What is pelvic floor (kegel) exercise?

Pelvic Floor (Kegel) Exercise

Kegel exercises

Kegel exercises can strengthen the pelvic muscles and ligaments to treat and prevent urinary incontinence, fecal incontinence, and other problems caused by having weak pelvic floor muscles.

To do Kegel exercises:

  • Squeeze your muscles as if you were trying not to pass gas. Or squeeze your muscles as if you were stopping the flow of urine. Your belly, legs, and buttocks shouldn't move.
  • Hold the squeeze for 3 seconds, then relax for 5 to 10 seconds.
  • Start with 3 seconds, then add 1 second each week until you are able to squeeze for 10 seconds.
  • Repeat the exercise 10 times a session. Do 3 to 8 sessions a day.

When learning what muscles to squeeze, you can try stopping the flow of urine a few times. But don't make it a practice to do Kegels while urinating.

If doing these exercises causes pain, stop doing them and talk with your doctor. Sometimes people have pelvic floor muscles that are too tight. In these cases, doing Kegel exercises may cause more problems.

If you aren't sure how to do these exercises, talk to your doctor about getting a referral to a pelvic floor physical therapist.

Why are Kegel exercises done?

Kegel exercises make your pelvic floor muscles stronger. These muscles control your urine flow and help hold your pelvic organs in place.

Doctors often prescribe Kegels for:

  • Stress incontinence. This means leaking urine when you laugh, cough, sneeze, jog, or lift something heavy.
  • Urge incontinence. This is a need to urinate that is so strong you can't reach the toilet in time.
  • Pelvic floor weakness. Age, being overweight, pregnancy, childbirth, and surgery are all things that can weaken pelvic floor muscles. And that can cause urine control problems. It can also result in uterine prolapse. Doing daily Kegels during and after pregnancy may prevent or help treat prolapse.

How can you practice Kegel exercises?

  • To do Kegel exercises:
    • Squeeze your muscles as if you were trying not to pass gas. Or squeeze your muscles as if you were stopping the flow of urine. Your belly, legs, and buttocks shouldn't move.
    • Hold the squeeze for 3 seconds, then relax for 5 to 10 seconds.
    • Start with 3 seconds, then add 1 second each week until you are able to squeeze for 10 seconds.
    • Repeat the exercise 10 times a session. Do 3 to 8 sessions a day.
  • When learning what muscles to squeeze, you can try stopping the flow of urine a few times. But don't make it a practice to do Kegels while urinating.
  • If doing these exercises causes pain, stop doing them and talk with your doctor. Sometimes people have pelvic floor muscles that are too tight. In these cases, doing Kegel exercises may cause more problems.
  • Check with your doctor if you don't notice a difference after trying these exercises for several weeks. Your doctor may suggest getting help from a physical therapist or recommend other treatment.

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