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VAGINAL WEIGHTS

Inserting- the cone is as easy as inserting a tampon.

1. Use the toilet before you begin. Wash hands thoroughly with soap and water.

2. Screw one half of the cone onto the proper end of the weight until it stops turning, then screw the other half of the cone onto the weight until the two halves are snug. Do not force them beyond the point where they are snug.

3. If lubrication is needed to make the cone easier to insert, you may want to wet the cone with water, or use some type of lubercant.

4. From a semi-squatting position (or with one foot on a chair or toilet), spread your labia (vaginal lips) as you would for insertion of a tampon. Insert the cone, rounded end first, into your vaginal opening, with the string end pointing down. You can also insert the cone lying down.

5. Only the string should be felt protruding from your vaginal opening. If the cone is inserted properly you may have the sensation that it's coming out, but you won't see it or feel it with your hand.

6. Make sure the cone is in the right position by inserting a finger into your vagina beside the removal string until you feel the cone. You should feel the tapered end of the cone with the string at the tip of your finger. Be careful not to push the removal string into your vagina.

7. You retain the cone by tightening your pelvic musdes. After you nave mserteCl tile cone mto your vagina, keep your finger on the tip of the cone near the string and tighten your pelvic muscles around it. You should feel the cone being pulled upward into your vagina and away trom your fingertip. This is how you can tell you've positioned the cone properly, and you're contracting the correct muscle. If you don't feel the cone moving upward, or if you feel it being pushed back toward your finger, you're probably tightening your stomach muscle. Try tightening with your pelvic muscles again until you feel the cone moving correctly. Pretend you're interrupting your urine flow. It may take some practice, but it's important to exercise the right muscles. Once you can do this, you're on your way. Once the cone is properly inserted, wear underwear to catch it if it falls out.

Removing the Cone:
Using the same position you used to insert the cone, relax and slowly pull on the string until the cone is removed. If you cannot feel the removal string, simply place one or two fingers into your vagina around the cone, and remove it.

In prospective, comparing the effectiveness of pelvic floor exercises with vaginal weights
in combination of these two techniques produced greater improvement in urinary incontinence.