Learn why it's crucial to get strength back down there — your partner will be glad you do, too.
Women's health physical therapist, Cindi A. Prentiss, MBA, PT, OCS, Cert. MDT, LMT, explains, "The muscles and tissues of the pelvic floor may become overstretched and weak during childbirth. During delivery, the perineum may feel numb with bruising and soreness, especially if you’ve had a large baby, tore the perineum or had an episiotomy. A weakened pelvic floor can lead to incontinence, decreased sexual enjoyment or sagging of the bladder and uterus onto the pelvic muscles."
If you have a C-section, it doesn't mean you're out of the woods. Prentiss explains, "The weight of the pregnant uterus, along with hormones that relax the ligaments may create pelvic floor weakness."
Kegels are the first exercise you can do immediately after delivery.
"Imagine that you don’t want to pee or pass gas," Prentiss explains. "Kegels are considered an isometric exercise, and contraction of the pelvic floor muscles need not be more than 50 percent of your strength. Utilizing accessory muscles, such as the inner thighs and buttocks, can also help strengthen the pelvic floor. Don’t freak out if you can’t feel the muscles working or are unable to stop the flow of urine. Continue to try!"
Prentiss recommends doing clam shells and ball squeezes.
Prentiss says this exercise can be done lying on your back with the knees straight, lying with the knees bent or while sitting:
During the weeks following childbirth, "Perform Kegels throughout the day, at red lights, when a commercial comes on the TV or when the phone rings," Prentiss says.
"Vary the types of Kegels you perform. 'Quick flicks' are quick contraction/quick release Kegels that simulate a cough or sneeze. 'Elevator Kegels' are pelvic floor contractions at various intensities."
Not only will Kegels help your vagina get back to normal, this exercise will help other things get back to normal, too.
Prentiss adds, "Performing Kegels during intercourse can help strengthen as well as increase sexual enjoyment."
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