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Heather Jeffcoat on Livestrong.com
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should you use a squatty potty
Using a squatty potty while peeing can help you fully empty your bladder. Image Credit: Mintra Kwthijak/iStock/GettyImages
Livestrong author Marygrace Taylor wanted to know "should you use a squatty potty when you pee?", and she reached out to me for some advice. Here is a brief synopsis of the article, with a link to the full article below.

Heather Jeffcoat, DPT 

Everyone Has to Pee... Should You Use a Squatty Potty?

A squatty potty or toilet stool can make it easier to have a bowel movement, particularly if you're dealing with constipation. But is it worth sitting on one just for peeing too?

The answer is yes.

A deep squat position or feet on a toilet stool is preferred for both urinating and bowel movements,"

says Heather Jeffcoat, DPT, owner of Femina Physical Therapy in Los Angeles and President of the Academy of Pelvic Health Physical Therapy.

Here's why it helps, and how to know if you need one.

How Toilet Stools Help You Pee

A toilet stool or squatty potty can help you empty your bladder more completely, experts say. To understand why, it helps to know a little bit about how the whole urination process works.

Urine is held in by your bladder, a muscle supported by your pelvic floor, until you're ready to release it. "When you decide you're ready to pee, you relax your pelvic floor muscles and the bladder muscle contracts to help the urine move from the bladder through the urethra and out of your body," explains Amanda Shipley, PT, DPT, owner of Renew Pelvic Health in Atlanta.

Urination should feel totally passive — in other words, the urine should flow right out without any pushing or straining on your part, whether you're sitting on a toilet or standing up. But sitting in a full squat or using a toilet stool (which brings you closer to a squat-like position) can encourage the bladder to be emptied more fully.

"The full squat position is associated with a higher flow rate and lower post-void residual, meaning less is leftover in your bladder, compared to a seated position on a Western toilet," Jeffcoat says.

Full and complete voiding can help reduce the chance that a little bit of urine gets left behind in your bladder, which can up the risk for urinary tract infections, Jeffcoat explains. So if you're prone to UTIs, using a toilet stool or squatty potty to pee might be especially beneficial.

So should you use a squatty potty or not? Click here to continue to the full article on the Livestrong website.

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Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

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I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

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Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.

I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
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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.

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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!

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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.

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