Know your body
Women's Health
Soft, honest, evidence-based info on what's happening, plus space to track and reflect.
A gentle reminder: This is educational information shared with love, not medical advice. Always talk with your trusted healthcare provider about what's right for your body.
What is the pelvic floor?
A hammock of muscles, ligaments, and connective tissue stretching from your pubic bone to your tailbone. It supports your bladder, uterus, and bowel, controls continence, plays a major role in sexual function, and stabilizes your core.
Why it matters
- Bladder & bowel control
- Core stability and back support
- Sexual sensation and comfort
- Pregnancy support and postpartum recovery
- Reduces risk of prolapse (organs shifting downward)
Signs your pelvic floor needs attention
- Leaking with cough, sneeze, jump, or laugh
- Urgency or frequent urination
- Heaviness or pressure in the vagina
- Pain with sex or tampon insertion
- Lower back, hip, or tailbone pain
- Constipation or straining
- Postpartum recovery (every birthing person benefits)
Kegels, step by step
- Find the right muscles: Imagine stopping the flow of urine midstream or stopping yourself from passing gas. That lift is your pelvic floor. (Don't actually do this while peeing, it's just for locating.)
- Get comfortable: Start lying down to remove gravity. Once comfortable, you can do them sitting or standing.
- Squeeze and lift for 3–5 seconds. Imagine drawing the muscles up and in, not bearing down.
- Fully relax for 5–10 seconds. The relax is just as important as the squeeze.
- Repeat 10 times, 2–3 sets per day.
- Don't hold your breath, clench your butt, or tighten your thighs. Just the pelvic floor.
- Build to longer holds (10 seconds) and add quick "flutter" reps (1-second squeeze-release).
Important: If you have pelvic pain, leaking, or symptoms of a tight (hypertonic) pelvic floor, kegels can make things worse. Relaxation work and pelvic floor PT are the right starting point.
During pregnancy
- Gentle kegels support the growing uterus and prepare for birth
- Practice relaxing the pelvic floor (the "reverse kegel"), crucial for pushing
- Diaphragmatic breathing: inhale and let the pelvic floor expand; exhale and gently lift
- Avoid breath-holding strain, protect the pelvic floor from heavy downward pressure
Postpartum recovery
- Start with breath work in the first week, no formal kegels until cleared
- Begin gentle kegels around 1–2 weeks postpartum if comfortable
- See a pelvic floor PT at 6–8 weeks postpartum (standard of care in many countries, advocate for it)
- Avoid heavy lifting, running, and high-impact exercise until cleared
- Treat diastasis recti and scar tissue (C-section or perineal) with guided rehab
General wellness exercises
- Glute bridges, co-activates glutes and pelvic floor
- Squats with breath, inhale down (relax), exhale up (lift)
- Bird dog, core and pelvic stability
- Happy baby and child's pose, release a tight pelvic floor
- Deep breathing, 5–10 minutes a day, hands on belly and ribs
When to see a pelvic floor therapist
- Any leaking (urine, stool, gas), even small amounts
- Pain with sex, tampons, or exams
- Pelvic pressure, heaviness, or visible bulge
- Persistent pelvic, low back, or hip pain
- Postpartum recovery, every postpartum body benefits
- Pre- and post-gynecological surgery
- Painful periods or endometriosis
Pelvic floor check-in
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