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.
THE LOVE STORY OF MARLO THOMAS AND PHIL DONAHUE.
Phil Donahue and Marlo Thomas wrote a book about marriage. It’s called “What Makes a Marriage Last: 40 Celebrated Couples Share with Us the Secrets.” In the book, they talk about their own marriage and share secrets from other couples.
Even though Marlo has been married to Phil for more than 40 years, she admits that when she was younger, she didn’t really want to get married.

In the book, Marlo Thomas talks about how she used to think marriage was like a vacuum cleaner that sucks out all your energy and ambition. She felt like living with a jailer you had to please.
But everything changed when she met Phil Donahue. They found each other after Phil’s first marriage ended, and now they have a strong bond that has lasted their whole lives.
Phil Donahue became famous with his TV show, “The Phil Donahue Show,” which later became just “Donahue.” It ran for 29 years and was the first show to let the audience join in. Marlo Thomas was a guest on his show, and meeting her changed Phil’s life.

The couple first met in Chicago in 1977. Phil Donahue already had four boys with him, and his fifth child, a daughter, lived with his ex-wife and her mother in another place.
Marlo and Phil dated for three years before getting married in 1980 in a small ceremony with 35 people.
Marlo’s friends and family were surprised by her decision to get married, given her past views on marriage. The book tells a funny story about friends at Marlo’s bridal shower putting up quotes from her that showed her previous thoughts about marriage.
According to the book, Marlo’s mom was really surprised at their wedding and kept asking Phil, “How did you get her to do this?” Even strangers, like a woman on their honeymoon plane to Greece, were shocked and disappointed that Marlo, who was known for being independent, decided to settle down.
In the book, Marlo admits that this made her doubt her choice. She wondered if she was being hypocritical since she had criticized marriage for so long. She worried that she let down fans who saw her as a symbol of independence.
Despite the challenges, Phil and Marlo make their marriage work. They talk about the ups and downs in the book, saying that those tough times helped strengthen their bond.
In the early days of their marriage, they spent time apart because Phil was taping his show in Chicago, and Marlo was traveling for her acting career. Even though they weren’t always living together, Marlo’s aunt helped her see that marriage can mean different things to different people.
Despite the distance, Marlo and Phil made their marriage successful. And one important thing to note is that Marlo not only gained a husband but also gained children when she got married.
In a 2012 interview with AARP, Marlo Thomas talked about helping to raise Phil’s children. She knew they already had a traditional mother, so she didn’t try to take on that role. Instead, she became more like a friend to Phil’s children, just like her own mother was to her.
Marlo says that her relationship with Phil’s children is even stronger now than when she first married Phil. In the book, Phil emphasizes that Marlo spent a lot of time talking to and trying to understand his sons.
Phil and Marlo think that the key to their long marriage is the trust they have in each other. Marlo says, “You build trust when you realize that this person always has your back.”
Even though they’ve been married for over 40 years, they believe there are still more memories to create together.
Phil says that for a marriage to last, both people have to really want it. Marlo agrees and says that looking back, she wouldn’t have it any other way than being married to Phil. She points out that he has supported her in every possible way.
Marriage is a wonderful connection, especially when two people fully commit to it. This couple is truly inspiring and sets a great example for all of us. We should all aim for a relationship as successful as theirs!
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