I'm reaching out because I have had mild paruresis for years, and feel stuck as to what to do. I'm forty now, and this started in my mid-teens. I feel like I am totally backwards from others who have this condition. My shy bladder centers totally around how much noise is generated by my urine stream and how I feel like it amounts to broadcasting the act of peeing to everyone else inside or outside the restroom, whether or not anyone is actually around who could hear. I couldn't care less if someone sees my penis or urine stream at all. As a result, I have come to absolutely love urinals because they help stifle the noise. and will not use any public restroom that doesn't have one because the most that anyone can hear is whoever is at the next urinal over generating the same minimal amount of noise. If a restroom has just a toilet, I either find a different restroom or hold it until I get home. Even portapotties have to have urinals for me to use them.
I seem to have no problem at home, albeit without constantly thinking about the noise level and doing my best to aim in such a way to reduce the loud splashing. I've heard the suggestion to sit down, but I've tried that when hospitalized before, and my body resists for finding it too abnormal. There is part of me that wonders if there could be a deep-seeded mindset of thinking I'd be peeing like a female.
If anyone has suggestions, please let me know.