The first thing most women are told is "do your Kegels." And when Kegels are done correctly, they can genuinely help.
But after working with thousands of women, here's the pattern I kept seeing:
✕ They squeeze the wrong muscles — thighs, glutes, or abs — without realizing it.
✕ They can't feel whether they're doing it right, so there's no real feedback loop.
✕ They skip the coordination piece entirely — squeezing harder doesn't fix a timing problem.
Simply put: Kegels alone don't work for most women, because most women are never taught to coordinate the diaphragm and pelvic floor together — the actual foundation Kegels are supposed to build on.
I also see women try pessaries and inserts (awkward and uncomfortable for daily use), invasive surgery (which doesn't guarantee prolapse won't return), or Botox-style injections (temporary, and the effects wear off in a matter of months).
None of these address the coordination problem. So the pattern repeats.