Potential uses

Increased pubococcygeal tone

Improved orgasmic intensity

Correction of orgasmic urine leakage

Distraction technique during intercourse

Improved patient awareness of sexual response

Teaching Kegel exercises

Instructional examination with examiner's finger in vagina

Initial patient home exercise with patient's finger in vagina

Slow count to 10, with movement directed “in and up”

Hold for count of 3

Slow release to count of 10

Repeat 10 to 15 times daily

Consider vaginal weights, biofeedback clinics

Maintaining Kegel exercises

Advise repetitions during routine activities (standing in line, at stop lights, etc.)

Schedule follow-up appointments to discuss progress