When to Choose Reverse Kegels Over Traditional Pelvic Floor Exercises

Kegel exercises are widely promoted for urinary control and sexual health, yet they are not suitable for everyone. Monica V. LoConti, a pelvic rehabilitation practitioner, warns that individuals with a tight, hypertonic pelvic floor can experience worsening pain and dysfunction if they continue traditional strengthening drills. Symptoms of an overactive floor include painful urination, frequent trips to the bathroom, difficulty with bowel movements, and discomfort during intercourse.

For such cases, reverse Kegels—sometimes called pelvic floor drops—focus on gently releasing tension rather than contracting the muscles. LoConti advises performing about ten relaxed repetitions daily after confirming muscle condition through a urogynecologic or urologic exam. Both men and women may find reverse Kegels helpful for reducing pelvic tightness and associated sexual pain.