Author: Dr. Adam Gvili, PT, DPT

Complete Guide to Athletic Pubalgia

I’ve seen firsthand how frustrating chronic groin pain can be—whether you’re an elite athlete or just trying to get back to weekend pickup games. Athletic pubalgia (often called a “sports hernia”) is a clinical entity with evolving diagnostic criteria and is sometimes referred to as Gilmore’s groin. This condition affects many athletes across various sports and is really a spectrum of soft-tissue injuries around the pubic bone, not a true hernia at all. The affected area is typically the lower abdomen and groin region. It pops up in both men and women, can masquerade as other conditions (like prostatitis in men or postpartum pelvic pain in women), and thrives on core weakness and compensatory movement patterns.

The good news? With the right blend of manual therapy, movement retraining, pelvic-floor work, and progressive loading, most folks get back to what they love—pain-free.

What Is Athletic Pubalgia?

Athletic pubalgia is a chronic groin-pain syndrome caused by strains or tears of muscles and tendons at their pubic attachments—most often the obliques, rectus abdominis, and adductors, including the adductor longus. The pubic symphysis acts as a pivot point between abdominal and groin muscles at these attachments. The conjoint tendon also plays a significant role in the pathophysiology of this condition.

It’s a “core muscle injury” that leads to pain with twisting, cutting, kicking, or even coughing. Athletic pubalgia is sometimes referred to as sportsman’s hernia and is considered a form of groin disruption. Inguinal pain is a common symptom and may be present alongside lower abdominal and groin pain. Pain may be reproduced during a sit up or resisted sit up, and hip extension can also exacerbate symptoms.

Core Muscle Injury — What That Really Means

It is a more accurate, all-encompassing term that explains the dysfunction at the heart of this condition:

It occurs where deep abdominal and groin muscles anchor to the pelvis—commonly the rectus abdominis and adductor tendons.
Over time, repetitive twisting, kicking, or sprinting stresses the core, creating small tears or imbalances that trigger chronic pain.
This injury often coexists with adductor strains or hip pathology, making accurate diagnosis essential.

Sports Hernia/ Athletic Pubalgia: Understanding the Terminology

Sports Hernia: The term popularized by media and patients to describe groin tissue injury without a true protruding hernia.
Athletic Pubalgia: The preferred medical term reflecting the location (pubis) and mechanism (athletic activity).

Both labels point to the same underlying pathology—and you’ll see both used by clinicians, researchers, and sports-med resources.

How Sports Hernias Occur

Repeated rotations, high-impact stops, and muscle imbalances overload the abdominals and adductors, and these injuries often require sudden changes in direction or forceful movements. As core weakness persists, stress funnels into the pubic attachments and sports hernias occur—silent yet painful injuries. Activities that increase intra-abdominal pressure, such as coughing, sneezing, or heavy lifting, can also trigger symptoms. Sports activity and sporting activity involving repetitive twisting and turning are common causes, especially in professional athletes who are particularly at risk due to the demands of their sport.

Causes and Risk Factors

Athletic pubalgia, commonly referred to as a sports hernia, develops when the soft tissues of the lower abdominal wall and groin area—especially the abdominal muscles and adductor muscles—are subjected to excessive strain. Unlike a true hernia, there’s no visible bulge, but the pain and dysfunction are very real. The root cause is often a weakening or tearing of the abdominal wall near the inguinal canal, where the conjoined tendon and pubic bone serve as critical anchor points for muscle attachments.

Sports hernias occur most frequently in athletes who participate in sports that demand explosive movements, rapid changes in direction, and powerful twisting motions—think soccer, football, ice hockey, and tennis. These activities place repeated stress on the lower abdominal muscles and adductor group, making them vulnerable to injury. Chronic groin pain and lower abdominal pain often develop gradually, but can also be triggered by a single, forceful movement.

Certain anatomical and biomechanical factors can increase the risk. Individuals with femoroacetabular impingement, labral tears, or a history of core muscle injury are more likely to experience groin pain and develop sports hernias. The structure of the inguinal canal, the strength of the conjoined tendon, and the balance between the abdominal wall and adductor muscles all play a role in susceptibility. Understanding these risk factors is key for both prevention and early intervention, helping athletes and active individuals avoid the cycle of chronic pain and repeated groin injury.

Who Is Affected by Athletic Pubalgia?

Male athletes: Often misdiagnosed as inguinal hernia or prostatitis because of overlapping pelvic-floor pain. A thorough review of medical history is essential for accurate diagnosis, especially since symptoms may overlap with other conditions.
Women: Particularly postpartum or high-level athletes with underlying pelvic instability; internal pelvic-floor work is frequently indicated.

