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waking up to pee at night
Stocksy/ Prostock-Studio
Once again Well + Good writer Hannah Schneider has reached out to me for my expertise, this time for an article on waking up to pee at night. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

If You Are Tired of Waking Up to Pee at Night, We've Got Some Answers

Getting up to pee during the night can be super disorienting. It turns out that it can give you some insight into your health. To be clear: Getting up to go to pee every once in a while is perfectly fine, according to Heather Jeffcoat, DPT , Fusion Wellness & Femina Physical Therapy in Los Angeles, California. But if you're waking up to pee (and you're not on medication like a diuretic) it might help to examine what's going on.

People can develop nocturia for a whole host of reasons. Some of the reasons, according to Dr. Jeffcoat, are mechanical or based on the literal musculature function of the bladder and pelvic floor.

In my practice, I see nocturia mostly in postpartum individuals, especially when they are frequently getting up to breast or bottle-feed,"

Dr. Jeffcoat says. She explains that sometimes nocturia persists because someone has been primed to wake up at regular intervals throughout the night— and it continues even after they're no longer breastfeeding. This is a necessity and pretty normal. She adds that pelvic floor trauma incurred during birth can be a possible culprit.

Another factor, Dr. Jeffcoat says, is constipation. Constipation can cause nighttime urination because built-up fecal matter in the colon can press on the bladder and instill urgency strong enough to wake you up, she explains. And if you have bladder control and incontinence trouble throughout the day, it isn’t uncommon to have those carry into the night, Dr. Jeffcoat adds. "It's essential to manage daytime frequency to help with nighttime frequency through behavioral retraining techniques that a pelvic floor therapist could show you."

To get the full lowdown on how to avoid waking up to pee at night, continue to the full article here.

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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.,...

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While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

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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 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.

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Testimonial by S.S., age 54

Heather is the best! I saw her today for terrible hip/groin pain. I was so impressed with the safety measures in place and felt completely safe . Thanks for the healing hands.

S.S., age 54

Testimonial by Lauren B.

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.

Read more: Testimonial by Lauren B.

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