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continued:

Kegel exercises: A how-to guide for women

When to do your Kegels

Make Kegel exercises part of your daily routine. You can do Kegel exercises discreetly just about anytime, whether you're sitting at your desk or relaxing on the couch. You might make a practice of fitting in a set every time you do a routine task, such as checking email.

When you're having trouble

If you're having trouble doing Kegel exercises, don't be embarrassed to ask for help. Your doctor or other health care provider can give you important feedback so that you learn to isolate and exercise the correct muscles.

In some cases, biofeedback training might help. During a biofeedback session, your doctor or other health care provider inserts a small probe into your vagina or rectum. As you relax and contract your pelvic floor muscles, a monitor will measure and display your pelvic floor activity.

When to expect results

If you do Kegel exercises regularly, you can expect results — such as less frequent urine leakage — within about a few months. For continued benefits, make Kegel exercises a permanent part of your daily routine.

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References
  1. Brubaker L. Patient information: Pelvic floor muscle exercises. http://www.uptodate.com/home/index. Accessed June 19, 2012.
  2. DuBeau CE. Treatment of urinary incontinence. http://www.uptodate.com/home/index. Accessed June 19, 2012.
  3. Handa VL. Pelvic floor disorders associated with pregnancy and childbirth. http://www.uptodate.com/home/index. Accessed June 19, 2012.
  4. Sari D, et al. The effects of pelvic floor muscle training on stress and mixed urinary incontinence and quality of life. Journal of Wound, Ostomy, and Continence Nursing. 2009;36:429.
  5. Hay-Smith J, et al. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007471/abstract. Accessed Sept. 7, 2012.
  6. Meston CM, et al. Disorders of orgasm in women. Journal of Sexual Medicine. 2004;1:66.
  7. Urinary incontinence in women. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/kudiseases/pubs/uiwomen/UI-Women_508.pdf. Accessed June 14, 2012.
  8. Kegel exercise tips. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/kudiseases/pubs/bcw_ez/insertC.aspx. Accessed June 14, 2012.
  9. Nonsurgical treatments for urinary incontinence in adult women: Diagnosis and comparative effectiveness. Agency for Healthcare Research and Quality. http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=1021. Accessed June 19, 2012.
  10. Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-6911-9..C2009-1-60786-3--TOP&isbn=978-1-4160-6911-9&uniqId=310232887-6. Accessed June 20, 2012.
  11. Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. June 20, 2012.
WO00119 Sept. 25, 2012

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