Symptoms & Diagnosis

Pain: Dull, burning, or sharp ache in lower abdomen/groin that worsens with sprinting, twisting, sit-ups, or coughs. Patients are often experiencing pain that is chronic and worsens with activity.
No visible bulge: Unlike an inguinal hernia, there’s often no outward protrusion.
Diagnostic tools:
Physical examination: A thorough physical examination is crucial, including specific maneuvers to reproduce symptoms, such as resisted adduction and abdominal tests.
MRI: Gold standard for detecting soft-tissue tears or edema (68–98% sensitivity).
Ultrasound: Dynamic but operator-dependent.

Core Weakness & Pathomechanics

We often see a pattern of core instability, compensatory hip movement, and chronic pelvic loading driving symptoms. When the transverse abdominis, obliques, and pelvic floor aren’t firing synchronously, stress funnels into the pubic attachments—resulting in micro-tears and pain.

Conservative (Non-Surgical) Management

Early rest & modalities (ice, NSAIDs) for 7–10 days as part of conservative therapy, which is the first-line approach for most cases.
Phase I (Weeks 1–2): Gentle stretching, manual soft-tissue release, hip mobility.
Phase II (Weeks 3–6): Core-stability drills (planks, dead bugs), isometric adductor holds, pelvic-floor retraining.
Phase III (>6 weeks): Progressive loading, plyometrics, sport-specific drills—only if pain-free.

Outcomes: Up to 80–90% return-to-sport within 3–4 months when following structured rehab. Manual therapy added to exercise speeds return by ~4–5 weeks. While conservative treatment is often effective, some cases may require surgical intervention if symptoms persist.

When Surgery Is Needed

Indications include symptom persistence after 3 months of conservative care and confirmed pubic-wall deficiency on imaging.

Surgical procedures: Options include open repair, laparoscopic surgery (a minimally invasive surgical procedure), and pelvic floor repair techniques. Laparoscopic surgery is often compared to open surgery, with the minimally invasive approach potentially allowing for faster recovery and lower complication rates.
Open vs laparoscopic repair: Both yield >90% return-to-sport; laparoscopic may allow return in 3–5 weeks.
Adductor tenotomy: The adductor longus tendon is often targeted in this procedure, especially if persistent inner-thigh pain remains post-repair.
Conjoint tendon repair: During surgical repair, the conjoint tendon is evaluated and repaired if necessary, as abnormalities or tears can contribute to groin pain.
Surgical outcomes: Key measures include return to sport rates, symptom relief, complication rates, and overall patient satisfaction.
Surgical rehabilitation: A structured rehabilitation program is essential after surgery to restore function and performance, particularly for athletes.

Special Focus: Women & Postpartum

Postpartum pelvic-floor weakness and ligament laxity frequently complicate athletic pubalgia in women. Integrating internal pelvic-floor therapy with core and hip work is key—and outcomes are on par with male cohorts when this holistic approach is used.

Dr. Gvili’s Integrated Rehab Model

First-line care focuses on restoring core-muscle injury through:

Manual therapy and soft tissue release
Core drills: planks, dead bugs, side‑planks
Pelvic‑floor retraining
Hip/adductor strengthening
Neuromuscular retraining and movement pattern correction
Sport-specific progressive loading

Studies show 65–90% of athletes improve within 4–8 weeks. ([turn0search9] [turn0search11])

Phase breakdown:

Weeks 1–2: Rest, ice, NSAIDs
Weeks 3–6: Core and pelvic strengthening
Post‑week 6: Return to sport progression, when pain-free

Outcomes: Conservative care yields up to 90% return-to-sport within 3–4 months; adding manual therapy can quicken recovery by 4–5 weeks.

Prevention and Future Directions

Preventing athletic pubalgia starts with a proactive approach to strengthening and protecting the core and groin area. Regular physical therapy that targets the abdominal muscles, adductor muscles, and hip flexors is essential for building resilience and reducing the risk of sports hernias. Incorporating dynamic stretching, foam rolling, and mobility work into your daily routine can help maintain flexibility and relieve muscle tension, which in turn helps prevent chronic groin pain.

Modifying sports activities to avoid excessive strain—such as limiting sudden changes in direction or high-impact twisting movements—can also lower the risk of injury, especially for those with a history of groin pain or previous core muscle injuries. Early intervention is crucial: advances in diagnostic tools like magnetic resonance imaging (MRI) now allow for more accurate and timely identification of sports hernias, enabling targeted treatment before pain becomes chronic.

Looking ahead, research is focused on refining both surgical and non-surgical treatment options. Minimally invasive surgical procedures and innovative rehabilitation protocols are being developed to improve outcomes and speed up recovery. Personalized rehabilitation plans, tailored to the individual’s specific injury, sport, and goals, are becoming the standard of care, helping athletes return to play safely and reducing the risk of re-injury. By staying informed and proactive, athletes and clinicians can work together to prevent groin pain and ensure long-term health in the groin area.

Key Takeaways

Athletic pubalgia isn’t a classic hernia—think soft-tissue injury around the pubis.
Core weakness + compensatory patterns underlie most cases.
Conservative rehab (manual therapy + core/pelvic-floor work) helps ~90% recover without surgery.
Surgical repair is highly successful (>90% RTP) when rehab fails.
Tailored pelvic-floor integration is essential for women and postpartum athletes.

