Do pelvic floor exercises really improve orgasmic potential?

Women with orgasmic difficulties are commonly taught pubococcygeal (PC) muscle exercises which, practiced regularly, are said to have both specific and nonspecific beneficial effects on sexual enjoyment. The hypothesis tested was that women practicing these exercises over a 12-week period, would be more likely to become orgasmic than women practicing relaxation exercises, or than women in an attention-control group. Forty-six women were allocated to one of three groups, PC exercise, relaxation or control. PC muscle tone was measured and questionnaires about sexual response were completed over a 12-week period with a 6-month follow-up assessment. Results indicated that there was no difference in orgasmic outcome for the three groups during the experimental period. This was taken to imply that PC exercises are not of specific value for women with normal muscle tone. It remains possible that women with poor muscle tone are helped by the exercises and further research is considered necessary in this area.