The pelvic floor muscles are hammock-like muscles attached to the bottom of the pelvis and are responsible for supporting the internal organs, maintaining posture, and controlling urination and defecation. In addition, the pelvic floor muscles are also involved in sexual functions, such as maintaining erections and controlling ejaculation in the case of men and people with penises. In this article, we will discuss the relationship between the pelvic floor muscles and premature ejaculation.
Contents
Pelvic Floor Muscles and Premature Ejaculation
Improving Premature Ejaculation with Pelvic Floor Muscle Training
How to Train Your Pelvic Floor Muscles
Summary: Improving Sexual Function with Pelvic Floor Muscle Training
Pelvic Floor Muscles and Premature Ejaculation
(Right side image modified from [1] 1: Bulbospongiosus 2: Ischiocavernosus 5: Pelvic diaphragm/Levator ani muscle 8: Anal sphincter (others omitted))
Ejaculation in men and people with penises occurs when muscles in the prostate gland, bladder neck, and urethral sphincter contract rhythmically. At this time, it is known that one of the pelvic floor muscles, the bulbospongiosus muscle (formerly bulbocavernosus muscle), also contracts, promoting ejaculation [2].
It has been suggested that the relaxation of the pelvic floor muscles (especially the bulbospongiosus muscle, formerly known as the bulbocavernosus muscle, and the ischiocavernosus muscle) inhibits ejaculation, but the detailed mechanisms are not fully understood yet [1].
Improving Premature Ejaculation with Pelvic Floor Muscle Training
Here we will introduce the benefits of pelvic floor muscle training for improving premature ejaculation.
In 2003, an Italian research team published a study comparing the effects of pelvic floor muscle training for premature ejaculation versus treatment using dapoxetine [3].
Pelvic Floor Muscle Training Group
Dapoxetine Group
Vaginal Penetration Time (seconds)
Before Starting the Study
Results After 6 Weeks
Results After 12 Weeks
(Image modified from [3]: There is a significant difference between the pelvic floor muscle training group and the dapoxetine group before and after 12 weeks)
Both the pelvic floor muscle training and dapoxetine groups showed significant increases in penetration time after 12 weeks of implementation. The dapoxetine group included patients taking 30 mg and 60 mg.
Although not as effective as medicine, pelvic floor muscle training has been shown to improve the condition of premature ejaculation.
In this study, the pelvic floor muscle training performed also included electrical stimulation, so it would difficult to conduct some parts of the training at home.
However, since pelvic floor muscles can be trained even with exercises alone, at-home training can be assumed to be sufficient.
How to Train Your Pelvic Floor Muscles
Pelvic floor muscles can be easily trained at home by performing pelvic floor muscle exercises with proper knowledge and understanding of the position and movement of the muscles.
Please refer to the following for tips on pelvic floor muscle exercises for men and people with penises.
Reference
Improving Erectile Strength With Pelvic Floor Muscle Training
Another technique for improving premature ejaculation is Premature Ejaculation Training, in which the individual learns how to control ejaculation through manipulation of the pelvic floor muscles.
If you are concerned about premature ejaculation, we suggest practicing both pelvic floor muscle exercises and Premature Ejaculation Training.
Pelvic floor muscle exercises can improve basic strength and control of the pelvic floor muscles, and Premature Ejaculation Training can help you learn how to utilize the pelvic floor muscles to prevent premature ejaculation.
Reference
"The Comprehensive Guide to Premature Ejaculation Training:
The essentials for men suffering from premature ejaculation"
Summary: Improving Sexual Function with Pelvic Floor Muscle Training
Training of the pelvic floor muscles can improve the condition of premature ejaculation. Continued training requires patience and diligence. However, unlike medication, it has no side effects and can lead to long-term improvements to premature ejaculation.
Pelvic floor muscle training is also effective in improving erectile strength. In order to maintain healthy sexual function, it is recommended to train the pelvic floor muscles.
Reference/Sources
"[1]Cohen, Deborah, Joshua Gonzalez, and Irwin Goldstein. ""The role of pelvic floor muscles in male sexual dysfunction and pelvic pain."" Sexual medicine reviews 4.1 (2016): 53-62.
[2]Siegel, Andrew L. ""Pelvic floor muscle training in males: practical applications."" Urology 84.1 (2014): 1-7.
[3]Pastore, AL1, et al. ""A prospective randomized study to compare pelvic floor rehabilitation and dapoxetine for treatment of lifelong premature ejaculation."" International journal of andrology 35.4 (2012): 528-533."