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squat and hover to pee
Photo by Mitchell Orr on Unsplash

Don’t squat and hover to pee!

Sit down and relax your pelvic floor muscles.

Ok, ok so this tip is always met with some pushback, but to those of you who prefer to squat and hover to pee rather than sit should be aware that this habit is not good for your pelvic floor! Sit down and relax!

Why is it so bad for you to squat and hover to pee?

When you are in a partial squat, hovering over the toilet, the muscles of your glutes, legs, abs, back, and pelvic floor are activated and cannot fully relax. For urine to flow easily and fully, the pelvic floor muscles and the muscles surrounding your pelvis have to relax.

If you squat and hover to pee and your muscles are tense, chances are that you will have to bear down to initiate your urine flow or make your pee come out faster. This is not good and can contribute to issues like pelvic organ prolapse, urine retention, and a greater risk for bladder infections. All in all, a good reason to take a seat and relax!

But what about the GERMS?

Use a toilet seat cover if you’re worried about germs, or use toilet paper to line the seat. Or get creative, carry some alcohol spray and spray down the surfaces that freak you out (honestly the door handles and toilet seat handles have more germs than the toilet seat).

And what about coming to a FULL SQUAT?

I am a big fan of using a foot stool or top of a small trash can to put the body into a full squat position for bowel movements and urination alike. Why? Because resting in a full squat is much different than a squat and hover to pee because your muscles can fully relax in a full, restful squat.

Stop Straining in the Bathroom

Constantly straining to make a bowel movement or to empty your bladder in a hurry is not only pushing your waste out, it is also pushing your organs downward.

Don’t strain! Avoid straining, no pushing your pee out or holding your breath to force out a BM. Take your time and visualize the pelvic floor getting soft and heavy. Deep breathing, when done correctly, is much more efficient at emptying the bladder and bowel than straining and pushing.

Getting into an ergonomic toileting position will help you go without straining.

Don't Squat and Hover to Pee

The best position to sit on the toilet:

  • Always sit on the toilet seat. No hovering!
  • Feet firmly planted on a step stool
  • Legs are separated to hip width’s distance or wider, elbows resting on thighs
  • Lean forward with your knees higher than your hips
  • Allow belly to get soft, floppy, and relaxed
  • Stay relaxed on the toilet; relax your breathing and practice deep breathing exercise as outlined above.
  • Allow yourself time. Don’t rush. Don’t strain.
  • Don’t ignore urges to use your bladder or bowel.

Rather than doing the "squat and hover to pee", taking the time to sit and pee will make a difference on the strain that your pelvic floor muscles are taking and can help you regain some muscle coordination and strength to help with your bladder control issues.

Call us at Femina Physical Therapy to set up an appointment to get you back to doing the things you love, symptom free.

**This information is for educational purposes only and is not intended to replace the advice of your doctor.

What Our Patients Have to Say

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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.

Read more: Testimonial by M.M.

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 S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

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 Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

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