped. We spent the rest of her winter break enjoying our usual activities.
We baked enough cookies to feed an army, watched every Christmas movie in my collection twice, and stayed up until 10 p.m. on New Year’s Eve drinking hot chocolate with extra marshmallows.
A woman in her 60s sitting on a couch with her little granddaughter watching movies | Source: Midjourney
A few days after New Year’s, it was time to take Brittany back to Todd’s. While she was in the bathroom, I hesitated, then slipped a small voice recorder into her PAW Patrol backpack.
When I dropped her off, Rachel barely looked up from her phone. That was fine with me; I wasn’t sure I could hide my feelings.
I focused on my girl instead, hugging her extra tightly. “Love you, sweetheart,” I whispered.
“Love you too, Nanny,” she replied, skipping inside with her backpack.
Blonde little girl running to the front door of a house | Source: Midjourney
I went home and waited. I knew the recorder wouldn’t last more than a day, but I didn’t want to seem overeager. I waited almost two weeks before I finally called Rachel.
My hands shook as I dialed. “I was thinking Brittany might like to spend the weekend,” I said, keeping my voice light. “It’s been so quiet without her.”
“Oh, sure,” Rachel replied with a sigh. “That would be… helpful. We were thinking of having some people over anyway.”
Woman in her 30s holding a phone and looking inconvenienced | Source: Midjourney
That Friday, when Brittany arrived, I waited until she was engrossed in her new PAW Patrol episode before retrieving the recorder from her backpack. My fingers trembled as I plugged it into my computer.
At first, there was mostly crackling or incomprehensible noise. But then Rachel’s voice came through loud and clear, and soon, Todd joined the conversation.
They talked about nothing important for what felt like an eternity. And then, I heard it.
“She’s so exhausting,” Rachel said. “Always calling, always trying to help. Like we can’t raise our own child? Did you see how many toys she bought this time? She’s trying to buy Brittany’s love.”
Woman in her 60s walking through the mall holding bags of toys | Source: Midjourney
“I know, but she’s my mom,” Todd said weakly. “She means well.”
“Well, I’m sick of it,” Rachel added. “I bet she has Easter already planned for us and this summer’s vacation. I thought telling Brittany to call her names would get her to back off, but I bet she’ll be calling to babysit soon.”
“I’m tired of her meddling too,” my son chimed in. “Maybe, we should start putting some boundaries. Let’s plan something for this summer for ourselves.”
A blonde man in his 30s looking worried while talking to a woman at the kitchen table | Source: Midjourney
That was more than enough. I slammed the laptop shut and breathed intently through my nose.
I had all the confirmation I needed. They had intentionally set up my granddaughter to call me names. They also thought I was too intrusive in their lives.
Fine. If they wanted boundaries, I’d give them boundaries. They wanted me to mind my own business? I’d do just that.
That Sunday, I invited them for dinner. I made Todd’s favorite lasagna and even bought Rachel’s preferred wine. Brittany ate too much and fell asleep on the couch afterward. I thought that was a good time to face my son and daughter-in-law.
Little blonde girl sleeping on a couch | Source: Midjourney
“I have something you need to hear,” I said, setting my laptop on the dining table and pressing play.
Their faces went pale as their own voices filled the room. Rachel’s wine glass froze halfway to her mouth.
“Mom, I can explain,” Todd stammered but wouldn’t meet my gaze.
I held up my hand. “No excuses,” I said. “I’ve spent years supporting you both, loving you, being there whenever you needed me. And this is what you do? Teach my granddaughter to disrespect me?”
Elegant woman in her 60s sitting on a kitchen table with one hand up looking serious and upset | Source: Midjourney
I pulled out a bag of new toys I’d bought for Brittany. “These are for her. Because no matter what you think of me, I will always love that little girl. But things need to change. If you don’t appreciate my help or generosity, then I’m done.”
Rachel sat there, mouth opening and closing like a fish. Todd slumped in his chair, looking like the little boy who used to crawl into my bed during thunderstorms.
A man and woman in their 30s looking surprised and sad sitting at the kitchen table | Source: Midjourney
“These are the boundaries you wanted: no more financial help and no more babysitting unless I want to,” I sighed, crossing my arms. They still couldn’t say a word, and honestly, I didn’t want to hear anything from them. “I think it’s time you take Brittany home. Don’t call me unless it’s an emergency.”
Slowly, they stood and left quietly, carrying their sleeping daughter and the bag of toys. I locked the door behind them and sank onto my couch, exhausted but somehow lighter.
Elegant woman in her 60s sitting on a couch looking relaxed but pensive | Source: Midjourney
A while later, I made myself a cup of tea and turned on my favorite show. The house felt too quiet without Brittany’s giggles and running footsteps.
Sometimes standing up for yourself hurts, but it’s better than letting people walk all over you. I just hoped that one day, my family would understand that my love didn’t mean they could take me for granted, or that they could teach my precious granddaughter to hurt me.
Elegant woman in her 60s sitting on a couch drinking tea looking relaxed but pensive | Source: Midjourney
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