• Chidiebele Petronilla Ojukwu, Ginikachukwu Theresa Nsoke, Stephen Ede, Anne Uruchi Ezeigwe, Sylvester Caesar Chukwu, and Emelie Morris Anekwu.
• Department of Medical Rehabilitation, College of Medicine, University of Nigeria Enugu, Enugu Campus, Nigeria.
• Libyan J Med. 2023 Dec 1; 18 (1): 21999692199969.

AbstractWe compared the self-reported ability to perform Kegel's exercises pre- and post-coital penetration in postpartum women. A cross-sectional design. Twenty-seven postpartum women with mild urinary incontinence were recruited. Measures included perceived strength of pelvic floor muscle contraction (Strength of Contraction [SOC] scale] and ease of performing Kegel's exercises (Ease of Performance [EOP] scale). These measures as well as information on attaining orgasm were collected in one session, pre- and post-coital penetration. Findings showed that both measures (SOC and EOP) varied significantly (p < 0.001) pre- and post-coital penetration, with decreasing values post-coitus. Additionally, the outcomes of both measures showed no significant differences (p < 0.05) between women who reached orgasm and those who did not. Self-reported ability to perform Kegel's exercise immediately after coital penetration is reported to affect the appropriateness of its performance and effective outcomes. Thus, women should be discouraged from performing Kegel's exercises immediately post-coitus.

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