02/25/2026
Kegels are controversial.
There are a lot of folks out there saying "DON'T KEGEL 😱" - it will make your pelvic floor tight, It will cause pain, it will make it harder to labor, etc.
So let's talk truth. "Kegel" is just a common term for a pelvic floor contraction, coined by an MD back in the '40s who first discovered that contracting the pelvic floor muscles (PFMs) helped with bladder leaks.
So, SHOULD you?
There are lots of studies showing a benefit to PFM strengthening for incontinence, prolapse, pain, and other concerns. Logically it makes sense that if muscle weakness is causing dysfunction you need to activate the muscle to strengthen it. It also makes sense that you would need to activate and strengthen the PFMs to prepare for pregnancy and vaginal delivery to facilitate optimal recovery. This is how we treat every other muscle in the body!
BUT, there is also a significant population of people with an OVERACTIVE, or "tight", pelvic floor. This means their PFMs are predisposed to being on all the time.
If someone is tight due to gripping their PFMs all the time, then certainly squeezing those muscles a 30, 80 or 200 times a day will make things worse!
It's not so simple as just do kegels or don't do kegels. The quality and type of contraction matters! (The "HOW" matters!) And, Spoiler Alert, you can have a pelvic floor that is BOTH tight and weak.🫠
👉First, CAN you? You need to be contracting the right muscles. (Lots of people contract other muscles instead.)
👉Second, HOW do you? You need to both lengthen and shorten as part of your contraction!
If a muscle is never released or lengthened, it will fall into that overactive gripping category and certainly cause you problems. (Bladder, bowel, pain, and sexual problems!)
👉Third, WHEN should you? You need to learn to use the muscles they both shorten AND lengthen in coordination with other muscles, and at times when you need them!
If you're frustrated with kegels, feel like you have no idea how to do them, or tried them and they didn't work, book a visit with one of our experienced pelvic floor experts for effective guidance tailored to your body and your needs.
Book by calling/texting 858-247-2660!