Clinical research published in the British Medical Journal compared pelvic floor exercises, vaginal weights and electro-stimulation in a randomised trial.
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They found that both types of exercise improved pelvic floor function, but adding hypopressives to pelvic floor exercises did not yield further improvement compared to pelvic floor exercise alone.
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Performing Kegel or pelvic floor exercises can increase a woman's skill in pompoir by strengthening the relevant muscles, and allow her to identify, and isolate, individual muscles, to contract them in turn to provide the rippling sensation.