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This is because the walls of the vagina are similar to those of the stomach, they have rugae, meaning they fold together to collapse when unused, then expand when necessary.

“But a pretty significant subset of the women who say they do Kegels, when I ask them to show me what they are doing, aren’t doing [the exercise] properly or can’t connect between the brain and those muscles.” To find the muscles you use to do Kegels, either insert a finger into the vagina and squeeze the surrounding muscles or stop the flow when urinating.After you’ve found the muscles, practice contracting them for five to 10 seconds, and then relax. Repeat the process 10 to 20 times, three times a day.Not a lot of research has been done in this area and because there are so many variables at play in women’s sexuality it is difficult to tell if vagina size and sexual pleasure are linked.“Our ability to understand size as it relates to sexual function is poorly understood,” Christopher Tarnay, MD, director of the division of female pelvic medicine and reconstructive surgery at the UCLA Medical Center, tells Web MD.While exercising, be sure to breathe normally and try not to use the muscles in your legs, stomach, or bottom.

Some women sustain nerve injury during birth and can’t feel these muscles. Tarnay says there are even physical therapists who specialize in helping women perform Kegels properly.

“Increasing pelvic floor muscle tone can reduce looseness.” Kegel exercises can be very effective at strengthening these muscles, Tarnay says, and they may generally improve sex.

A study published in the Australian & New Zealand Journal of Obstetrics and Gynaecology in 2008 found that women who regularly performed Kegel exercises reported greater sexual satisfaction than women who didn’t do Kegels.

The issue may be more related to muscular weakness or injury in that area, Tarnay says.

“Women who are able to contract the pelvic floor muscles can increase or decrease the size of the hiatus,” he says.

This was the first time there was a true before-and-after measurement, Tarnay says.