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.
Meet Paul Newman’s grandchildren, who bear a striking resemblance to the cherished actor

Some actors can evoke deep emotions just by hearing their names, and Paul Newman is definitely one of them. He remains a legendary figure in cinema, beloved for his iconic roles and his enduring legacy.
Newman, who passed away in 2008, was married to actress Joanne Woodward, forming one of Hollywood’s most admired couples. Together, they shared a remarkable journey of love and creativity, which continues through their grandchildren.
Paul Newman starred in unforgettable films such as Cat on a Hot Tin Roof (1958), Sweet Bird of Youth (1962), Butch Cassidy and the Sundance Kid (1969), and The Color of Money (1986). His marriage to Joanne, which lasted until his death at 83, was a true partnership filled with shared passions, including acting, travel, and family life.
Joanne, who married Paul on January 29, 1958, in Las Vegas, had her own successful career, known for taking on strong, independent roles in a time when many actresses were often typecast. Their love story began when they met in New York in 1953, shortly after Paul divorced his first wife, Jackie Witte.
Together, Paul and Joanne had three daughters: Elinor Teresa (born 1959), Melissa Stewart (born 1961), and Claire Olivia (born 1965). Paul also had three children from his first marriage: Scott (born 1950), Susan (born 1953), and Stephanie (born 1954). Tragically, Scott passed away in 1978.
Today, Paul and Joanne’s legacy lives on through their two grandchildren, Peter and Henry Elkind, sons of Melissa “Lissy” Stewart and her husband Raphael Elkind. As the only male heirs in the family, they carry forward their grandfather’s remarkable lineage.
Peter, a nature enthusiast who enjoys various sports, shares a striking resemblance to Paul, complete with his grandfather’s famous smile and piercing blue eyes. In the recent HBO documentary The Last Movie Stars, Peter reflected on his relationship with Paul, stating: “I knew about the movies and thought it was really cool, but he was more like my grandfather”. He also expressed the difficulty of losing him, saying: “It was really hard when he died because he was such a big part of my life. I admired him so much and loved him so much”.
Henry, Peter’s brother, graduated last year and is pursuing a music career in New York, where he shares his work on popular streaming platforms. He, too, bears a striking resemblance to Paul, embodying the charm and charisma that defined his grandfather.
Both grandsons exemplify the values and legacy their grandparents established, continuing to honor their family’s rich history. Paul Newman and Joanne Woodward’s love story is truly exceptional, and their over 50 years of marriage is a testament to their enduring bond, a remarkable example of Hollywood’s golden age.
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