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 Daughter and Son-in-Law Died 2 Years Ago – Then, One Day, My Grandkids Shouted, ‘Grandma, Look, That’s Our Mom and Dad!’

Georgia was at the beach with her grandkids when they suddenly pointed toward a nearby café. Her heart skipped a beat as they shouted the words that would shatter her world. The couple in the café looked exactly like their parents who had died two years ago.
Grief changes you in ways you never expect. Some days, it’s a dull ache in your chest. Other days, it blindsides you like a sucker punch to the heart.

A woman sitting in her house | Source: Midjourney
That summer morning in my kitchen, staring at an anonymous letter, I felt something entirely different. I think it was hope mixed with a little bit of terror.
My hands trembled as I read those five words again, “They’re not really gone.”
The crisp white paper felt like it was burning my fingers. I thought I’d been managing my grief, trying to create a stable life for my grandkids, Andy and Peter, after losing my daughter, Monica, and her husband, Stephen. But this note made me realize how wrong I was.

Two brothers playing with toys | Source: Pexels
They got into an accident two years ago. I still remember how Andy and Peter kept asking me where their parents were and when they’d return.
It took me so many months to make them understand their mom and dad would never return. It broke my heart as I told them they’d have to manage things on their own now, and that I’d be there for them whenever they needed their parents.
After all the hard work I’d put in, I received this anonymous letter that claimed Monica and Stephan were still alive.

An envelope | Source: Pexels
“They’re… not really gone?” I whispered to myself, sinking into my kitchen chair. “What kind of sick game is this?”
I had crumpled the paper and was about to throw it away when my phone buzzed.
It was my credit card company, alerting me to a charge on Monica’s old card. The one I’d kept active just to hold onto a piece of her.
“How is that even possible?” I whispered. “I’ve had this card for two years. How can someone use it when it’s been sitting in the drawer?”

A woman talking on the phone | Source: Midjourney
I immediately called the bank’s customer support helpline.
“Hello, this is Billy speaking. How may I help you?” the customer service representative answered.
“Hi. I, uh, wanted to verify this recent transaction on my daughter’s card,” I said.
“Of course. May I have the first six and last four digits of the card number and your relationship to the account holder?” Billy asked.
I gave him the details, explaining, “I’m her mother. She… passed away two years ago, and I’ve been managing her remaining accounts.”

An older woman talking on the phone | Source: Midjourney
There was a pause on the line, and then Billy spoke carefully. “I’m very sorry to hear that, ma’am. I don’t see a transaction on this card. The one you’re talking about has been made using a virtual card linked to the account.”
“A virtual card?” I asked, frowning. “But I never linked one to this account. How can a virtual card be active when I have the physical card here?”
“Virtual cards are separate from the physical card, so they can continue to function independently unless deactivated. Would you like me to cancel the virtual card for you?” Billy asked gently.

A customer care representative | Source: Pexels
“No, no,” I managed to speak. I didn’t want to cancel the card thinking Monica must’ve activated it when she was alive. “Please leave it active. Could you tell me when the virtual card was created?”
There was a pause as he checked. “It was activated a week before the date you mentioned your daughter passed.”
I felt a chill run down my spine. “Thank you, Billy. That’ll be all for now.”
Then, I called my closest friend Ella. I told her about the strange letter and the transaction on Monica’s card.

An older woman using her phone | Source: Pexels
“That’s impossible,” Ella gasped. “Could it be a mistake?”
“It’s like someone wants me to believe Monica and Stephan are out there somewhere, just hiding. But why would they… why would anyone do that?”
The charge wasn’t large. It was just $23.50 at a local coffee shop. Part of me wanted to visit the shop and find out more about the transaction, but part of me was afraid I’d find out something I wasn’t supposed to know.

A woman sitting on a couch | Source: Midjourney
I thought I’d look into this matter on the weekend, but what happened on Saturday turned my world upside down.
Andy and Peter wanted to go to the beach on Saturday, so I took them there. Ella had agreed to meet us there to help me look after the kids.
The ocean breeze carried the salt spray as the children splashed in the shallow waves, their laughter echoing across the sand. It was the first time in ages I’d heard them so carefree.

A kid standing near a sand castle | Source: Pexels
Ella lounged on her beach towel beside me, both of us watching the kids play.
I was showing her the anonymous letter when I heard Andy shout.
“Grandma, look!” he grabbed Peter’s hand, pointing toward the beachfront café. “That’s our mom and dad!”
My heart stopped. There, barely thirty feet away, sat a woman with Monica’s dyed hair and graceful posture, leaning toward a man who could easily ihave been Stephan’s twin.
They were sharing a plate of fresh fruit.

A plate of sliced fruits | Source: Pexels
“Please, watch them for a bit,” I said to Ella, urgency making my voice crack. She agreed without question, though concern filled her eyes.
“Don’t go anywhere,” I told the boys. “You can sunbathe here. Stay close to Ella, okay?”
The kids nodded and I turned toward the couple in the café.
My heart skipped a beat as they stood and walked down a narrow path lined with sea oats and wild roses. My feet moved of their own accord, following at a distance.

