A Kegel perineometer or vaginal manometer is an instrument for measuring the strength of voluntary contractions of the pelvic floor muscles.
This followed the observation that muscles of the pelvic floor inevitably weakened following the trauma of childbirth.
[1] Ascertaining the air pressure inside the vagina by insertion of a perineometer, while requesting the woman to squeeze as hard as possible, indicates whether or not she would benefit from strengthening the vaginal muscles using the Kegel exercises.
More modern electromyograph (EMG) perineometers, which measure electrical activity in the pelvic floor muscles, may be more effective in this purpose.
Both the Kegel perineometer and a digital examination are effective and concordant in their results in this assessment.