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Heather Jeffcoat at Buzzfeed
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need to stop peeing
I was asked by Shelby Heinrich of BuzzFeed for my advice on how peeing too often can affect your bladder health, and how we need to stop peeing when our bladders are only half full instead of at full capacity. Here is a brief summary with a link to the full article.

Heather Jeffcoat

I don't know about you, but I was always taught growing up that it's good to pee before leaving the house.

Not really sure if you actually need to go? Wait - you may need to stop peeing "just in case"!

Makes sense, right? Why not pee now in order to avoid having to pee later, at a more inconvenient time? Well, according to TikToker @nosuchthingastmi, it's actually not a good idea!

In the TikTok, she explains that if you frequently urinate when you don't actually need to, you're emptying your bladder when it's only half full instead of at full capacity.

This can lead to increased feelings of urgency because your bladder gets used to functioning at a lower capacity than it's supposed to. Once that happens, you need to need to stop peeing "just in case" so it stops signaling that it needs to be emptied when it's really only half full.

I wanted to get a little more info on if "just in case" was really messing with all of our bladders, so I consulted Heather Jeffcoat, DPT, a Los Angeles–based physical therapist with an emphasis in pelvic floor health. According to Heather, the info in the TikTok is 100% true!

One of the first things we learn in pelvic health physical therapy education is to educate our patients to not urinate 'just in case,'" Heather told BuzzFeed. "When the neurologic connection between the bladder and the pelvic floor becomes dysfunctional, instead of the pelvic floor contracting to maintain continence, they relax and the bladder contracts in a setting where it is not appropriate to do so, and urinary leakage may result — in your car, in the hall on the way to the bathroom, etc."

The sweet spot [for urination] is a regular frequency of once every two to three hours. At night, you should be getting a minimum of six hours of straight sleep before your bladder wakes you up."

If you're still curious as to why you may need to stop peeing "just in case", continue reading the full article here.

What Our Patients Have to Say

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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 T.H.

I started seeing Heather in October 2014. For more than two years, I had been suffering from painful urinary tract infection type symptoms after my bartholins gland surgery which included constant burning and urinary frequency sensation that led to more and more painful intercourse. I had made multiple visits to internist, obgyn and urologist's offices, went through a range of treatment with UTI and bladder frequency medication that included antibiotics, vesicare, estrogen cream, but nothing worked.

Read more: Testimonial by T.H.

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 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 P.M.

I was hopeful but frankly skeptical when the doctor treating me for Interstitial Cystitis recommended that I go to Heather for physical therapy. Medication and diet helped control my IC symptoms, but I had never heard of physical therapy being used to treat IC. The education and treatment I received from Heather was a revelation. She explained that the pain I experienced with IC had helped create a cycle of muscle guarding which affected the entire pelvic area. I had no idea of the amount of tension being held there. No wonder my husband and I had not been able to have sexual intercourse for years!

Read more: Testimonial by P.M.

Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

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