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Why You Should Not Hold In Your Pee
Photo by Amy Reed on Unsplash
In this informative article by Shape Magazine's Gabrielle Kassel she discusses some bad for you habits such as holding in your pee and ignoring painful periods. Scroll down to read my thoughts on holding in your pee (don't do it!), and see the link to the full article at the end to get more of Gabrielle's great tips.

Heather Jeffcoat, DPT

If You Hold In Your Pee You're Asking for Trouble!

As another year goes into the books we all want to start the new year off right, and when Shape.com writer Gabrielle Kassel started making a list of things we all can do to improve our lives in the coming year, she included a couple things that are of particular interest to our readers. We've covered the issue of "holding it" elsewhere on our site, but it bears repeating now that New Year's Resolutions are on our minds. And painful periods are not something to ignore either!

Whether it's during a road trip, work meeting, or a movie at the theater, if you have to pee, pelvic floor experts want you to beeline for the bog. In order to hold in urine, you have to contract your urethral and pelvic floor muscles, explains Heather Jeffcoat, a pelvic floor therapist who specializes in incontinence and dyspareunia and the founder of Fusion Wellness & Physical Therapy in Los Angeles, CA. When done regularly, “this prolonged holding pattern can create short, tight, and overactive pelvic floor muscles, which may eventually lead to pelvic floor dysfunction,” she says. 

The most common pelvic floor disorders caused by frequent urine holding are known medically as overactive floor muscles, non-relaxing pelvic floor muscles, and hypertonic pelvic floor. The most common symptoms of these conditions include pain or urgency.

The Fix

Regarding preventive medicine, the fix here is pretty simple: When you have to go, go. If you’re a road-tripped or van-lifer and that isn’t as easy for you as it is for someone who works from home, consider investing in a TravelJane Disposable Urinal For Women or GoGirl Female Urinal (links to both of these are in the full article).

Finally, whether you regularly hold in your pee or not, if you are experiencing any of the symptoms of a tight pelvic floor, Dr. Jeffcoat recommends seeking the care of a gynecologist to start.

Some of these symptoms may also be due to an infection, so it is always best to see your medical doctor to rule that out,” she says. Once infections have been ruled out, a pelvic floor therapist can help you address your symptoms through pelvic floor therapy, breathing exercises, pelvic floor workouts, dilators, and other lifestyle interventions, to name a few potentially effective interventions.

For instance, Heather mentions that holding your pee “can create short, tight, and overactive pelvic floor muscles, which may eventually lead to pelvic floor dysfunction.”

Habits That Are Doing More Harm Than Good:

  • People pleasing
  • Permeable boundaries
  • Doom scrolling
  • Winging it during workouts
  • Doing too much HIIT
  • Wearing the wrong shoes
  • Not maintaining a sleep schedule
  • Falling asleep to the TV
  • Holding in your pee
  • Ignoring excessive period pain

For the full lowdown on everything from people-pleasing to winging it during workouts, this article is a must-read for anyone looking to start 2025 on the right foot!

If you're looking for some one-on-one therapy to help with your own pelvic floor issues, our professional and friendly staff is here to help!

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Get The Book

Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve

Haga clic aquí para la versión española Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve was written by Heather Jeffcoat, DPT, a physical therapist with countless successes in treating pain of this type. Women with vaginismus, overactive pelvic floor, painful intercourse, vulvodynia, vulvar vestibulitis, vestibulodynia, dyspareunia, interstitial cystitis have all benefited from her unique program. Heather uses her orthopedic background to approach treatment of these muscles like they are....muscles! She utilizes a self-treatment tool called a dilator to provide massage and other muscle relaxation and stretching techniques in a gentle fashion to return a women's muscles back to a resting, rather than guarded, state.


• To order "Sex Without Pain" in paperback from Amazon for $24.99, click here.

• To order an electronic read-only non-printable PDF copy of the book for instant download at $19.99, use the button below:

• To schedule an appointment at one of the Femina PT offices, click here.

• For a list of other trusted health care providers, click here.

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