A new study has found that lifelong premature ejaculation issues in a small group of men improve with regularly practicing pelvic floor exercises.
Premature ejaculation affects about one in five U.S. men younger than 60, according to the American Urological Association.
“Pelvic floor muscles are actively involved in sexual function, and it is natural to assume that by improving the function of these muscles, one will improve one’s sexual performance and outcome,” said Yuchin Chang, a physical therapist at Professional Physical Therapy and Training in Summit, New Jersey. Chang was not involved in the new research.
Researchers used the International Society of Sexual Medicine definition of premature ejaculation as that which occurs “within a minute.” This study was presented at the European Association of Urology’s annual meeting in Stockholm, Sweden.
The exercises are a bit more complicated than those used for incontinence, such as so-called Kegel exercises, said researchers. “These exercises are designed to retrain/re-educate the pelvic floor muscles to either contract or lengthen properly on command and depending on the need,” Chang said. “For instance, to retrain the muscles to contract, one should try to contract their pelvic floor muscles as if they are holding their urine, and hold it for 10 seconds, for 10 repetitions, like the Kegel exercises. But that is just part of what is needed for men with premature ejaculation.” She noted the exercises might not help at all if men don’t learn to do them correctly. “It is best for men who suffer from premature ejaculation to be properly guided by a pelvic floor physical therapist,” Chang said.
“Patients need at least four weeks of training (12 sessions) to learn the specific rehabilitation techniques and exercises described in this study,” Dr. Antonio Pastore, a urologist at Sapienza University of Rome said.
“The pelvic floor exercises, if done properly, should help men with premature ejaculation. And they are more cost-effective and without the potential side effects of the currently used drugs,” Chang said.