Pelvic Floor Therapy for
Erectile Dysfunction in Denver
Erections depend mostly on blood flow, but your pelvic floor muscles help build and hold the rigidity. When those muscles are weak, or tight and fatigued, erections can suffer, and that part is trainable.
Every visit is one-on-one with Dr. Caroline Gamwell, PT, DPT, PRPC. Not sure it’s right for you? Start with a free phone consult.
Common Signs
-
Erections that start but fade, or aren’t firm enough for penetration
-
ED along with pelvic, perineal, testicular or penile pain
-
Pain during or after ejaculation
-
Dribbling a few drops after you urinate
-
Medication helps, but not as much as you’d like
-
Normal bloodwork and no clear medical cause
Get checked by a physician first. ED can be an early sign of heart disease, diabetes or low testosterone. Pelvic floor therapy works alongside a medical workup, not instead of one.
Why Pelvic Floor PT Helps
What the research says
40%
regained normal erections after pelvic floor training
35.5%
improved
Randomized trial of 55 men with ED for 6+ months, taught pelvic floor exercises with biofeedback by a physiotherapist and assessed blind at 6 months. One small trial, so these are realistic odds, not a promise. Dorey G, et al. Br J Gen Pract. 2004;54(508):819–825.
How I treat it
-
Assess first. Strength, endurance and coordination, and just as important, whether the muscles can fully relax.
-
Train the right direction. Progressive strengthening if the floor is weak. Down-training and release first if it’s tight, because Kegels make an overactive floor worse.
-
Treat the pain around it. If pelvic pain or pain with sex is part of the picture, we address that too. It’s often what drives the guarding.
-
Make it stick. A specific home program that works alongside Viagra or Cialis, not instead of your doctor’s plan.
Additional Resources
Frequently Asked Questions
Related Reading
