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.
Fitness guru Richard Simmons dead at 76, cause of death revealed

Richard Simmons, renowned for inspiring overweight individuals to get active and adopt healthier eating habits, passed away on Saturday.
Simmons, famous for his vibrant tank tops and short shorts, brought boundless energy to television as the lively court jester of physical fitness. He turned 76 on Friday.
According to an email from Richard Simmons’ publicist Tom Estey to The Associated Press, the fitness guru passed away at his Los Angeles home. “We lost an Angel today – a true Angel,” Estey said.

A spokesperson for the Los Angeles Police Department confirmed that officers responded to a 911 call from Richard Simmons’ home on Belfast Drive and arrived at 9:57 a.m. on Saturday.
“Upon arrival, one rescue ambulance discovered a 76-year-old male who was pronounced deceased on-scene by firefighter/paramedics due to apparent natural causes.
“As a result, no hospital transport was necessary,” LAFD Captain Erik Scott said.
Just two days before his passing, Richard contemplated his aspirations for his legacy.
“I never thought of myself as a celebrity. People don’t know this – I’m really a shy person and a little bit of an introvert,” he told People.
“But when that curtain goes up that’s a different story. I’m there to make people happy.
“But the accolades I get from emails. I mean, today most probably, we’ll answer over 100 emails.
“And they’ll say, ‘I’m your No1 fan’, and I just write back, and I say, you know, ‘Don’t say that because I’m a human being just like you. And I know that you do good things, too.’”

Simmons’ brother, Lenny Simmons, confirmed the death in a statement.
“I don’t want people to be sad about my brother,” Lenny Simmons said. “I want them to remember him for the genuine joy and love he brought to people’s lives.”
“We are in shock,” Lenny added. “Please respect the family at this difficult time.”Tom Estey, Simmons’ longtime publicist, said in a statement, “Today the World lost an Angel.”
A day before his sudden passing, Simmons celebrated his 76th birthday and took to the social media to thank everyone for the birthday wishes.
“Thank you…I never got so many messages about my birthday in my life!” Simmons wrote. “I am sitting here writing emails. Have a most beautiful rest of your Friday.”
He signed the post “Love, Richard.”

Simmons, who grew up in New Orleans, battled weight issues from a young age, tipping the scales at nearly 200 pounds by age 15. By the time he graduated from high school, he weighed 268 pounds, as documented on his website.
From 1980 to 1984, he hosted the Richard Simmons Show that focused on personal health and fitness.
He also gained fame through his aerobic exercise videos, such as 1988’s Sweatin’ to the Oldies and its sequels in 1990 and 1991.
Simmons expanded his early success with frequent appearances on various TV shows, ranging from The Tonight Show starring Johnny Carson to game shows like Match Game and The New Hollywood Squares. He became a staple of late-night television during the ’90s and 2000s, appearing on shows hosted by Jay Leno and David Letterman.

Throughout the years, Simmons sold millions of workout videos. He owned a Beverly Hills exercise studio and restaurant frequented by celebrities like Barbra Streisand and Paul Newman.
Following his recent withdrawal from public life, during which he disclosed a skin illness in March 2024, speculation about Simmons’ health and well-being had circulated. His death was initially reported by TMZ.
We are so very sorry for this loss. May he rest in peace.
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