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Guide

Kegel exercise positions: lying down, sitting and standing.

Where to start, how to set up each position, when to move on, and why standing comes last.

3 min read·Grounded in published research, sourcesPublished

You may find lying down the easiest position to start Kegel exercises: with gravity taken off the pelvic floor, the lift and the release are easier to feel. Once you can find the muscle reliably, move to sitting and then standing, because standing adds gravity and body weight. The Mayo Clinic and NIDDK how-to guides both describe practicing in all three positions, for example one set lying down, one seated and one standing. Women and men progress the same way.

Lying down: where to start

Lie on your back with your knees bent and feet flat, or on your side with a pillow between your knees, and let your belly and buttocks go soft. Lift the pelvic floor up and in, as if stopping yourself from passing gas, hold for a few seconds, then let it go completely before the next one. Lying down may also be the easiest place to practice the release, because nothing is pulling on the muscle.

In pregnancy, side-lying is the better choice from around the middle: ACOG advises against long periods flat on your back after 20 weeks, because the uterus can press on major blood vessels.

Sitting: the everyday position

Sit upright on a firm chair with your feet flat and your weight on your sit bones, rather than slumped back. You should feel the lift draw away from the seat, with your thighs and buttocks staying relaxed. Sitting is the position most people can repeat every day, at a desk, on the bus or on a birth ball, which is why it carries most routines. Kegel exercises at work covers how to fit sets into a working day.

Standing: the hardest

Stand with your feet hip-width apart and your knees soft, not locked. Now the pelvic floor has to lift against gravity and the weight of the organs above it, so the same squeeze feels harder; an NHS physiotherapy program uses standing for exactly that reason. Start with shorter holds than you manage sitting. When standing feels steady, take the squeeze into movement: squeeze your pelvic floor muscles just before you cough, sneeze or pick something up, which is the Knack, or hold a gentle lift as you walk a few steps.

When to move to the next position

Move on when, in your current position, you can find the lift straight away, hold it while you keep breathing, and let go fully, without squeezing your buttocks, holding your breath or pushing down. The NHS program, for example, waits until people can manage ten 10-second holds and ten quick squeezes before moving them on. It is fine to go back to an easier position on a tired day. If you can't feel the muscle in any position, the step-by-step technique guide is the place to start, and a pelvic floor physical therapist can check it with you.

Get it checked if

A position shouldn't hurt.

Pain when you contract, a feeling of heaviness or bulging that is worse when you stand, or a muscle you can tighten but not release are reasons to see a pelvic floor specialist before you add more sets or harder positions.

Where Kegelia fits

The Kegelia app works in any of these positions: the jellyfish shows the lift, up and in, and the release, and a haptic marks every lift, so you can follow it with the phone in view or in your hand. In Secret Mode only the jellyfish is on screen, which helps when you practice sitting in public. The Kegelia app does not check your position or measure your muscles; it shows the movement you are aiming for.

One movement, any position.

Kegelia shows the lift and the release whether you are lying down, sitting or standing, in sessions from one minute.

Download on the App Store

iPhone (iOS only for now)

FAQ

What is the best position for Kegel exercises?

You may find lying down easiest at first, because gravity is taken off the pelvic floor and the lift is easier to feel. Once you can find the muscle reliably, practice sitting and then standing. The Kegelia app shows the same lift and release in any position. How to do Kegel exercises correctly.

Can you do Kegel exercises lying down?

Yes, and it is where most people start: on your back with knees bent, or on your side. Lift up and in, hold for a few seconds, then let go fully. In pregnancy, choose side-lying after about 20 weeks rather than lying flat on your back for long. Kegel exercises in the third trimester.

Can you do Kegel exercises sitting down?

Yes. Sit upright on a firm chair with your feet flat and your weight on your sit bones, and feel the lift draw away from the seat. It is the position most people can repeat daily, and in Secret Mode the Kegelia app shows only the jellyfish, so a set at your desk stays private. Kegel exercises at work.

Should I do Kegel exercises standing up?

Yes, once you can find the muscle lying down and sitting. Standing adds gravity and body weight, so it is harder. Start with shorter holds, then squeeze your pelvic floor muscles before a cough or sneeze. The Kegelia app shows each lift and release, so a standing set follows the same shape. Kegel exercises for leaks.

How do I know when to move to a harder position?

When you can find the lift straight away, hold it while breathing normally and let go fully, without squeezing your buttocks or pushing down. One NHS physiotherapy program waits for ten 10-second holds and ten quick squeezes. Going back to an easier position on a tired day is fine; the Kegelia app sessions work the same either way. Are you doing Kegel exercises right?

Keep going

This guide is grounded in published research and clinical guidance. See sources →

Kegelia supports pelvic-floor strength and general wellbeing. It is not a medical device and does not measure, diagnose, treat, or cure any condition. This article is general information, not medical advice.