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FAQ

Factors such as pregnancy, childbirth, aging,being overweight, and abdominal surgery such as cesarean section, often result in the weakening of the pelvic muscles. This can be assessed by either digital examination of vaginal pressure or using a Kegel perineometer. Kegel exercises are useful in regaining pelvic floor muscle strength in such cases.

Urinary incontinence

Pelvic floor exercises are recommended for women with urinary incontinence of the stress, urge, or mixed types. There is tentative evidence that biofeedback may give added benefit when used with pelvic floor muscle training.

Pelvic prolapse

There is some evidence showing a positive effect of pelvic floor exercises on the symptoms of prolapse and its severity.

Sexual function

In 1952, Dr. Kegel published a report in which he claimed that the women doing his exercises were orgasming more easily, more frequently and more intensely: "it has been found that dysfunction of the pubococcygeus exists in many women complaining of lack of vaginal feeling during coitus and that in these cases sexual appreciation can be increased by restoring function of the pubococcygeus." There is controversy over the precise effects of the PC muscle on orgasmic response.

Though most commonly used by women, men can also use Kegel exercises. Kegel exercises are employed to strengthen thepubococcygeal muscle and other muscles of the pelvic diaphragm. Kegels can help men achieve stronger erections, maintain healthy hips, and gain greater control over ejaculation. The objective of this may be similar to that of the exercise in women with weakened pelvic floor: to increase bladder and bowel control and sexual function.

Urinary incontinence

After a prostatectomy there is no clear evidence that teaching pelvic floor exercises alters the risk of urinary incontinence (leakage of urine).

Sexual function

A paper found that pelvic floor exercises could help restore erectile function in men with erectile dysfunction. There are said to be significant benefits for the problem of premature ejaculation from having more muscular control of the pelvis. 

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