Pelvic floor training

The Pelvic floor training will also be Bowling called. Named after the inventor Arnold H. Kegel. During this training, the muscles around the pelvic floor are trained. Problems often arise if the pelvic floor is not optimally trained. An example of this is urinary incontinence. A pelvic floor exercise can help.

What is pelvic floor training?

Experts call the pelvic floor the boundary of the pelvic canal. Anatomically, it is the pelvic floor muscles, which are called perineal (dam) muscles in technical jargon.

The Pelvic floor training helps to keep the muscles tight. These muscles support the closure of the urethra (urethra) and the anus.

Another function is an optimal musculature for the position of the abdominal and pelvic organs. If the muscles of the pelvic floor are slack, experts recommend pelvic floor training. It is used not only for existing complaints, but also for prevention.

application areas

Sagging pelvic floor muscles can cause back pain, sexual problems, or urinary incontinence, even to the point of fecal incontinence.

That is why pelvic floor training is important. After giving birth, women often have extensive and slack pelvic muscles. But bladder and uterine subsidence, aging and obesity can also lead to slack muscles around the pelvic floor. Pelvic floor training strengthens the stressed muscles after giving birth.

Men are anatomically structured differently than women, who therefore rarely suffer from flaccid pelvic floor muscles. Pelvic floor training is also important for a man. If a man has had prostate cancer surgery, pelvic floor exercises are valuable because urinary incontinence can develop after these operations.

The muscles around the pelvic floor tend not to be felt. It is not actively used. If a woman has an orgasm, it is activated automatically. It is also called the love muscle. Pelvic floor training not only supports the excretory organs, but also the ability to orgasm. Premature ejaculation in men can also be delayed with pelvic floor exercises. The inventor Arnold H. Kegel successfully documented this in 1952.

Application method - function, effect & goals

There are some conservative methods of application for that Pelvic floor training. Aids are also used by experts in pelvic floor training. These include so-called ring or cube pessaries and foam tampons. These tools are customized. The patient has to change this himself. There are also vaginal cones for pelvic floor exercises that have different weights. The cone is inserted into the vagina like a tampon. The patient must actively hold these cones in the vagina.

Another application method for pelvic floor training is a special pelvic floor machine in a fitness center. Trained staff gives the user instructions for the correct tension and relaxation of the pelvic floor muscles during the pelvic floor training.

A so-called EMS device (electrical muscle stimulation) is also regarded by experts as an application method for pelvic floor training. This device has a probe that is inserted either rectally or vaginally. The device generates stimulation current impulses. Automated contractions occur through these impulses.

There are qualified physiotherapists who specifically perform pelvic floor training. After a briefing from the physiotherapist, the exercises can also be performed at home. This includes alternating tension and relaxation, which can be performed in front of the television, in the car or while ironing as pelvic floor training.

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Risks, side effects & dangers

Experts recommend that patients do that Pelvic floor training to be carried out first with a psychotherapist or a midwife. Trained staff is an advantage to learn how to properly exercise the pelvic floor.

The pelvic floor muscles can only be tightened if the pelvic floor training is carried out correctly and regularly. Pelvic floor training has more advantages than disadvantages, but it also involves dangers. If the pelvic floor training is not performed optimally, the muscles can be pulled or the "wrong" muscles are used. Then the pelvic floor muscles cannot be tightened.

The longer the pelvic floor training, the more pressure sores can develop. This often happens when using EMS equipment. Germs can also enter the vagina and lead to urinary tract injections. The side effects are positive, however. If the pelvic floor training is carried out optimally, the internal organs are supported.

It is important to do the pelvic floor exercises daily, investing time and self-discipline.