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Should You Kegel or Not Kegel?

When it comes to pelvic health, Kegel exercises often get a lot of attention. These exercises, which involve tightening and releasing the pelvic floor muscles, are widely recommended to improve bladder control, support pelvic organ function, and even enhance sexual health. But are Kegels the right solution for everyone?


What Are Kegels?

Kegels are exercises designed to strengthen the pelvic floor muscles, which support the bladder, uterus, and rectum. A properly functioning pelvic floor can help prevent issues like urinary incontinence, pelvic organ prolapse, and provide stability for your core.

The basic idea is simple: you contract the muscles that you would use to stop the flow of urine, hold for a few seconds, and then relax. Doing these regularly is said to help tone and strengthen the pelvic floor.


When Kegels Can Be Beneficial

There are times when Kegels are a great tool to add to your routine:

  1. Urinary Incontinence: If you experience bladder leakage when you sneeze, laugh, or exercise (stress urinary incontinence), Kegels can help by strengthening the pelvic floor muscles that support bladder control.

  2. Postpartum Recovery: After giving birth, your pelvic floor muscles can become stretched or weakened. Kegels can help restore strength, particularly after a vaginal delivery, improving bladder and bowel control.

  3. Preventing Prolapse: For some women, pelvic organ prolapse (when organs like the bladder or uterus drop and press into the vagina) can be prevented or managed through regular Kegel exercises, especially when done in conjunction with other forms of pelvic floor rehabilitation.


When Kegels Might Not Be the Best Choice

While Kegels are often touted as a universal solution, they aren’t always appropriate for everyone. In some cases, they can actually make symptoms worse:

  1. Overactive Pelvic Floor: If your pelvic floor muscles are too tight or overactive, Kegels can exacerbate the issue. People with pelvic floor dysfunction, characterised by pain, tension, or difficulty relaxing the pelvic muscles, may find that Kegels add to their discomfort. Relaxation and release exercises may be more beneficial in these cases.

  2. Pelvic Pain: Conditions like vaginismus, dyspareunia (pain during sex), or chronic pelvic pain may be linked to tight or spasming pelvic floor muscles. Kegels can worsen pain if the muscles are already too tense. Instead, focusing on relaxation techniques and stretches for the pelvic floor is often more helpful.

  3. Constipation or Straining: If you’re frequently straining during bowel movements, Kegels might not be the solution. A tight pelvic floor can make it harder to relax the muscles needed to have a healthy bowel movement. In these cases, gentle breathing exercises and pelvic floor relaxation techniques may be more appropriate.


How to Know What’s Right for You

The key to deciding whether to Kegel or not Kegel lies in understanding your individual pelvic floor needs. Here are a few tips to help guide you:

  • Consult with a Pelvic Health Specialist: A physiotherapist specialising in pelvic health can assess your pelvic floor and recommend exercises tailored to your needs. They can help determine whether Kegels or other approaches would be most beneficial.

  • Listen to Your Body: If you’re doing Kegels and noticing increased discomfort, pain, or tension, it’s time to re-evaluate. Sometimes less is more when it comes to pelvic floor exercises.

  • Focus on Balance: A strong pelvic floor is important, but so is flexibility and relaxation. Aim for a balance between strengthening exercises and stretches that promote muscle relaxation.


While Kegels can be a valuable tool for improving pelvic floor health, they aren’t always the right solution for everyone. The decision to Kegel or not Kegel depends on your unique situation, and it’s important to get personalised advice to avoid doing more harm than good.


If you’re unsure whether Kegels are right for you, consider speaking to a pelvic health physiotherapist. They can assess your pelvic floor muscles and guide you toward the best exercises for your individual needs, ensuring you’re on the right path to pelvic health.

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