Western toilets seriously weaken the pelvic and hip muscles. Squat on them, either directly, or using a stand, or using an Asian style squat toilet instead. There is no other alternative. Weak pelvic and hip muscles can be painful. In addition, there is also the issue of worsening constipation and making it needlessly harder to produce output.
Squat toilets are disgusting and spread disease
Where did you get that? It's not true at all. In fact, cleaning a squat toilet doesn't even require a flush, only a drain.
On the contrary, when using the Western toilet, the dick touches the toilet surface, and this chronically spreads urinary infections up the urinary tract, starting at the urethra, all the way to the kidneys. This is not just theoretical; it actually happens, and only with the Western toilet.