- To get a sense of which muscles you’re working, try to stop urinating mid-stream. That’s the area you want to target during Kegel exercises.
- Imagine squeezing a pebble with your vagina.
- Try your Kegels in front of a hand mirror. If you’re doing them properly, your perineum, or the skin-covered area between your vagina and anus, should contract with each rep.
What if I need more help?
If you’re not sure Kegels have been working for you, consider booking an appointment with a pelvic floor physical therapist — for women who have trouble isolating their pelvic floor muscles, physical therapy can make an enormous difference, Dr. Brucker says. Your physical therapist will prescribe a personalized exercise program to strengthen your pelvic floor over time.
“Just like the way a physical trainer works with you on reps at the gym, we increase the length of each Kegel from two seconds to five or ten seconds as you get stronger,” says Amy Stein, MPT, the founder of Beyond Basics Physical Therapy in New York City and a practicing pelvic floor physical therapist. The muscles in your pelvis affect your legs and abs as well, and vice versa, so after helping you isolate and exercise your pelvic floor, a physical therapist will introduce core-strengthening exercises. “If your abdominal or leg muscles are weak, your pelvic muscles may be working overtime,” Stein says. Try Pilates for a core workout that extends to your pelvic floor.
How do I know if my Kegels are working?
Your gynecologist/urologist or pelvic floor physical therapist may also suggest biofeedback, an electronic sensor system that maximizes the effectiveness of each Kegel session. The sensors detect the strength of each contraction and where it’s coming from, so you and your doctor can see whether or not you’re using the correct muscles. Of course, you should practice every day at home — or at work, or in the car, or at the supermarket… You can do “the invisible workout” anywhere, but Dr. Brucker suggests making them a part of your daily routine. “Do your Kegel exercises right after you put on your clothing, or when you’re sitting and reading the newspaper, so you remember to do them every day,” he says.
Written by Amanda First for Prevention.
Photo Credits: empoweringwellnessnow.com, madamenoire.com