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Published on: 9/13/2026

What is the difference between reverse kegels and regular kegels?

Regular Kegels contract and lift the pelvic floor muscles to build strength, while reverse Kegels do the opposite by lengthening and relaxing those same muscles, often paired with a gentle downward bearing sensation and slow inhale. Because of this, standard Kegels are typically used for weakness-related issues like urinary leakage or prolapse support, whereas reverse Kegels help with tightness-related problems such as pelvic pain, painful sex, constipation, or difficulty fully emptying the bladder. Doing the wrong one for your condition can actually worsen symptoms, and an overly tight pelvic floor can mimic weakness, which is why technique and correct diagnosis matter more than repetitions. There are several important distinctions in breathing pattern, muscle action, and who should avoid each exercise, so see below to understand more before starting a routine.

If you are unsure whether your pelvic floor is too weak, too tight, or something else entirely is driving your symptoms, guessing can delay relief and lead you to the wrong exercise. A free, instant, online symptom check can help you sort through your specific symptoms in minutes and point you toward the right next steps, including when it is worth seeing a pelvic floor specialist.

Last reviewed for medical accuracy: 09/12/2026

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Explanation

Understanding Regular Kegels vs. Reverse Kegels

Pelvic floor exercises strengthen or relax the muscles that support your bladder, uterus, and bowels. While regular Kegels focus on contraction, reverse Kegels target relaxation. Both have important roles in pelvic health, urinary control, and sexual function—including enhancing “pelvic floor drops for arousal.”


What Are Regular Kegel Exercises?

Regular Kegels involve contracting (squeezing) the pelvic floor muscles, much like stopping the flow of urine midstream. They were popularized by Dr. Arnold Kegel in the 1940s to help women with urinary incontinence.

Benefits of Regular Kegels

  • Improved bladder and bowel control
  • Reduced risk of pelvic organ prolapse
  • Enhanced sexual sensation for some people
  • Better support for the uterus and bladder

How to Do Regular Kegels

  1. Find the right muscles
    • Imagine you’re stopping urine flow.
    • You should feel a lift and squeeze in your pelvic floor.
  2. Technique
    • Sit or lie down comfortably.
    • Inhale deeply, then exhale while gently contracting the muscles.
    • Hold for 3–5 seconds (work up to 10 seconds).
    • Relax for the same amount of time.
  3. Repetitions
    • Aim for 10–15 repetitions per session.
    • Do 3 sessions a day.

Tip: Avoid engaging your thighs, buttocks, or abdominal muscles—focus purely on the pelvic floor.


What Are Reverse Kegel Exercises?

In contrast to regular Kegels, reverse Kegels teach you to relax and lengthen the pelvic floor. Imagine gently pushing down as if you’re starting to urinate or have a bowel movement—but never actually doing either.

Benefits of Reverse Kegels

  • Reduces pelvic tension and discomfort
  • Eases pain during intercourse
  • Helps manage pelvic floor dysfunction (e.g., spasms)
  • Supports better sexual arousal, including pelvic floor drops for arousal
  • Complements regular Kegels for balanced muscle health

How to Do Reverse Kegels

  1. Find the feeling
    • Sit or lie down and take a slow breath in.
    • On the exhale, gently push the pelvic floor downward and outward.
  2. Visualize
    • Think of dropping your pelvic organs away from your body’s center.
    • Picture the muscles lengthening like a hammock letting go.
  3. Hold and Release
    • Hold the downward push for 3–5 seconds (build to 10).
    • Relax and breathe normally for an equal amount of time.
  4. Repetitions
    • Perform 10–12 repetitions per session.
    • Practice 2–3 times daily.

Tip: Start slowly. If you feel lightheaded or strained, reduce intensity and focus on breathing deeply.


Key Differences Between Regular and Reverse Kegels

Feature Regular Kegels Reverse Kegels
Muscle Action Contraction (squeeze & lift) Relaxation (drop & lengthen)
Primary Goal Strengthen pelvic floor Release pelvic floor tension
Common Uses Incontinence, prolapse, support Pain relief, sexual arousal, spasms
Sensation Tightening Softening, opening
Breathing Pattern Exhale while contracting Exhale while relaxing

Why Include Both in Your Routine?

