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This blog is part of an 11 article series of 11 New Year’s resolutions that actually work and WILL improve your pelvic health. Get the full list of all 11 New Year’s resolutions HERE.

Get this: 50% of women cannot identify or contract the appropriate muscles to do pelvic floor exercises correctly by following only written results.

That’s right … we said 50%! No wonder there are so many women out there who think that pelvic floor exercises (also called Kegels) don’t work. Chances are that at least 50% of these women are not contracting their pelvic floor muscles properly, or not even contracting their pelvic floor muscles at all. In fact, women commonly contract other muscles–such as thigh or buttock muscles–instead of pelvic floor muscles. The result is that their thighs and buttocks are nicely toned, but their pelvic floor muscles remain neglected and out-of-shape! The other result is that if you have a New Year’s resolution to improve your pelvic health, you won’t achieve your goal if you are exercising your pelvic floor muscles incorrectly.

Do You Know How to Do a Kegel?
This might be a difficult question for you to answer. After all, if you are following written instructions on how to do a Kegel, you might THINK you are doing the exercise correctly, but how do you really know? One of the best ways to find out whether you are exercising your pelvic floor muscles correctly is to have a specialist test you.

Examples of specialists include physical therapists specializing in women’s pelvic health, urologists, and ob/gyns. All of these medical professionals will test the strength and correctness of your Kegel by asking you to tighten your pelvic floor muscles around a finger inserted into your vagina. While this does not sound like the most fun experience in the world, this test WILL help you determine whether you have been properly exercising your pelvic floor muscles … or just wasting your time!

If you have been wasting your time, the good news is that your specialist can either help you correct the way you do your Kegels, or recommend someone who can work with you. For instance, many women who cannot do a correct Kegel are referred to physical therapists who specialize in women’s pelvic health.

Do You Need a Physical Therapist to Help You Correctly Exercise Your Pelvic Floor Muscles?
Physical therapists specializing in women’s pelvic health work with women over a number of sessions to locate and properly contract the correct pelvic floor muscles. What can a physical therapist do for you that you can’t do for yourself? A physical therapist can help you in many ways.

First, the therapist will most likely take a “hands on” approach, which means that they will put their hands in various areas of your pelvic region to help you “feel” when you contract the correct pelvic floor muscles, as well as helping you “feel” when you are contracting the wrong muscles, such as your buttock or thigh muscles. Just having the sensation of a therapist’s hands in your pelvic region can help your brain make the connection to the correct pelvic floor muscles for a Kegel.

Second, your specialist has tools that you don’t that can help further help you identify and contract the right pelvic floor muscles. Two commonly used tools include biofeedback machines and electrical stimulation devices. Biofeedback machines are simple devices that give you either visual or auditory feedback when you contract the right muscles. This additional feedback helps you learn to contract the right muscles more quickly. The electrical stimulation device involves placing electrodes in your vagina or rectum for short periods of time. The device delivers very mild electrical stimulation, which actually lightly contracts and tones the correct pelvic floor muscles. This form of stimulation is especially useful for women who have little or no sensation in their pelvic floor muscles, and are thus unable to contract those muscles. Your specialist may also have you use vaginal weights, which are weighted plastic cones inserted into the vagina for short periods of time. As you hold the weights inside your vagina to prevent them from dropping out, you tighten and tone your pelvic floor muscles. As your muscles become stronger, your specialist will increase the weight until you can hold heavier weights.

The third way your specialist can help you is by designing a pelvic floor muscle exercise program customized to your current level of pelvic fitness. This prevents you from exercising your pelvic muscles too little or too much. Too much exercise can lead to excessive tightening of your pelvic floor muscles, which can result in pelvic pain and other unwanted side effects. Doing too few contractions means that your pelvic floor muscles won’t get toned, and you won’t get the results that you want.

By working with a custom program, you exercise your pelvic muscles at just the right level. As your muscles get stronger and have more stamina, your specialist will change your program to match by increasing the number of contractions or the length that you hold each contraction. With this kind of customized support, you are much more likely to achieve the results you want, whether that means alleviating symptoms of urine leakage, reducing signs of pelvic organ prolapse, or improving your sexual sensation.

Women’s Pelvic Health and Your New Year’s Resolution
Is women’s pelvic health still a New Year’s Resolution? If so, good for you! And, if you have are having difficulty achieving the results you want by doing pelvic floor muscle exercises at your home, it may be time to get help from a specialist. A women’s pelvic health specialist can teach you how to do a Kegel correctly, can design a custom program just for you, and has a wide range of tools that can help you achieve lasting results. You may need to get a referral for this kind of specialist from your family doctor, urologist, or ob/gyn, so we encourage you to call for an appointment to get the ball rolling right away!

If you enjoyed this post, we invite you to check out our book, leave a comment, contact us, download our free ebook, or interact with us on Twitter and Facebook.