Dr Andrew Siegel has done it again! After producing his highly successful and unique book for men titled: Male Pelvic Fitness: Optimizing Sexual and Urinary Health, he is to be congratulated for now writing a brilliant book for women titled: The Kegel Fix: Recharging Female Pelvic, Sexual and Urinary Health.

It is unusual for a top urologist to be interested in conservative therapy to this extent and to champion the use of pelvic floor exercises. He has explored the subject thoroughly and has produced an outstanding book containing detailed information of benefit to medical professionals and their patients. Indeed, it will be of value to all women from adolescence onwards.

Over the past 60 years, physical therapists have been teaching pelvic floor exercises to women suffering from the embarrassment and often devastation of urinary leakage and sometimes faecal incontinence after childbirth. Now we know that pelvic floor training should be part of every woman’s fitness programme in order to prevent the onset of a plethora of pelvic problems.

In a clear, logical and scientific approach, Dr. Siegel has researched the mechanics of the female pelvic floor and has shown readers how, with the right regimen of exercises, urinary incontinence can be avoided, treated and, importantly, prevented from returning.

There is a concise chapter on pelvic pain illuminating the importance of pelvic floor muscle relaxation in order to relieve the awful aching that muscle spasm can produce in this delicate area.

Uniquely, Dr Siegel explores in depth the role of pelvic floor training for a range of sexual dysfunction in order for women (and their partners) to have sexual fulfillment as a major part of their relationship.

Importantly, there are two chapters detailing firstly active then resisted pelvic floor training, which cover a range of available resistance devices.
It is my wish that this excellent book will be made available in all English-speaking countries and translated into other languages so that all women (and their partners) can enjoy richer and fuller lives.

Professor Grace Dorey MBE, FCSP, PhD
Consultant Physiotherapist

Devon, UK