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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 A.B.

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.
-- A.B.

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 J.B.

My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what I learned. I had no idea that pelvic floor muscles could get tight and have trigger points just like any other muscle in the body. I'm a massage therapist and very familiar with tight muscles, and this new thought really amazed me. Heather's program to help relax and strengthen these muscles made such a difference. I can say that I am 100% pain free during intercourse now. Yippee! Going to the PT appointments and doing the at-home exercises was definitely a discipline, but it's 100% worth it! The rewards are amazing.

-- J.B.

Testimonial by Rosanna R., age 35

Heather has affected my life in the MOST POSITIVE way and I am forever grateful. My husband refers to her as the "sex doctor" so you can only imagine how happy he is with my therapy outcome.

After the birth of my son I suffered from "Vaginismus", however, at the time I just thought I was broken. My "broken vagina" affected me physically but it was an emotional struggle as well. Many women in my life also suffered with pain from sex after their babies were born so I knew I wasn't alone. They told me they "just got used to it" but I couldn't see myself living that way.

Sex wasn't just painful, it was literally impossible - IT DIDNT FIT!

Read more: Testimonial by Rosanna R.,...

Testimonial by A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.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.

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