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Heather Jeffcoat on Livestrong.com
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should you use a squatty potty
Using a squatty potty while peeing can help you fully empty your bladder. Image Credit: Mintra Kwthijak/iStock/GettyImages
Livestrong author Marygrace Taylor wanted to know "should you use a squatty potty when you pee?", and she reached out to me for some advice. Here is a brief synopsis of the article, with a link to the full article below.

Heather Jeffcoat, DPT 

Everyone Has to Pee... Should You Use a Squatty Potty?

A squatty potty or toilet stool can make it easier to have a bowel movement, particularly if you're dealing with constipation. But is it worth sitting on one just for peeing too?

The answer is yes.

A deep squat position or feet on a toilet stool is preferred for both urinating and bowel movements,"

says Heather Jeffcoat, DPT, owner of Femina Physical Therapy in Los Angeles and President of the Academy of Pelvic Health Physical Therapy.

Here's why it helps, and how to know if you need one.

How Toilet Stools Help You Pee

A toilet stool or squatty potty can help you empty your bladder more completely, experts say. To understand why, it helps to know a little bit about how the whole urination process works.

Urine is held in by your bladder, a muscle supported by your pelvic floor, until you're ready to release it. "When you decide you're ready to pee, you relax your pelvic floor muscles and the bladder muscle contracts to help the urine move from the bladder through the urethra and out of your body," explains Amanda Shipley, PT, DPT, owner of Renew Pelvic Health in Atlanta.

Urination should feel totally passive — in other words, the urine should flow right out without any pushing or straining on your part, whether you're sitting on a toilet or standing up. But sitting in a full squat or using a toilet stool (which brings you closer to a squat-like position) can encourage the bladder to be emptied more fully.

"The full squat position is associated with a higher flow rate and lower post-void residual, meaning less is leftover in your bladder, compared to a seated position on a Western toilet," Jeffcoat says.

Full and complete voiding can help reduce the chance that a little bit of urine gets left behind in your bladder, which can up the risk for urinary tract infections, Jeffcoat explains. So if you're prone to UTIs, using a toilet stool or squatty potty to pee might be especially beneficial.

So should you use a squatty potty or not? Click here to continue to the full article on the Livestrong website.

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Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

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Testimonial by A.W., age 32

I wanted to let you know that my pelvic floor held strong and gave me no trouble whatsoever in my trail race this morning (12 miles)! In a way, I felt like I ran better than ever because my core feels so rock solid from all the exercises you have me doing. That was especially valuable on the technical downhill - I just flew down the trail because I had confidence in my balance and form. Thank you for helping me get back to doing what I love.

-- A.W., age 32
(completed Post-partum Renewal Program using the InTone biofeedback/stim unit)

Testimonial by M.M.

A personal journey and testimonial from one of my patients:

My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

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Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

Testimonial by S.B.

As someone who suffered the debilitating physical and emotional effects of vaginismus (as well as a complicated history of back injuries) for more than 15 years, I thought a "normal" life was just a fantasy. Then I found Heather.

Read more: Testimonial by S.B.

Testimonial by J.B.

My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what I learned. I had no idea that pelvic floor muscles could get tight and have trigger points just like any other muscle in the body. I'm a massage therapist and very familiar with tight muscles, and this new thought really amazed me. Heather's program to help relax and strengthen these muscles made such a difference. I can say that I am 100% pain free during intercourse now. Yippee! Going to the PT appointments and doing the at-home exercises was definitely a discipline, but it's 100% worth it! The rewards are amazing.

-- J.B.

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