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Pelvic Floor Exercises

Common Mistakes in Pelvic Floor Exercises (And How to Fix Them)

Last updated: | Medically reviewed by Dr. Eleanor Vance, PT, DPT, WCS

Key Takeaways

  • Most failures come from technique (breath, posture) and dosing—not from a ‘bad’ pelvic floor.
  • Exhale on effort, inhale on release. Breath is the master cue that prevents bearing down and protects tissues.
  • Small fixes—lighter effort, longer releases, better posture—often deliver faster results than more reps.

Mistake #1: Holding Your Breath (Or Bracing Like a Statue)

The problem: Breath holding increases intra-abdominal pressure, often forcing pressure down. That can worsen leaks, heaviness, or pain.

The fix: Use the piston.

  • Exhale on effort: Perform the lift/squeeze on a gentle, continuous exhale (you should be able to whisper a few words).
  • Inhale to release: Give the pelvic floor time to lengthen. Long releases are part of the rep.

Learn the mechanics on Breathing for Pelvic Floor Exercises and reinforce with our How to Do Kegels Correctly cues.


Mistake #2: Squeezing Everything (Glutes, Abs, Inner Thighs)

The problem: Over-recruiting neighboring muscles hides poor pelvic floor activation and teaches the wrong pattern.

The fix: Sit on a firm surface. Without clenching the butt or inner thighs, imagine stopping urine and holding back gas at the same time. You should feel a subtle lift inside the pelvis—no outer ab “bulge.” Check the skill in the Beginners 7-Day Plan.


Mistake #3: Going Too Hard, Too Soon

The problem: Max-effort squeezing often backfires—fatigue, tightness, and worse symptoms.

The fix: Start with 30–40% effort. Progress to 50–60% as control improves. Reserve higher efforts for advanced, integrated patterns (see Beyond Kegels).


Mistake #4: Skipping the Release

The problem: Muscles never fully letting go can create a “stuck ON” state—reduced arousal, pain with penetration, urgency, or constipation.

The fix: Make the release longer than the hold at first (e.g., 5s hold, 10s release). Add a 60–90 second down-training block at the end (child’s pose, rib breathing). If intimacy is a goal, read Intimacy: The Science Explained.


Mistake #5: No Endurance… or No Quick Reflexes

The problem: Only training one quality. You need endurance (all-day support) and power (quick cough/sneeze control).

The fix: Program both:

  • Endurance holds: 8–10 seconds on exhale, 8–10 seconds release x 8–10 reps.
  • Quick flicks: 2–3 sets x 8–12 reps (1s up/1s release).

Use How to Stop Leaking When You Cough or Sneeze for timing practice.


Mistake #6: Training Only Lying Down Forever

The problem: Great for beginners, but real life is upright and moving.

The fix: Progress to sitting → standing → functional: sit-to-stand, hinges, squats, carries. Breathe through movement. For a blueprint, see Advanced Pelvic Floor Exercises and the Postpartum 12-Week Plan for graded exposure.


Mistake #7: Ignoring Posture and Rib Stack

The problem: Flared ribs and a tilted pelvis compress the back line and overload the pelvic floor.

The fix: “Tall crown, soft ribs.” Imagine your ribs stacked over pelvis, weight even on sitz bones, back of the neck long. Breathe 360°—front, sides, and back.


Mistake #8: Pushing Through Symptoms

The problem: Heaviness, bulge, pain, or leaks signal overload.

The fix: Back off intensity or position, choose gravity-reduced setups, and double down on breath-led releases. Review Prolapse strategies and Pregnancy modifications if relevant.


Mistake #9: Random Dosing (No Plan)

The problem: Inconsistent stimulus = inconsistent results.

The fix: Use structured blocks:

  • Weeks 1–4: Skill + endurance (8–10 holds) most days.
  • Weeks 5–8: Add quick flicks and one standing session.
  • Weeks 9–12: Integrate with hinges/squats/carries 2–3 days/week.

For a full roadmap, keep the Pillar Guide open.


Mistake #10: Forgetting Bowel Mechanics

The problem: Straining overrides all your careful training.

The fix: Hydration, fiber, footstool on the toilet, long exhales, no breath holding. If constipation persists, discuss with your clinician.


A Simple 4-Week Reset Plan

Week 1:

  • Breath practice daily (3–5 min).
  • 8 x 5s holds (10s releases) + 2 x 8 quick flicks.

Week 2:

  • 10 x 8s holds (8–10s releases) + 3 x 8 quick flicks.
  • One sitting session.

Week 3:

  • Maintain volume; add standing holds (5 x 6s) and sit-to-stand with exhale + lift.

Week 4:

  • Keep holds/flicks; add hinge and squat to box (see Advanced page).
  • Symptom-free? Add light carries.

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Frequently Asked Questions

How soon should I notice improvement once my form is corrected?

Many notice better awareness within days and symptom changes in 4–6 weeks with consistent, well-dosed practice.

Can I hurt myself with Kegels?

Overdoing intensity or skipping releases can increase tightness and discomfort. Follow the breath, and keep effort moderate.

How do I know if I’m bearing down?

Signs include pelvic pressure/heaviness, visible bulging with efforts, or a sense of pushing. Film posture cues: ribs flared, abdomen pushing out.

Should I train daily?

Beginners benefit from most days of the week with short sessions. As you improve, 3–5 days/week of targeted work is plenty.

Keep Reading

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Medical Disclaimer: The information in this article is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.