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peeing just in case
Scary Mommy and Kittisak Jirasittichai/EyeEm/Getty
Journalist at Scary Mommy reached out to me for my expert opinion about "Peeing Just In Case"", and I was glad to offer my input. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

Learn Why Peeing Just In Case Isn't Such a Great Idea After All

We make lots of ridiculous choices regarding sleep. As a kid, we might have snuck under our covers with a flashlight and read Powerpuff Girls chapter books, and later we went to slumber parties and competed to see which seventh grader could keep their eyes open til morning. As youngish adults we had many (maybe too many) late-night/early-morning study sessions or drunk-fests. And as a parent, you (like me) may have stayed up well past bedtime to be blissfully alone, curled up with a pint of Cherry Garcia and a book of sudoku puzzles. We definitely needed more hours to snooze—but there was no way we were trading our *bedazzled* nightlife in favor of practicing smart sleep hygiene.

Sometime or other, we came to understand the value of Mister Sandman. We knew a good night’s sleep meant mental acuity and a spring in our step; a bad night’s sleep meant cranky mornings, puffy eyes, and rushing to work late with an extra-large Mountain Dew and phone perched on the roof of our car. (You may not have known this, but a consistent 7-9 hour stretch of sleep per night can help strengthen your heart, boost your immune system, and improve memory and mood— and those are just a few plusses.)

Though anxiety is often difficult to manage, Watson suggests that keeping a “worry journal” might be a start. “Put down all your concerns and stressful thoughts in writing,” he advises, “and tell yourself you’ll deal with them the following day.”

Many of us might have suspected that any of the above could funkify our sleep, if not lead directly to nocturia. I, however, never considered that my daytime peeing habits could wreak havoc on my nighttime dozing. Turns out that emptying a less-than-full bladder is not the smartest route to go, no matter if we were always told that “peeing just in case” was a good idea. According to TikToker (and doctor of physical therapy) Sabrina Baxter, if we do this, we are “training our bladder” to void before it’s full. And if we’re practicing this during daylight hours, that ritual is obviously going to trickle (get it?!) into the wee hours of the night.

So, what’s the remedy? If you ask Heather Jeffcoat, DPT, a Los Angeles–based physical therapist with an emphasis in pelvic floor health, the answer is to backtrack and re-train that bladder by doing kegels before you pee to help reduce the discomfort of urgency.

For vagina owners,” Jeffcoat says, hovering over a toilet to pee should always be avoided, as this inhibits complete pelvic floor muscle relaxation, which is required in order to empty your bladder.” Once again, that pelvic floor therapy might be a good route to go if you want to curb that nighttime urine purge.

So, now the question is—since nocturia is an issue for me, what do I do now? Well, you have a few basic tools in your arsenal, ranging from chronicling your anxieties to invigorating that compromised pelvic floor. But, if none of those strategies make a difference, it’s always best to consult your doctor. Though it might be a little bit entertaining, nobody really wants you to miss that 7-9 hour sleep window and whiz past with a Big Gulp on top of your car.

If you still think "peeing just in case" is OK, continue to the full article here. And go here if you're ready to start some pelvic floor physical therapy with one of our licensed physical therapists.

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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 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 Amanda W.

Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

-- Amanda W., 2/15/16 via Yelp!

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 Mary L.

I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

Read more: Testimonial by Mary L.

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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