Simple pelvic floor exercises for women

Stress incontinence happens when your pelvic floor, a set of muscles supporting your bladder, uterus and back passage, becomes weak, but this can be prevented with some simple pelvic floor exercises for women.

“If the muscles aren’t strong enough any downward pressure (a cough, laugh or sneeze) could lead to an accident,” says Jessica Kostos Consultant Pelvic Health Physiotherapist at APPI Health Group.

National guidelines in the UK recommend that we should all be doing at least eight pelvic floor contractions three times a day and a pelvic floor trainer can help with this. There’s even a handy NHS app ‘Squeezy’ which you can download onto your smartphone for free to remind you.

There are so many benefits of pelvic floor exercises. Challenge yourself to do these exercises for six-to-eight weeks and see if you can stop (or at least lessen) leaks. “The exercises are designed to progressively challenge and strengthen your pelvic floor muscles,” says Jessica. “Once you feel confident with the first exercise, progress onto the next at your own pace.”

Why is it important to do pelvic floor exercises?

Hollie Grant, Founder of The Bump Plan , shared her expertise as to why it's so important to incorporate pelvic floor exercises into your daily routine.

"The pelvic floor muscles are just like any other muscles, they must be trained to stay strong. If you practice bicep curls you get stronger biceps, if you practice pelvic floor exercises you get stronger pelvic floor muscles. Because we cannot 'see' the pelvic floor, and there are no aesthetic gains (much of the fitness industry promotes aesthetic gains sadly), we often forget to train the pelvic floor.

"Prevention is better than cure and so it’s best to ensure a functional strong pelvic floor before symptoms of pelvic floor dysfunction arise."

Dr Masarat Jilani the Selfcare Doctor who has partnered up with Jude as their in-house doctor to tackle the taboo around pelvic health and educate on the importance of pelvic floor exercises adds, "Making pelvic floor exercises fun is also key. Belly-dancing, hula hooping or pilates are all enjoyable activities you can try to boost your pelvic floor. Learning about bladder and pelvic health and busting myths is also important - that’s why Jude have a free Bladder Care Handbook which you can download to learn all about the ways you can take care of your pelvic floor ”

Should everyone do pelvic floor exercises?

According to the NHS, all adults can benefit from doing pelvic floor exercises as they can prevent prolapses, lower incontinence and make your sex life better. In men, pelvic exercises can reduce the symptoms of erectile dysfunction. There are many at-home exercises you can do to strengthen your pelvic floor.

You can start doing pelvic floor exercises at any age - it's never too early.

What exercises can you do for pelvic floor?

Exercise 1: Lying down

Lie on your back with your knees bent and eyes closed. Take a few big breaths to relax your whole body.

Tighten around your back passage, vagina and urethra as strongly as possible and pull forward in the direction of your pubic bone. Your abdominal, leg and glute muscles should stay completely relaxed while you isolate your pelvic floor. Hold for 5-10 seconds. When you relax your muscles, you should feel a definite ‘letting go’ as the muscles drop back down. This may take a few seconds to relax fully.

Repeat up to ten times or until you feel your pelvic floor muscles fatigue.

Exercise 2: Sitting down

Sit on a chair with your feet on the floor.

Tighten around your back passage, vagina and urethra as strongly as possible and pull forward in the direction of your pubic bone. Hold for 5-10 seconds.

Repeat up to ten times.

Exercise 3: Sit to stand

Begin seated, with your pelvic floor muscles completely relaxed.

Inhale and lean forward preparing to stand. As you exhale, push through your heels and activate your pelvic floor muscles to stand up tall.

Inhale to return back to the seat and relax your pelvic floor muscles.

Repeat 10-20 times.

Pelvic floor exercises for your core

Visualisation

A great technique when carrying out these exercises is to imagine that you are holding in wind and a wee at the same time. You can do this in whichever way you feel comfortable, whether that's lying down, standing or sitting up.

Relax all of your muscles in your abdomen, stomach and thighs.

Squeeze in your pelvic muscles, slowly getting tighter.

Hold it for a few seconds and then release them.

How to enhance your pelvic floor exercises

Add weights to enhance your pelvic floor exercise

Once you've got to grips with the exercises above, you can make it that little more challenging by bringing in some weights and basic weight training.

• Standing, hold small weights with your palms facing forwards.

• Keeping your pelvic floor muscles relaxed inhale and as you exhale lift your pelvic floor muscles as strongly as possible while simultaneously curling the weights upwards.

• Inhale as you lower the weights and simultaneously relax your pelvic floor muscles.

• Repeat 10-20 times or until you feel your pelvic floor muscles fatigue.

• After completing all the exercises, have a rest then repeat for 2-3 sets.

Pelvic floor exercises equipment

For the weights, you can use household objects of equal weight, or invest in some handy dumbbells or wrist weights weighing between one to five kilograms:

Use a pelvic floor trainer

If you find you need a little help with your pelvic floor exercises or to help you gain some initial strength and know you're doing the exercises correctly, a pelvic floor trainer could be a useful tool for you.

Pelvic floor trainers come in a variety of guises, most of which you insert into the vagina to do the job:

Kegel balls: These have been used for centuries to strengthen vaginal and pelvic muscle. The small, weighted balls come in a variety of different weights and sizes to help you contract and release different muscles with ease.

Pelvic floor machines: These more modern devices still work to tone the Kegel muscles and will give you feedback so you can see your progress. Some will also have a programme specifically designed to help resolve your specific pelvic floor disorder.

Check out our pick of the best pelvic floor trainers below.

Can you do pelvic floor exercises while walking?

Walking strengthens all of the muscles in your body, including your pelvic floor muscles. You can carry out standing pelvic floor exercises whilst you're walking if you're busy and need to be somewhere.

Lorna White is a Senior Digital Writer at Yours.co.uk. She was previously a writer at Yours Magazine writing features and news stories before joining the digital team. Lorna loves the great British countryside and likes to spend her spare time out and about in her home of Nottinghamshire walking her dog, Pippin.