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Do You Kegel? Do You Sexercise?

-The Kegel Exercise: An Overlooked Exercise for Core Stability & Sexual Function

By Mark Alderson, CSCS
Copyright © 2006 MaxPerformanceTraining.com, All Rights Reserved.

The Kegel Exercise, named after Dr. Kegel, who developed the exercise, has many positive health benefits. This particular exercise works the muscles of the pelvic floor. These muscles are the pubococcygeus muscles, sometimes referred to as the "PC" muscles. These important muscles hold the pelvic organs, help provide core stability, control urination, and can enhance sexual performance and/or enjoyment. So why haven’t you been doing your kegels?

Who Should Do Kegel Exercises?

Kegels can be performed by both men and women. There are significant benefits for both sexes. Many pregnant women are instructed by their doctor to perform Kegels to prepare for giving birth. Older adults can derive significant benefits related to both core stability and incontinence. The Kegel Exercise provides significant benefit to everyone from children to adults, men, women, and athletes alike. Consult your physician prior to commencing or adding any exercise to your program.

BENEFITS OF KEGEL EXERCISE:

General (everyone)

  • Kegel exercise leads to sexual enjoyment being enhanced for both partners.
  • Kegel exercises can help prevent prolapses of pelvic organs.
  • Kegel exercises are convenient. They can be done almost anywhere, and require no special equipment.
  • Kegel exercise can help prevent leaking urine during convulsive body movements, such as sneezing or coughing.
  • Kegel exercises can help increase core stability.
  • Kegel exercises can help prevent injury through strengthening the core and providing a stronger girdle for organs.
Men:
  • Kegel exercises increase the blood flow to the genital area, and so support sexual arousal mechanisms.
  • Kegel exercises help strengthen and tone the muscles that are directly involved in ejaculation; Men who Kegel can, if they practice, gain greater control over their ejaculations.
  • Kegel exercises aid in overall core stabilization; strengthening of your midsection to help prevent injuries.

  • Women:

  • Kegel exercise conditioned muscles will make birthing easier, help prevent perineum damage, including fewer tears and episiotomies.
  • Kegel exercises increase the blood flow to the genital area, increasing support of sexual arousal mechanisms.
  • Kegel exercises strengthen and tone the muscles of the vaginal canal; Women who Kegel can, if vaginal stimulation is their choice, and if they do some additional work on themselves, improve their capacity to orgasm by means of vaginal play, in terms of both the intensity and the frequency of their orgasms.
  • Kegel exercises are essential to the treatment of sexual difficulties such as vaginismus and dyspareunia (pain on vaginal intercourse).
  • Kegel exercises prevent incontinence, prolapses, and many other problems of the pelvic floor that are often associated with aging.
  • Elderly:

    Kegelling for the baby boomer. With the aging baby boom population entering retirement, the problem of adult incontinence has become much more visible. Some data suggests over $5.2 Million US is spent on adult diapers each year. Kegel exercises when properly performed can help prevent a person from developing incontinence that is simply the result of aging and decreased muscle tone.

    How do you do a Kegel Exercise:

    The most difficult part of the kegel exercise is to contract the PC muscles properly. Most people mistakenly contract the

    abdominal or thigh muscles, which may help them in some ways, but will not give them the results they are after; which a properly completed kegel exercise can provide.

    The First thing you need to do is locate the proper muscle to contract. You are looking for the pubococcygeus muscles, sometimes referred to as the "PC" muscles. Both men and women should locate them in the following manner:
    Go to the bathroom and sit on the toilet / commode seat. Begin to urinate. In the middle of your stream of urine, stop and start the stream several times. The muscles you use to do this are your PC muscles. At first, you may find that you are also squeezing other muscles such as your abdominal muscles or your anal muscles. The more you practice, the more control you will develop. Work to isolate the PC muscles and separate out the other muscle groups when you kegel.

    As you get better, you will be able to kegel exercise while sitting in a chair, at home watching television, in a boring office meeting, at your desk at work, in the car, or any other time you want.

    The Full Kegel:

    We recommend you start out kegelling by contracting or squeezing your PC muscles hard for 3 to 5 seconds. I find that many people starting out can better isolate the PC muscles while lying down on their back with their knees bent at 90 degrees (the position you would be in for a sit-up or abdominal crunch). Do not push from your heals and do not contract your abdominal muscles like you are doing a crunch. Just squeeze the PC muscles.

    Recommended Progression:

    Two times per day complete the kegel squeeze and hold for 3 to 5 seconds as described above. Complete this 10 times per session. You should feel some fatigue of the muscles with this.

    After 5 to 7 days, most people find this to be easier, less fatigue. If so, increase the repetitions to 12 to 16 kegel repetitions.

    Work up to 20 kegel repetitions, then add a second set and build that up to 20 repetitions just as you did with the first. Consider working up to three sets total.

    The Keys to Kegel Success:

    Take care in finding the PC muscles. If after you commence your “kegel program” you have any doubt as to whether or not you are contracting the correct muscles, return to the initial step and sit on the toilet, then contract the muscles to stop the stream of urine. It may take some time to develop the proper muscle coordination to control the muscle groups, so do not rush or get frustrated. If you don’t learn the proper muscles to contract, your results will not be good, even if you are putting forth the effort. Some find it helpful to experiment with how they contract the muscles. Feel free to try slow long contractions, or quick hard contractions, or pulsing contractions.

    The second most important key to success in kegelling is to do your kegel exercises on a consistent basis. Initially, you should consider doing your kegels everyday, at least once, but up to twice (while you are doing 1 set of 10 kegel repetitions). As the repetitions of kegels build and you are adding additional sets of kegels, you may want to go to an “every other day” routine, similar to working out at the gym. The PC muscles must be used on a regular basis to maintain their strength. As we become less active as we age, we need to pick up the slack with our exercise program. Work your kegels on a regular basis, just like you would do with crunches or sit-ups.

    Once you have mastered the Kegel exercise and can complete three sets of twenty repetitions with little fatigue, you may want to get creative. You can then work on incorporating kegel exercise in with other core stability and functional stability programs. Stay tuned for how to incorporate the kegel into your core training.


    Written By: Mark Alderson, CSCS
    Copyright © 2006 MaxPerformanceTraining.com Please contact Webmaster for with requests regarding reposting or distribution.

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