To Kegel or Not to Kegel: What Your Pelvic Floor Actually Needs

Kegels aren’t always the answer—and in some cases, they can actually make things worse. Learn what your pelvic floor really needs, how to tell if tension or weakness may be…

You’ve probably heard it a hundred times: “Just do your Kegels.”

Whether this is after having a baby, when things feel “off” down there, or honestly… just because you’re a woman and someone told you this is what you need as you age.

But here’s the thing—Kegels aren’t always the answer. And in some cases? They can actually make things worse.

Let’s talk about what your pelvic floor actually needs—because it’s a lot more nuanced than just squeezing and hoping for the best.


What Are Kegels, Really?

Kegels are exercises that involve contracting and lifting the pelvic floor muscles—the group of muscles that support your bladder, uterus, and bowels.

Think of it as:

This might sound simple in theory… but often it’s done incorrectly.


The Problem: Kegels Became a Blanket Recommendation

For years, Kegels have been handed out like a one-size-fits-all solution for:

But your pelvic floor isn’t just about strength—it’s about balance.


When Kegels Can Help

Kegels can be beneficial if your pelvic floor is:

You might benefit if you notice:

In these cases, strengthening can be helpful—but only when done correctly.


When Kegels Can Make Things Worse

Here’s the part most people never hear:

If your pelvic floor is already tight or overactive, doing Kegels is like tightening an already clenched fist.

This can lead to:

In these cases, your body doesn’t need more tightening—it needs relaxation and coordination.


If You’re Unsure—Don’t Guess

Symptoms like leaking, pain, or core weakness can come from both a weak or overactive pelvic floor—and the solutions for each are very different.

The solutions for each are very different.

That’s why it’s always recommended to work with a pelvic floor physical therapist if you can.
They can assess your muscle function, coordination, and tension levels to help you do the right kind of work for your body.


Your Pelvic Floor Is Meant to Move

Your pelvic floor isn’t supposed to stay contracted all day.

It should:

This natural movement is what supports your core—not constant squeezing.


Try This: A Simple Pelvic Floor + Breath Exercise

If you’re not sure where to start, this is one of the most powerful (and underrated) things you can do.


What this should feel like:


Pro tip:

If you feel yourself constantly “holding in” your stomach during the day, this exercise can help reset that pattern.


The Real Goal: Connection > Clenching

Instead of asking, “Should I be doing Kegels?”
A better question is:

Can I fully relax my pelvic floor?
Can I coordinate it with my breath?

Because true strength comes from:

Not just repetition.


What To Do Instead (For Most Women)

If you’re not sure where you fall, start here:

From there, you can layer in strengthening if your body actually needs it.


Bottom Line

Kegels aren’t bad for you. They’re just not always the answer for every woman, and definitely not a blanket treatment.

Your body doesn’t need a one-size-fits-all fix—
it needs the right kind of support.


Closing

If you’ve ever been told to “just do Kegels” and something still felt off… you’re not alone.

Learning how your body actually works is the first step toward feeling strong, supported, and at home in it again.


About the Author

Hi, I’m Christina – a licensed physical therapist specializing in women’s health, orthopedics, and pelvic floor care. I created Her Everyday Wellness to provide supportive, evidence-informed guidance to help women better understand their bodies and build realistic wellness habits.