Guides 12 min read

The Complete Guide to Kegel Exercises: Everything You Need to Know

Learn the science behind kegel exercises, how to perform them correctly, common mistakes to avoid, and how to build a sustainable practice for lasting pelvic floor health.

DSM

Dr. Sarah Mitchell

Kegel exercises — named after Dr. Arnold Kegel, who first described them in 1948 — are the foundation of pelvic floor health. Yet despite being one of the most commonly recommended exercises by healthcare providers, most people either don't do them, don't do them correctly, or give up before seeing results.

This comprehensive guide covers everything you need to know about kegel exercises: the science behind why they work, step-by-step instructions for proper technique, common mistakes, and strategies for building a lasting practice.

What Are Kegel Exercises?

Kegel exercises are targeted contractions of the pelvic floor muscles — the group of muscles that form a supportive hammock across the base of your pelvis. These muscles support your bladder, uterus (in women), and rectum. They also play a crucial role in urinary and bowel control, sexual function, and core stability.

When you perform a kegel, you're deliberately squeezing and lifting these muscles, then releasing them. It's essentially strength training for your pelvic floor, and like any muscle group, the pelvic floor responds to consistent, progressive exercise.

Why Pelvic Floor Health Matters

Your pelvic floor muscles work silently throughout the day, but their importance becomes painfully obvious when they weaken. Pelvic floor dysfunction can lead to:

  • Urinary incontinence — leaking urine during coughing, sneezing, laughing, or exercise
  • Pelvic organ prolapse — descent of pelvic organs due to loss of muscular support
  • Reduced sexual sensation — weaker orgasms and decreased sensitivity
  • Lower back pain — the pelvic floor is a key component of core stability
  • Bowel control issues — difficulty controlling gas or bowel movements

Risk factors for pelvic floor weakness include pregnancy and childbirth, aging, menopause, obesity, chronic constipation, heavy lifting, and certain surgeries. However, pelvic floor weakness can affect anyone at any age — including men.

How to Perform Kegel Exercises Correctly

Step 1: Find Your Pelvic Floor Muscles

The most common mistake people make is contracting the wrong muscles. To identify your pelvic floor, try this: imagine you're trying to stop the flow of urine midstream (but don't actually practice this regularly while urinating, as it can interfere with bladder function). The muscles you feel engaging are your pelvic floor muscles.

Another way to identify them: imagine you're trying to hold in gas. The squeeze you feel at the back is your pelvic floor. You should feel a lifting sensation, as if your muscles are drawing upward inside your body.

Step 2: The Basic Kegel

  1. Find a comfortable position (sitting, lying down, or standing)
  2. Breathe normally throughout — don't hold your breath
  3. Squeeze your pelvic floor muscles and lift upward
  4. Hold the contraction for 3-5 seconds
  5. Release slowly and rest for 3-5 seconds
  6. Repeat 10 times
  7. Aim for 3 sets per day

Step 3: Progress Over Time

As your muscles get stronger, gradually increase your hold time from 3 seconds to 10 seconds. You can also add "quick flicks" — rapid contract-and-release cycles — to build fast-twitch muscle fiber strength. The goal is to work both slow-twitch fibers (endurance) and fast-twitch fibers (quick response).

Common Mistakes to Avoid

Bearing down instead of lifting: Many people push down instead of squeezing up. Think "lift" not "push." If your belly bulges outward during a kegel, you're doing it wrong.

Holding your breath: Breathe normally throughout. Holding your breath increases abdominal pressure, which works against your pelvic floor.

Squeezing surrounding muscles: Your abs, thighs, and buttocks should stay relaxed. If you're clenching your glutes, you're compensating with the wrong muscles.

Overdoing it: Like any muscle, the pelvic floor can be overworked. Stick to the recommended sets and rest between contractions. More is not always better.

When to Consider a Kegel Training Device

While kegel exercises can be performed without any equipment, many people find that a dedicated training device significantly improves their practice. Devices offer several advantages:

  • Biofeedback confirmation that you're engaging the right muscles
  • Guided workouts that structure your training effectively
  • Progress tracking that shows measurable improvements
  • Motivation and accountability through apps and gamification
  • Progressive resistance through weighted systems

If you've been doing kegels but aren't sure you're doing them correctly, or if you've struggled to see results from manual exercises alone, a training device could be the missing piece. Check out our product comparison guide to find the right device for your needs.

The key to kegel success is consistency. Like any exercise program, results come from regular practice over weeks and months, not from occasional intensive sessions.

Building a Sustainable Practice

The biggest challenge with kegel exercises isn't performing them — it's remembering to do them consistently. Here are strategies that work:

  • Habit stacking: Link your kegels to an existing daily habit (brushing teeth, morning coffee, waiting at red lights)
  • Set reminders: Use your phone to prompt you 3 times daily
  • Use a device: App-connected trainers provide built-in reminders and motivation
  • Track your progress: Seeing improvement is the strongest motivator
  • Start small: Even one set per day is better than none

Remember: most people begin to notice improvements within 4-6 weeks of consistent practice. Significant strength gains typically occur by 3 months. Be patient, be consistent, and trust the process.

DSM

Dr. Sarah Mitchell

Dr. Sarah Mitchell is a pelvic health specialist and medical writer. She reviews products and creates evidence-based content for kegel.training.

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