Some kegel balls come with a string attached, while others come as stand-alone balls. Either way, when inserting them, you want to wash your hands first and get into a position that feels comfortable — for first-timers, lying on your back may be the easiest. If the balls have a string, you can simply pull them out, like a tampon. If there isn’t a string, then you’ll want to remove the kegel balls by squatting and bearing down a little bit. Then, “insert your finger past the pelvic floor and do a little sweeping motion,” Dr. Castellanos says. “As you’re pushing gently, grab onto the ball and pull it out.”