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.
21-Year-Old Gymnast’s Life Ended in Tragedy – Boyfriend’s Arrest Raises Serious Questions

Kara Welsh, a 21-year-old star gymnast, has left her loved ones devastated after she was shot and killed. College friends have identified the person responsible as her boyfriend.
Kara, a national champion, was found dead in her off-campus apartment on August 30. A friend of the couple said he wishes he had spent “just one more” moment with her, hoping it could have “changed” what happened.
On August 31, Sierra Brooks, Kara’s best friend and former teammate, learned the tragic news that Kara had been shot the night before.
“I can’t believe someone could do this, especially to such a beautiful person,” Sierra wrote in a tribute to Kara. Kara was a student at the University of Wisconsin-Whitewater, where she was majoring in business and economics.
In 2023, Kara won an individual gymnastics title on the vault.
Kara Welsh, a student from Plainfield, Illinois, was found dead in her off-campus apartment around 11:54 p.m. on August 30. She had been shot several times.
When police arrived, they found a 23-year-old man, who knew Kara, in the home. It was determined that an argument had taken place between the two before the shooting.
“Heartbreaking”
Sierra Brooks, Kara’s friend who trained with her at Aspire Gymnastics Academy, shared her grief. “Absolutely heartbreaking to get a call like this. Kara, you deserved so much more. I wish I could see, laugh, and hug you one more time.”
Aspire Gymnastics Academy posted several photos of Kara along with a tribute on their Facebook page.
“As Kara grew, so did Aspire. She was a steady presence in a sport full of ups and downs. She was full of life and personality,” the center wrote. “Her facial expressions spoke volumes. Aspire lost a part of its heart today. Kara, we love you.”
Corey King, the chancellor at the University of Wisconsin-Whitewater (UWW), released a statement on August 31, calling Kara Welsh “a standout member of the Warhawk gymnastics team.” He added that “news of Kara’s death is heartbreaking for our close-knit university community.”
A friend on Facebook also expressed sorrow, sharing a tribute posted by Aspire Gymnastics Academy. “I hate that evil touched this sweet girl’s life,” they wrote. Referring to Kara’s sister Kaeli, they added, “The Welsh sisters showed us what it means to be gym sisters, but so much more. Kara was all heart. This loss is unimaginable.”
‘I beat myself up’
The police have not yet released the suspect’s name, as he has not been officially charged.
However, friends revealed that Kara was dating the man, identified as Chad Richards, and he was helping her move into her apartment.
Brayten Wilkerson, a friend of both Kara Welsh and the suspect, expressed his sorrow, saying, “Sometimes I beat myself up, thinking if I had seen them that day, maybe… just one more joke, one more memory, could have changed things.” Wilkerson, a member of the UWW wrestling team, told ABC’s WISN, “Kara was a sweetheart. She was one of the best people you could meet. Her family raised her to be a wonderful woman.”
A GoFundMe organizer shared that loved ones are “deeply saddened” by Kara’s death. They said, “Kara had a special ability to bring joy to everyone she met, always making people smile with her sense of humor, support, and kind personality.”
“Kara, 21, was looking forward to her senior year as a gymnast at UW-Whitewater, but her life was tragically cut short on August 30 by a senseless act of violence.”
The Whitewater Police Department stated that charges for first-degree intentional homicide, endangering safety with a dangerous weapon, and disorderly conduct while armed are being sent to the Walworth County District Attorney’s Office.
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