An older woman’s shoes | Source: Midjourney
They walked close together, whispering, and occasionally laughing. The woman tucked her hair behind her ear exactly like Monica always had. The man had Stephan’s slight limp from his college football injury.
Then I heard them talk.
“It’s risky, but we had no choice, Emily,” the man said.
Emily? I thought. Why is he calling her Emily?
They turned down a shell-lined path toward a cottage covered in flowering grapevines.
“I know,” the woman sighed. “But I miss them… especially the boys.”

A woman standing outdoors | Source: Pexels
I gripped the wooden fence surrounding the cottage, my knuckles white.
It is you, I thought. But why… why would you do this?
Once they went inside the cottage, I pulled out my phone and dialed 911. The dispatcher listened patiently as I explained the impossible situation.
I stayed by the fence and listened for more proof. I couldn’t believe what was happening.
Finally, gathering every ounce of courage I possessed, I approached the cottage door and rang the doorbell.
For a moment, there was silence, then footsteps approached.

A doorknob | Source: Pexels
The door swung open, and there stood my daughter. Her face drained of color as she recognized me.
“Mom?” she gasped. “What… how did you find us?”
Before I could respond, Stephan appeared behind her. Then, the sound of approaching sirens filled the air.
“How could you?” My voice trembled with rage and grief. “How could you leave your own children behind? Do you have any idea what you put us through?”
The police cars pulled up, and two officers approached quickly but cautiously.

A police car | Source: Pexels
“I think we’ll need to ask some questions,” one said, looking between us. “This… this is not something we see every day.”
Monica and Stephan, who had changed their names to Emily and Anthony, spilled out their story in bits and pieces.
“It wasn’t supposed to be like this,” Monica said, her voice wavering. “We were… we were drowning, you know? The debts, the loan sharks… they kept coming, demanding more. We tried everything, but it just got worse.”

A woman talking to her mother | Source: Midjourney
Stephan sighed. “They didn’t just want money. They were threatening us, and we didn’t want to drag the kids into the mess we created.”
Monica continued, tears trickling down her cheeks. “We thought if we left, we’d be giving the kids a better, more stable life. We thought they’d be better off without us. Leaving them behind was the hardest thing we ever did.”
They confessed that they had staged the accident to look like they’d fallen off a cliff into the river, hoping the police would soon stop searching and they’d be presumed dead.

A man standing in a house | Source: Midjourney
They explained how they moved to another town to start fresh and had even changed their names.
“But I couldn’t stop thinking about my babies,” Monica admitted. “I needed to see them, so we rented this cottage for a week, just to be close to them.”
My heart broke as I listened to their story, but anger simmered beneath my sympathy. I couldn’t help but believe there had to be a better way to deal with the loan sharks.

An older woman | Source: Midjourney
Once they confessed everything, I texted Ella our location, and soon her car pulled up with Andy and Peter. The children burst out, and their faces lit up with joy as they recognized their parents.
“Mom! Dad!” they shouted, running toward their parents. “You’re here! We knew you’d come back!”
Monica looked at them and tears welled up in her eyes. She was meeting her kids after two years.

A worried woman | Source: Midjourney
“Oh, my sweet boys… I missed you so much. I’m so sorry,” she said, hugging them.
I watched the scene unfold, whispering to myself, “But at what cost, Monica? What have you done?”
The police allowed the brief reunion before pulling Monica and Stephen aside. The senior officer turned to me with sympathy in his eyes.
“I’m sorry, ma’am, but they could face some serious charges here. They’ve broken a lot of laws.”
“And my grandchildren?” I asked, watching Andy and Peter’s confused faces as their parents were separated from them again. “How do I explain any of this to them? They’re just kids.”

A worried older woman | Source: Midjourney
“That’s something you’ll have to decide,” he said gently. “But the truth is bound to come out eventually.”
Later that night, after tucking the children into bed, I sat alone in my living room. The anonymous letter lay on the coffee table before me, its message now holding a different kind of weight.
I picked it up, reading those five words one more time, “They’re not really gone.”
I still didn’t know who had sent it, but they were right.

A woman reading a letter | Source: Midjourney
Monica and Stephan weren’t gone. They’d chosen to leave. And somehow, that felt worse than knowing they weren’t alive.
“I don’t know if I can protect the kids from the sadness,” I whispered to the quiet room, “but I’ll do whatever it takes to keep them safe.”
Now, I sometimes feel I shouldn’t have called the cops. Part of me thinks I could’ve let my daughter live the life she wanted, but part of me wanted her to realize what she did was wrong.
Do you think I did the right thing by calling the cops? What would you have done if you were in my place?

A woman looking straight ahead | Source: Midjourney
If you enjoyed reading this story, here’s another one you might like: While Claire is dropping her kids off at summer camp, she gets a devastating phone call. Her 67-year-old mother, an Alzheimer’s patient, is missing. After three days of looking for Edith, police officers bring her home, and only then does the old woman reveal a horrible truth about Claire’s husband.
This work is inspired by real events and people, but it has been fictionalized for creative purposes. Names, characters, and details have been changed to protect privacy and enhance the narrative. Any resemblance to actual persons, living or dead, or actual events is purely coincidental and not intended by the author.
The author and publisher make no claims to the accuracy of events or the portrayal of characters and are not liable for any misinterpretation. This story is provided “as is,” and any opinions expressed are those of the characters and do not reflect the views of the author or publisher.
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