Pelvic Floor Exercises for Erectile Dysfunction
Numerous reports now reveal the importance of pelvic floor function in maintaining normal erectile function. So what Arnold Kegel knew was good for the goose is clearly good for the gander as well. Are there really men out there that are willing to approach this problem in a natural, fitness oriented, way? Are there really men willing to use a pelvic floor conditioning program rather than simply pop that little blue pill? Actually I am often impressed how resistant patients are to taking ANY medication let alone one that costs twenty dollars per tablet. Here are some facts:
1. Thirty million American men have erectile dysfunction
2. By age 45 most men have experienced it at some time in their lives
3. The condition often goes undiagnosed because many men are reluctant to discuss it with their doctors
And yet we know from the Dorey and Feneley report in the British Journal of Urology (2005 Sep;96(4):595-7) that 75% of men with erectile dysfunction who participate in program of pelvic floor conditioning will experience improvement, and 40% will experience complete resolution of the problem. This is pretty good news. But why is this news at all? When in comes to educating the public about the relevance of pelvic floor fitness I believe we have done an even worse job for men than we have for women.
Chronic abacterial prostatitis is a chronic pain condition affecting up to half of all men at some time in their lives is poorly understood. Recent data suggests that these patients may be exhibiting a neuromuscular pain syndrome that results in lower urinary tract dysfunction and voiding dysfunction in much the same way that chronic pelvic pain arising from the pelvic floor affects women. Neurobehavioral techniques have proven invaluable in diagnosing and treating this myofacial pain syndrome misnamed as “prostatitis”.
The point is this:
If there are neuromuscular solutions for these extremely common and important health conditions (affecting up to half of all men) why are we not talking to young men about the importance of pelvic floor fitness as a preventative measure? Couldn’t we do better for our population by including this topic in the health education curriculum every public school student is offered? Pelvic floor health and fitness remains the least understood, least discussed, and most hidden, wellness issue for both men and women alike.