Kegel Exercises for Sexual Function and Bladder Health - Urology

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Sexual function and the bladder?


Hello, doctor.
I read online that doing Kegel exercises can help with endurance and control over ejaculation.

1.
Is it normal for me to ejaculate after about 2-3 minutes of doing Kegel exercises?
2.
What other exercises can help enhance endurance and control over ejaculation?
3.
Sometimes, even when my urine volume isn't high, I feel a strong urge to urinate and it can be quite uncomfortable.
However, when I go to the bathroom, the amount isn't much.
Should I see a doctor about this?

RL, 20~29 year old female. Ask Date: 2019/06/20

Dr. Xu Wencang reply Urology


Outpatient examination and assessment.

Reply Date: 2019/06/20

More Info


Kegel exercises, named after Dr. Arnold Kegel who developed them in the 1940s, are designed to strengthen the pelvic floor muscles. These exercises are beneficial for both men and women, particularly in enhancing sexual function and bladder control. Let’s address your questions regarding Kegel exercises and their implications for sexual health and bladder control.

1. Kegel Exercises and Premature Ejaculation: It’s not uncommon for individuals to experience ejaculation during Kegel exercises, especially if they are new to the practice or if they are performing them in a state of arousal. The pelvic floor muscles, which Kegel exercises target, play a significant role in sexual function, including ejaculation control. If you find that you are ejaculating within 2-3 minutes of doing Kegel exercises, it might indicate that your pelvic floor muscles are still adjusting to the exercise. Over time, as you strengthen these muscles, you may find that you can better control your ejaculation. However, if this is a consistent issue outside of Kegel exercises, it may be beneficial to consult a healthcare professional for further evaluation.

2. Other Exercises for Sexual Endurance and Ejaculation Control: In addition to Kegel exercises, other techniques can help improve sexual endurance and ejaculation control. These include:
- Mindfulness and Relaxation Techniques: Practicing mindfulness can help you become more aware of your body’s responses during sexual activity, allowing you to better manage arousal levels.

- The Stop-Start Technique: This involves stopping sexual stimulation before reaching the point of ejaculation, allowing you to gain better control over your responses.

- Pelvic Floor Muscle Training: Beyond Kegel exercises, engaging in exercises that promote overall pelvic stability can be beneficial.

- Breathing Techniques: Controlled breathing can help manage arousal and anxiety during sexual activity.

3. Frequent Urgency with Low Urine Volume: Experiencing a strong urge to urinate even when the bladder is not full can be a sign of several conditions, including overactive bladder or urinary tract infections. If you frequently feel the need to urinate but produce only a small amount of urine, it is advisable to consult a healthcare provider. They can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly imaging studies, to determine the underlying cause of your symptoms.

In summary, Kegel exercises can indeed enhance sexual function and bladder control when performed correctly and consistently. If you are experiencing issues with premature ejaculation or frequent urges to urinate, it would be wise to seek professional medical advice. A healthcare provider can offer tailored guidance and treatment options based on your specific situation. Remember, maintaining open communication with your healthcare provider about any concerns regarding sexual health and bladder function is crucial for effective management and improvement.

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I'm sorry, I suggest you consult a physician at the urology clinic. Thank you.

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