Conservative Treatment

Vaginal Balls

Ben Wa balls, also known as Geisha balls, are small, marble-sized balls, usually hollow and containing a small weight, that roll around and are used for sexual stimulation (by insertion into the vagina).

Vaginal balls act as a “weight” in the vagina and therefore can strengthen the muscles simply through the automatic contraction that occurs to hold them in place. The fact that they have a larger diameter than vaginal cones means that they do not give the sensation of “falling out” that some women experience with cones. Vaginal balls can also be used to provide resistance around which to contract the pelvic floor muscles in an exercise program.

They are used by inserting them into the vagina and using the pubococcygeus muscles to hold them in, stimulating movement and/or vibration. Ben Wa balls sometimes have a retrieval string or attachment of some sort, but they do not have an adequately flared base for safe anal play.

Originally they were made of a single ball placed in the vagina, used to enhance the act of sexual intercourse, but then evolved into multiple metal covered balls linked by either a chain or silk string for easy removal and most of the time are in silicone.

Usage of Ben Wa balls creates a subtle stimulation, not meant to bring the user to immediate orgasm but rather to tease.

Ben Wa balls may also be used to simply increase the strength of the pelvic floor muscles, and the Kegel exercises are used today. Depending on the strength of your pelvic floor muscles, you may find that vaginal balls tend to slip out when you first use them.

Similar to Kegel exercises, Ben Wa balls and other shaped vaginal weightlifting equipment are recommended by gynecologists and obstetricians to increase vaginal elasticity and bladder control. Vaginal weights come in a spherical shape and are used in increasing weights to strengthen the vagina, which improves sexual performance.

Vaginal Cones

Vaginal weights also named vaginal cones are a good choice for women who want to improve muscle strength without having to do large numbers of pelvic floor "squeeze and lift" contractions.

A vaginal cone (or vaginal weight) is a medical device specifically designed and shaped to exercise pelvic floor muscles in order to strengthen them and restore proper bladder functions in women with urinary stress incontinence.

Vaginal cones (also called vaginal weights) as a pelvic floor re-education method have existed for about a quarter of a century. They were developed by Plevnik et al., whose studies have shown that women were able to strengthen their pelvic floor muscles and improve bladder control.

The mode of action of vaginal cones involves a biological biofeedback mechanism. In the case of pelvic floor exercise with vaginal cones, the biofeedback mechanism occurs upon insertion of the cone in the vagina, when the targeted pelvic muscles contract around the cone to retain it.

The objective of this exercise method, which is performed at home, is to gradually strengthen the pelvic floor muscles by inserting a cone and retaining it in the vagina as long as possible throughout the exercise session (generally around 20 minutes, once or twice a day). Depending on the level of pelvic muscle weakness, the pelvic floor may not be able to retain the cone with only a passive contraction. Therefore, a voluntary or active contraction will be needed to retain the cone throughout the exercise session. As long as an active contraction effort is necessary to retain the cone, the exercise should be carried out with the same cone during several exercise sessions, to allow the pelvic muscles to progressively regain their tonus. Once the pelvic floor is able to retain the cone with no active contraction effort, the exercise should be pursued with the next heavier cone, and so on, until the pelvic muscles have regained their strength and are able to properly control the bladder functions.

There are two types of weight cones:

  • Place cone into the vagina in varying the weight of changing cones
  • Place weights in the cones
  • Either the type, the cones have cords for easy removal