Pelvic Floor
Kegel Exercises Done Right: A Urologist's Guide
A correct Kegel is a brief lift-and-hold of the pelvic floor (the muscles you'd use to stop urine flow), without contracting the glutes, abdomen, or inner thighs. The standard protocol is three sets of 10 contractions daily — 5-second holds with 5-second rests — for at least 8–12 weeks before judging results.
Medically reviewed by Dr. Angelo Gousse, MD — board-certified urologist (Florida).
Step-by-step technique
Empty your bladder. Lie down to start. Contract only the pelvic floor — imagine lifting up and in. Hold 5 seconds. Fully relax 5 seconds. Breathe normally throughout.
Most patients improve with a pelvic floor physical therapist for the first 4–6 weeks, because over half of people contract the wrong muscles when self-taught.
When Kegels are wrong
If you have a tight, over-active pelvic floor (pelvic pain, painful intercourse, urgency without leakage), Kegels can worsen symptoms. You need down-training and relaxation work first — see a pelvic floor PT.
Frequently asked questions
- Do Kegels help ED?
- Yes — pelvic floor training improves ED in trials, especially when combined with PDE5 inhibitors.
- How long until I see results?
- Expect 8–12 weeks for measurable change. Many patients give up too early.