How and Why Should I Do Kegels?

Kegel exercises are for strengthening pelvic floor muscles. They involve contracting and relaxing, clenching and releasing those muscles. Also called pelvic floor exercises, Kegels strengthen and coordinate the muscles that support the bladder, rectum, uterus and small intestines. The strengthening, in turn, helps to prevent the accidental passing of stool or gas, stops bladder leaks, and improves orgasm.

What are the benefits of Kegel exercises?

1. Prevent pelvic organ prolapse

Pelvic floor muscles support abdominal organs such as the stomach, bladder, intestines and uterus. With age, the weakening and slowing down of these muscles may lead to pelvic organ prolapse (POP).

A prolapse means the pelvic organs are displaced, drooping and fallen out of their normal position. In women, the pelvic organs may fall into the vagina or cause vaginal tissues to protrude from the body, particularly if the prolapse occurs after a hysterectomy.

Through regular Kegel exercises, pelvic floor muscles become stronger and more coordinated, reducing the risk of prolapse.

2. Avert incontinence

Pelvic floor exercises not only contribute to good posture and spinal stability, they also strengthen the muscular support for bladder and bowel function and help to maintain urinary and fecal continence. If you already have bowel or bladder incontinence, or drip after peeing, the exercises can help to relieve your symptoms.

3. Enhance sexual function

Kegel exercises improve sexual function. In men, they increase control over ejaculation and enhance the feeling experienced during orgasm. In women, the exercises improve flexibility and ease penetration. In addition, they provide the muscular strength to achieve orgasm while also making pregnancy and childbirth easier.

How should you do Kegel exercises?

1. Begin by identifying pelvic floor muscles

Kegel exercises do not require a lot of time, but targeting the right muscles is necessary. One of the easiest ways to identify the muscles is to stop urinating midstream by squeezing your muscles to hold the urine in. Another way of locating the muscles is to stop the passage of gas.

The muscles that help you to stop the passage of urine or gas are the ones you will need to work on. You only need to stop passing urine once or twice in order to identify the right muscles. After that, it is not advisable to perform Kegel exercises while urinating as that can lead to incomplete emptying of the bladder and increased risk of urinary tract infections.

2. Start slowly and improve with practice

Like other exercises, Kegels become easier with practice. Plan to begin slowly and build on your gains over time. For instance, you can start by squeezing your pelvic floor muscles for 3 seconds, releasing for another 3 seconds, and then repeating 10 times in a row. If you are not able to do 10 at time, begin with a lower number and increase with time.

3. Keep the focus

As you do these exercises, you will be tempted to flex the buttocks, thighs or abdomen. You may also find it difficult to increase the number of repetitions. Always target and exercise your pelvic floor muscles, pushing your body to complete at least one set of 10 Kegel exercises two to three times a day.

As you do the exercises, make sure to relax your pelvic floor muscles completely and to avoid holding your breath.

4. Perform Kegels anytime, anywhere

Kegel exercises are quite convenient. You can make them part of your routine and do them anywhere, whether brushing your teeth, driving to work, shopping for groceries or watching TV. Combining the exercise with another activity is a good way to remember your routine and see quick results.

Can Kegel exercises cause complications?

While the exercises are completely safe, you still need to do them the right way. For instance, you should not overdo Kegels as this may lead to straining when you visit the bathroom. You should also not do them as you urinate because that could increase your risk of urinary tract infections.

Kegel exercises are not for everyone. If your muscles are already tired, they will not respond if you try to contract them. Also, if your muscles are already tight, exercising them may cause more harm. Speak with your urologist to determine if you can benefit.

Are the exercises effective?

For those who do Kegel exercises regularly, the results are excellent. For example, urine leaks become less frequent within a few weeks of starting the exercises. Keep in mind that they have more impact when performed regularly over an extended period of time, such as doing them every day for at least 15 weeks. If you do not feel your symptoms are improving, you should speak with your doctor about alternative treatments.

At St Pete Urology, we offer personalized treatments for patients with urological problems. We will only recommend you do Kegel exercises after a thorough assessment of your condition. For more information on pelvic floor exercises and other treatment options for urologic disorders, visit the St Pete Urology website.