By: Red Hot Mamas
Published: June 13, 2018
Contributed by Dr. Barb DePree- Red Hot Mamas Expert
Nicely defined muscles hint at strength and endurance and a healthy lifestyle. Some of us even work hard to build them. There’s one set of muscles that can not only help with the bladder control that eludes many of us older women, but also lead to stronger orgasms and better sex in general. And the exercises that strengthen those muscles are fairly effortless and can be done anywhere.
Did you guess? I’m talking Kegels.
● Why do them: Strong, toned pelvic floor muscles are tremendously helpful in maintaining bladder control-a particular problem for older women-and in avoiding organ prolapse. Toned pelvic floor muscles also create a firm “vaginal embrace” during sex and can enhance your own orgasm.
● How to do them: First, identify your pelvic floor muscles. These are the muscles you use to stop the flow of urine. If you’re still not sure where they are, insert a couple fingers in your vagina and tighten so that you feel the vaginal walls constrict. Now, contract and hold for five seconds; release for five seconds. Repeat ten times. Gradually increase until you can contract ten times for ten seconds. Do these three times a day.
● How not to do them: You are not tightening your belly, thigh, or butt muscles. Every other muscle should be soft. Don’t hold your breath.
However you do Kegels is just fine, as long as you’re exercising the right muscles. Sit, stand, lie. Make dinner or watch TV. Drive. Got the picture? Kegels are invisible to everyone but you. That’s the beauty of it. However, as with any exercise, Kegels aren’t a magic pill or quick fix. You may not notice improvement for weeks. The important thing is to stick with it! Regularly.
Some women find using Kegel weights (also called yoni balls, ben-wa balls, vaginal cones) helpful in identifying and isolating their pelvic floor muscles. Weights may also help develop those muscles more intensively-like using weights to build your biceps.
While they’re not for every woman, vaginal weights add a level of gravitas to your commitment to Kegel. They come in a rainbow of sizes, shapes, and materials, from jade to silicone, balls to barbells. (We have a manageable assortment in the MiddlesexMD shop.) You can choose from a simple, inexpensive “starter” kit with two silicone balls to a programmable, tech-supported options that give you biofeedback to make sure you’re doing them correctly.
To use Kegel balls:
● Start with the lightest weight. Lubricate it well. (Don’t use a silicone lube with silicone balls.) Insert one just beyond your pelvic floor muscles, as you would a tampon.
● While sitting, perform ten sets of Kegels-contracting, holding, and relaxing for five seconds each.
● The next level is to practice standing with the weights in place. You have to maintain the contraction to keep them from falling out. Try to extend the length of time you can hold the balls.
● If you’ve mastered standing, you can try holding the Kegel balls while squatting and then while walking around doing normal tasks. This level may be beyond many of us estrogen-depleted, “mature” women.
● Wash with soap and warm water. Dry and put away.
Kegels of any sort, weighted or not, are an important part of your downtown health regimen. They can help with bladder and bowel control; they can help keep your organs where they belong. Kegels improve muscle tone and blood flow to the pelvic floor, which makes sex more pleasurable for you and your partner. And so easy to do, wherever you are!
Dr. Barb DePree gynecologist, NAMS certified menopausal provider and founder of the website middlesexmd.com, a website for promoting women’s sexual health.