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Without tensing the muscles of your leg, buttocks or abdomen, imagine that you are trying to control the passing of gas or pinching off a
stool. Or imagine you are in an elevator full of people and you feel the urge to pass gas. What do you do? You tighten or pull in the ring
of muscle around your rectum - your pelvic muscle. You should feel a lifting sensation in the area around the vagina or a pulling in of
your rectum.

One exercise consists of both "tightening and relaxing" the muscle. It is equally important to control when your muscle tightens and re-
laxes. Therefore, you should relax for the same amount of time you tighten. Be sure to relax completely between each muscle tighten-
ing. There are 2 type of muscle contraction you will need to practice - Short quick contractions (2 seconds) and long (3-10 second) con-
tractions. To do the quick muscle contractions, contract or tighten your pelvic muscle quickly and hard, and immediately relax it. For the
long or sustained contractions tighten your pelvic muscle and hold for a count of 3 seconds, then relax the muscle completely for a
count of 3 seconds. Over time you will increase the length of time you tighten the muscle to 10 seconds.

These exercises can be practiced anywhere and anytime. Individuals are instructed to do the pelvic muscle exercises (Kegels) three
times daily. A minimum of 50-60 PMEs per day is recommended. A gradual increase in number of contractions over a period of PME
practice has been shown to increase muscle strength significantly which in turn tightens your rectum.

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15y ago

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