How long should you hold a kegel?
Start at five seconds. Build to ten. Rest at least as long as you hold.
If five is a struggle, start at three. Ten reps, three times a day, plus a separate set of ten one-second squeezes. That's a real programme and you can start tonight.
The rest of this page is why that number, and when to change it.
Why every source gives you a different one
The NHS says start at two and build to ten. Mayo Clinic says three. Prostate Cancer UK says ten. All current, all mainstream, all different.
Here is where ten came from. It is the ceiling of a widely used clinical assessment: the test stops counting at ten seconds, and its own authors describe that cap as a practical decision about scoring. Somewhere along the way a measurement ceiling turned into a prescription, and now three health services give you three numbers at eleven at night.
The trial everyone quotes didn't print a number at all
Dorey et al., 2004, in the British Journal of General Practice, is the study behind most of what gets said about kegels and erections. Its home programme reads:
The underscores are in the paper. Each man was examined first, his hold was timed, and his own number went on his sheet.
That's the upgrade available to you, and it takes ninety seconds.
Finding your number
Contract as hard as you can and hold. At some point it stops being a clean contraction: it slips, or your abs, glutes or breath join in. Stop there.
Train at that number. For a lot of men starting out it lands at three to five seconds, which is a normal place to begin.
Re-time yourself every couple of weeks and move the number when it moves. Your hold getting longer is the first sign the training is working, and it moves well before anything you actually care about does.
Rest longer than you hold
The most-ignored instruction in the category, and it's Dorey's own:
Most men doing ten-second holds rest three. Which means rep two is already worse than rep one, and rep six isn't training anything.
She also wrote: "The quality of contractions is more important than the quantity."
What about thirty-second holds
Nobody has studied thirty seconds, so there's no evidence for it and none against it.
But ask what the thirtieth second actually is. Past your measured hold, the pelvic floor has stopped doing the work and something else has taken over. You would be training your abdominal wall on a thirty-second timer. Three good seconds beat thirty compromised ones, and the man doing thirty is usually resting less than he should on top of it.
Don't skip the fast ones
Long holds train endurance. One-second squeezes train the muscle's ability to fire quickly, which is a different fibre type doing a different job. Prostate Cancer UK prescribes both. The one trial in men that used a high daily volume gave half its contractions to one-second efforts.
Ten fast, after your long holds, same session.
This week
- Time your own maximal hold, lying down.
- Train at that number, ten reps, three times a day.
- Rest longer than you hold.
- Add ten one-second squeezes to each set.
- Re-time in two weeks.
Ten seconds is where the clinical test stops counting. Your own hold is where your muscle stops working, and the Performance System measures it before week one, prints it beside the default, and moves it as it changes.
See what's in the Performance System
The free 7-day plan is week one of the same twelve weeks. The contraction on day two, the release on day three, longer holds on day four.
References
- Dorey G, Speakman M, Feneley R, Swinkels A, Dunn C, Ewings P. Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction. British Journal of General Practice, 2004; 54(508):819–825.
- Dorey G. Going for gold at the male pelvic floor Olympics. Journal of the Association of Chartered Physiotherapists in Women's Health, 2013; 112:24–29.
- Laycock J, Jerwood D. Pelvic floor muscle assessment: the PERFECT scheme. Physiotherapy, 2001; 87(12):631–642. doi:10.1016/S0031-9406(05)61108-X
- Milios JE, Ackland TR, Green DJ. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial. BMC Urology, 2019; 19(1):116. doi:10.1186/s12894-019-0546-5
- Mayo Clinic. Kegel exercises for men: understand the benefits. Updated 9 October 2024. mayoclinic.org
- Prostate Cancer UK. Pelvic floor muscle exercises. Updated April 2025. prostatecanceruk.org
- NHS. Urinary incontinence: 10 ways to stop leaks. Reviewed 15 June 2023. nhs.uk