Balance is key. Focusing only on contraction can lead to over-tightness, pelvic pain, or muscle fatigue. Only relaxing can weaken support. Integrating both:

  • Improves overall pelvic floor coordination
  • Reduces risk of urinary issues and pelvic pain
  • Enhances sexual response: alternating contraction with relaxation primes your body for stronger sensations and pelvic floor drops for arousal

Step-by-Step Routine

  1. Warm-Up
    • Lie on your back with knees bent.
    • Breathe deeply, noticing your pelvis move with each breathe.
  2. Regular Kegel Set
    • Inhale deeply.
    • Exhale and contract, hold 5 seconds, release 5 seconds.
    • Repeat 10 times.
  3. Rest & Breathe
    • Take 1–2 minutes of relaxed breathing.
  4. Reverse Kegel Set
    • Inhale slowly.
    • Exhale and gently push down, hold 5 seconds, release 5 seconds.
    • Repeat 10 times.
  5. Cool-Down
    • Finish with 2–3 minutes of gentle diaphragmatic breathing, feeling the pelvic floor move freely up and down.

Aim to do this routine once daily, gradually increasing hold times. As you improve, you can perform mini-sets during daily activities: waiting in line, commuting, or watching TV.


Tips for Success

  • Maintain good posture: shoulders back, chest open.
  • Focus on smooth, controlled breaths.
  • Keep other muscles (abdomen, buttocks, thighs) relaxed.
  • Practice mindfully—notice sensations without judgment.
  • Track your sessions in a journal or on a habit-tracking app.

Common Mistakes to Avoid

  • Overworking: more than 3 sessions per day can tire the muscles.
  • Holding your breath or clenching jaw/throat.
  • Engaging unwanted muscles (e.g., glutes or calves).
  • Neglecting pelvic floor relaxation.

If you experience pain, lightheadedness, or discomfort that doesn’t improve, pause exercises and consider professional guidance.


How “Pelvic Floor Drops for Arousal” Works

“Pelvic floor drops for arousal” refers to the intentional relaxation (reverse Kegel) to enhance blood flow and nerve sensitivity in the genitals. When the pelvic floor releases:

  • Tension eases, allowing fuller engorgement of clitoral or penile tissue
  • Circulation improves, heightening sexual arousal
  • Coordination between contraction (regular Kegel) and relaxation builds sexual stamina

Incorporate reverse Kegels during foreplay or self-stimulation to explore how letting go boosts your excitement and comfort.


When to Seek Professional Advice

While regular and reverse Kegels are safe for most people, certain situations warrant a doctor’s input:

  • Severe pelvic pain or persistent discomfort
  • Blood in urine or stool
  • Sudden changes in bladder or bowel habits
  • Signs of pelvic organ prolapse (bulging, pressure, heaviness)

For a quick check of your symptoms, you might consider doing a free, online symptom check, using the doctor approved Ubie Symptom Checker. If something feels off, it’s always best to follow up with your healthcare provider.


Final Thoughts

Regular and reverse Kegels serve different but complementary purposes. By learning to both contract and relax your pelvic floor, you’ll support bladder health, reduce pain, and potentially enhance sexual well-being through techniques like pelvic floor drops for arousal.

Remember:

  • Start slowly and build up
  • Focus on breath and muscle isolation
  • Aim for balance—strength and flexibility

If you experience severe or persistent symptoms, speak to a doctor. Pelvic floor exercises can be powerful tools, but they’re best practiced with proper guidance and awareness of your body’s signals.

(References)

  • * Wennergren H, Oberg B. Pelvic floor exercises for children: a method of treating dysfunctional voiding. Br J Urol. 1995 Jul;76(1):9-15. doi: 10.1111/j.1464-410x.1995.tb07823.x. PMID: 7648068.

  • * Scott KM, Gosai E, Bradley MH, Walton S, Hynan LS, Lemack G, Roehrborn C. Individualized pelvic physical therapy for the treatment of post-prostatectomy stress urinary incontinence and pelvic pain. Int Urol Nephrol. 2020 Apr;52(4):655-659. doi: 10.1007/s11255-019-02343-7. Epub 2019 Dec 5. PMID: 31807975.

  • * Özin Y, Öztürk Ö, Tenlik I, Yüksel S, Bacaksız F, Arı D, Ramadan SU, Yalınkılıç ZM. Efficacy of combination of biofeedback therapy and pelvic floor muscle training in dyssynergic defecation. Acta Gastroenterol Belg. 2021 Oct-Dec;84(4):577-583. doi: 10.51821/84.4.008. PMID: 34965039.

  • * Bø K. Is there evidence for pelvic floor muscle relaxation training in nonneurogenic female bladder outlet obstruction?-A narrative review. Neurourol Urodyn. 2025 Jan;44(1):10-19. doi: 10.1002/nau.25241. Epub 2024 Jan 30. PMID: 38289257; PMCID: PMC11665772.

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