Pelvic Floor Exercises: What’s the Right Approach for Women’s Health?

Which statement is more accurate?

Hello, doctor: I was reading at a bookstore when a physician mentioned that regularly practicing Kegel exercises can help prevent urinary incontinence and enhance sexual satisfaction.
However, he advised against doing them while urinating, as it could lead to long-term urinary dysfunction.
On the other hand, I recall another physician stating that during urination, one could hold for 5 seconds before continuing to urinate, essentially starting and stopping the flow, which could help strengthen the pelvic floor muscles.
Which method is better? I often experience dull pain in my lower abdomen and occasional itching in my genital area.
Thank you for your consultation.

huanzhe, 40~49 year old female. Ask Date: 2014/04/13

Dr. Lin Wenbin reply Obstetrics and Gynecology

There is significant individual variation.
The effectiveness of pelvic floor exercises primarily depends on the response.
Generally, patients should not frequently attempt to urinate; some may not understand the sensation of pelvic floor contraction.
Therefore, it is advisable for patients to practice urination to better grasp the feeling.
Once they understand the sensation, they can perform the exercises regularly.
It is still important to ensure that urination is thorough and complete.

Reply Date: 2014/04/13

More Info

Pelvic floor exercises, commonly known as Kegel exercises, are essential for women's health, particularly for maintaining pelvic floor strength and preventing issues such as urinary incontinence. The pelvic floor consists of a group of muscles that support the bladder, uterus, and rectum. Strengthening these muscles can lead to improved bladder control, enhanced sexual function, and better overall pelvic health.

The Right Approach to Pelvic Floor Exercises
1. Understanding Kegel Exercises: Kegel exercises involve contracting and relaxing the pelvic floor muscles. To perform these exercises correctly, it is crucial to identify the right muscles. One way to do this is by trying to stop urination midstream. The muscles you engage to do this are the pelvic floor muscles. However, it is important to note that Kegel exercises should not be performed while urinating regularly, as this can lead to urinary retention and other complications.

2. Frequency and Technique: For optimal results, it is recommended to perform Kegel exercises several times a day. A common routine is to do three sets of 10-15 repetitions, holding each contraction for about five seconds and then relaxing for five seconds. As you become more comfortable, you can gradually increase the duration of the contractions and the number of repetitions.

3. Avoiding Mistakes: It is essential to avoid using other muscles, such as the abdomen, thighs, or buttocks, while performing Kegel exercises. Focus solely on the pelvic floor muscles. Additionally, do not hold your breath; breathe normally during the exercises.

4. Addressing Discomfort: If you experience discomfort, such as persistent lower abdominal pain or itching, it is crucial to consult a healthcare provider. These symptoms may indicate an underlying issue that needs to be addressed. A healthcare professional can provide a thorough evaluation and recommend appropriate treatment.

5. Incorporating Other Techniques: While Kegel exercises are beneficial, they should be part of a broader approach to pelvic health. This can include lifestyle changes, such as maintaining a healthy weight, avoiding constipation, and practicing good bladder habits. Additionally, physical therapy focused on pelvic health can provide personalized guidance and support.

6. Consulting a Specialist: If you have specific concerns about urinary incontinence or pelvic pain, consider consulting a pelvic floor specialist or a physical therapist trained in pelvic health. They can provide tailored exercises and strategies to address your unique needs.

Conclusion
In summary, Kegel exercises are a valuable tool for enhancing women's health, particularly concerning pelvic floor strength and urinary control. While it is beneficial to practice these exercises regularly, it is equally important to avoid common pitfalls, such as performing them during urination. If you experience any discomfort or have specific health concerns, seeking professional guidance is essential. By taking a comprehensive approach to pelvic health, you can improve your quality of life and overall well-being.

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