Kegels are highly effective for strengthening pelvic floor muscles, which support bladder control, sexual health, and postpartum recovery. However, some individuals may experience unexpected side effects, such as spotting or bleeding, and wonder if kegel could be the cause.
Here, we will explore why kegel exercises might lead to bleeding and how to exercise safely.
Does Kegels Really Cause Bleeding?
In general, Kegels are safe and do not typically cause bleeding, as they are low-impact and involve gentle muscles contractions. However, bleeding or spotting may occur in certain circumstances, particularly if someone has a pre-existing condition, or using improper technique. Also, spotting or bleeding can tend to happen is someone is in the phase of their menstrual cycle. On this occasion, the pelvic floor is more sensitive.
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Although bleeding or spotting during or after kegels is actually rare, it is not impossible and these factors could contribute to it.
Common Reasons For Bleeding During/After Kegel Exercises
There are several possible causes for bleeding or spotting after performing kegel exercises. Some of them includes:
Pre-existing Health Conditions
Conditions such as fibroids, endometriosis, or pelvic inflammatory disease (PID) can make the pelvic area more sensitive. Fibroids, for example can cause light bleeding or spotting, especially if there is pressure on the pelvic area during muscle contractions.
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Improper technique
If you accidentally engage the wrong muscles-such as thighs, abdomen, or glutes-while doing kegels, you may inadvertently put strain on pelvic region. This strain can cause discomfort and bleeding, particularly if the pelvic floor muscles are not being isolated properly. Ensuring you are only engaging the pelvic floor muscles can help prevent bleeding or spotting.
Postpartum sensitivity
After childbirth, the pelvic floor muscles are often weakened or stretched, and the area may remain sensitive for a period of time. Postpartum individuals may experience light bleeding or spotting when performing kegels, as the pelvic muscles continue to recover. During this phase, you have to be mindful of any pain and discomfort.
Menstrual Cycle Sensitivity
Hormonal fluctuations during your menstrual cycle can lead to increased blood flow and sensitivity in the pelvic region. Performing kegels during menstruation might trigger light spotting or mild bleeding, especially if your cervix or vaginal walls are more sensitive at that time. If you are unsure, consider timing your kegel exercises around your period when your body feels less sensitive.
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Recent Pelvic Surgeries Or Procedures
After pelvic surgery or medical procedures like hysterectomy, pelvic floor surgery, or even a pap smear, the pelvic region might be recovering and more susceptible to injury or irritation. In such cases, it is crucial to get your doctor’s approval before performing Kegels. Overexertion during recovery may lead to bleeding.
When To Be Concerned About Bleeding
While occasional, light spotting does not usually require medical attention, there are some cases where bleeding could indicate an issue. These cases may include:
Heavy Or Bright Red Bleeding
Any substantial bleeding which is not related to your menstrual cycle, should be taken seriously, as it may signal an injury or concern in the pelvic area. Although, light spotting is not usually a concern, but heavy bleeding could indicate injury or irritation, heavy or bright red blood warrants medical attention as it could indicate an injury to the vaginal or uterine tissue, or a sign of another underlying condition.
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Pain, Cramping, Or Discomfort Accompanying Bleeding
If you experience cramps, pain or discomfort along with bleeding, it is essential to stop the exercise.
Pelvic pain with bleeding could indicate a muscle strain, pelvic floor injury, or even an underlying medical condition like uterine fibroids or infection.
Regular or Recurrent Bleeding After Kegel Exercises
Regular bleeding could suggest an undiagnosed condition like vaginal or cervicitis’. This could also suggest an improper technique that needs to be addressed
Foul Smelling Discharge or Other Symptoms
If bleeding is accompanied by unusual discharge, foul odor, or even fever, it might be related to an infection or another health issue. In the case, it is advised to stop the exercise and contact a health care provider.
Tips For Safely Practicing Kegels To Avoid Bleeding Or Spotting
To maximize the benefits of kegels while minimizing the risk of discomfort or bleeding, there are some safety tips to follow, and they include:
Stay Hydrated
Hydration plays a key role in preventing muscle cramps and maintaining overall pelvic health. Drink plenty of water to keep your muscles in good condition.
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Start gradually:
Especially for beginners, it is important to ease into kegel exercises. Start with short contractions, i.e. holding us for 3-5 seconds, and gradually increase the duration up to 10 seconds as you build strength and comfort. Overdoing it too soon can cause strain or soreness on the pelvic floor.
Focus On Quality Over Quantity
Do not rush through your kegels. Focus on doing each repetition slowly and deliberately, engaging only the pelvic floor muscles. A smaller number of high-quality repetitions will be more effective than performing many with poor form.
Avoid Doing Kegels On Your Period If You Feel Uncomfortable
Although kegels can generally be performed during your period, observing your body before performing kegels on your period is important. If your pelvic area feels more sensitive during menstruation, consider modifying your routine or skipping the exercises on particularly sensitive days.
Master Your Technique
To ensure you are isolating the pelvic floor muscles correctly, avoid using your abdomen, glutes, or thighs. Many people accidentally engage the wrong muscle during kegels, which can lead to strain. It is helpful to practice in front of a mirror to perfect your form.
Conclusion
Kegels are generally safe and unlikely to cause bleeding. If light spotting does occur, it is typically minor, but do not hesitate to change your technique or practice a proper technique. If you experience unusual bleeding or discomfort, consider taking a break and consult a doctor if the bleeding or pain seems persistent. With care, Kegels can support your pelvic health effectively and safely.