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you should not stop your flow mid-pee
Photo: Getty/ Sean justice
Well + Good writer Hannah Schneider reached out to me for some insights on why you should not stop your flow mid-pee. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

‘I’m a Pelvic-Floor Therapist, and This Is Why You Should Not Stop Your Flow Mid-Pee’

There's a strong chance someone in your life has either done or suggested Kegel exercises to you. You may have stumbled on Kegel advice through platforms like this TikTok. Or maybe you've googled Kegel exercises because you're dealing with bladder leakage. It can seem like Kegel exercise advice is everywhere, but there's a lot about this seemingly simple exercise that people do wrong. So, if you've heard you should do Kegels while peeing to assess your pelvic floor prowess, it is not the sagest advice.

It's understandable why someone might make this suggestion. Kegel exercises involve clenching your pelvic floor muscles and relaxing them repeatedly, but locating them can be challenging. The pelvic floor is a hammock-like arrangement of muscles that support important organs like your bladder, uterus (if you have one), rectum, and more, according to the Mayo Clinic. To find them, you might've tried squeezing the muscles around your anus and vagina and lifting them. For folks that are unsure of the location and sensation of their pelvic floor clenching, the U.S. National Library of Medicine does recommend that you try Kegeling while you pee once. However, regularly doing Kegels while peeing? Not ideal.

When we void (pee), our bladder contracts, and our pelvic floor muscles reflexively relax. If you are peeing and trying to stop your flow, you are inhibiting a natural reflex your body needs to do,"

says Heather Jeffcoat, DPT, doctor of physical therapy, and owner of Femina Physical Therapy in Los Angeles. When you do this, you are essentially telling your body that your pelvic floor muscles should relax instead of contract. This is the opposite of what they need to do when you are trying to pee.

Over time, doing this could prevent your pelvic floor from fully relaxing when you're on the toilet. Stopping your flow is confusing for your body because of your brain-to-bladder connection, Dr. Jeffcoat says. When you contract your pelvic floor, your brain could interpret that as a sign you have finished peeing and end the urination process before you've completely emptied your bladder, Dr. Jeffcoat adds.

To learn more about why you should not stop your flow mid-pee, continue to the full article here.

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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 R.H.

No one could tell me why I was having pain during sex--sharp pain, not just uncomfortable, pain. I was referred to Heather Jeffcoat after researching several different options. I had seen a specialist who told me physical therapy would not help and my only option was surgery. I really didn't want to go that route, so when we got a referral, I decided to try it--it can't hurt, I thought. I am so glad I did. She diagnosed the problem right away, which was a relief in itself.

To know why I was having pain eased my mind immensely. And to hear that she could fix it without surgery was another relief. She said she could fix the problem in 6 weeks. I think it was actually 4 for me. She was very methodical, and treated me as an intelligent human being capable of participating in my own recovery. I would absolutely recommend her to anyone. She did not try to prolong my session numbers, she worked hard to accommodate my schedule (and the fact that I had to bring a baby to sessions), and she was completely honest the entire time. It is so hard to find someone with these characteristics, much less a professional who is so good at what she does. She has my highest respect.

-- R.H.

Testimonial by Carolina J.

I had tried Pelvic Floor Physical Therapy before (with another PT) and I had a really bad (painful) experience. A friend of mine and fellow patient, told me about Heather, Laureen and Femina PT (née Fusion Wellness & Physical Therapy) and I decided to try again. I am so happy I did! Femina PT have, literally, changed my life. I was able to do again things I couldn't do for over 10 years!! Their bedside manners are impeccable, their knowledge and understanding make me feel comfortable to recommend this place to anyone in pain. Specially if you have Endometriosis. 100% recommended!!

-- Carolina J., 12/28/16 via Yelp!

Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

Read more: Testimonial by M.M.

Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

Testimonial by J.H.

My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

Read more: Testimonial by J.H.

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