Ready to tackle that stubborn groin pain? Dr. Adam Gvili at Pelvis NYC is here to collaborate—feel free to refer your toughest athletic pubalgia cases or reach out for a case discussion!

Can UroLift Cause Erectile Dysfunction? Your Guide to Better Understanding

A Physical Therapist’s Take on BPH Treatment, Sexual Function & Recovery

Can UroLift Cause Erectile Dysfunction?

Let’s tackle this right out of the gate—can Urolift cause erectile dysfunction?- the short answer is no. The UroLift System is designed to relieve urinary symptoms caused by BPH (Benign Prostatic Hyperplasia) without affecting erectile function. Clinical studies show that UroLift does not cause new, sustained erectile dysfunction, setting it apart from other BPH treatments.

As a pelvic health PT, I work with men post-procedure and see firsthand that erectile dysfunction (ED) after UroLift is rare and typically unrelated to the procedure itself.

But does that mean it never affects your performance? Not exactly.

While the mechanical side of erections remains safe, some men report temporary issues due to:

Pelvic floor tension
Anxiety
Post-op inflammation
Pre-existing sexual health concerns

Most of this is manageable with pelvic rehab, relaxation techniques, and time. Importantly, UroLift is not associated with new sexual dysfunction, and the treatment effect on sexual function is minimal compared to other BPH therapies like TURP or laser, which have higher rates of sexual side effects.

What You Should Know About Erectile Dysfunction

ED is complex—it’s not just about the penis; it’s about nerves, blood flow, pelvic floor muscles, emotions, and overall health.

From my clinical perspective, men who experience ED post-UroLift often:

Already had mild ED
Are dealing with stress, performance anxiety, or prostate-related tension
Experience tight pelvic muscles that interfere with function

The good news? Physical therapy can help. We work on improving blood flow, relaxing the pelvic floor, and restoring confidence.

Understanding BPH Treatment and Sexual Health

BPH affects about 50% of men over age 50, and the number one symptom is disrupted urination—urgency, frequency, dribbling, or incomplete emptying.

Unfortunately, many treatments for BPH have a dark side: they can mess with your sex life.

Common BPH treatments and their sexual side effects:

Treatment	Invasive?	Risk of ED?	Risk of Retrograde Ejaculation?
TURP	Yes	Moderate	High
Laser therapy	Yes	Moderate	Moderate
Medications (alpha-blockers, 5-ARIs)	No	Possible	Low–Moderate
UroLift	No	Very Low	Very Low ✅

Therapies such as TURP, laser, and even medication are associated with a higher risk of sexual side effects, including erectile and ejaculatory dysfunction, compared to UroLift®. UroLift® stands out as a minimally invasive alternative to traditional surgical options, with clinical data showing it does not cause new or lasting ejaculatory dysfunction.

Why Sexual Function Matters in BPH Treatment

It’s not just about urination—it’s about feeling like yourself again.

As a therapist, I’ve seen men recover their urinary confidence but still feel “off” because of unexpected sexual challenges. That’s why sexual function should always be part of the conversation around BPH treatment options.

UroLift shines here because it:

Preserves erectile function
Maintains ejaculation
Doesn’t involve hormones or cutting tissue
Allows for quicker recovery compared to invasive procedures
Helps patients avoid major surgery and is a safer alternative to most traditional surgical options

Exploring BPH Treatment Options (The Balanced View)

Before committing to a treatment, it’s wise to understand your options. It’s important to consider other BPH treatment options, such as medications, minimally invasive procedures, and traditional surgeries, to find what best fits your needs.

Medications
Medications are often the first line of therapy for BPH. BPH medications, such as alpha-blockers and 5-alpha-reductase inhibitors, can help relieve symptoms by relaxing the muscles of the prostate and bladder or by shrinking the prostate. However, some patients may experience side effects or may not achieve sufficient relief with medication alone.

Ultimately, the best approach is chosen after you and your doctor decide together based on your symptoms and preferences.

✅ Lifestyle + Watchful Waiting

Mild symptoms? Start here. Diet, hydration, bladder training, and pelvic floor therapy can help.

✅ Medications

Options like tamsulosin or finasteride, which are examples of BPH medications, are common but can cause dizziness, low libido, or ED in some men.

✅ Surgical Interventions

TURP: Effective but carries sexual side effects
Laser therapy: Less invasive than TURP but still risky
Prostatic urethral lift (UroLift): A minimally invasive treatment performed as an outpatient procedure, office-based, and sex-sparing

What Is the Prostatic Urethral Lift (UroLift System)?

The UroLift System deploys permanent implants made from standard surgical implantable materials to lift and hold prostate tissue away from the urethra. Think of it like opening curtains to let urine flow freely again.

Why Patients Love It:

Patients typically experience a quick recovery, minimal side effects, and preservation of sexual function after UroLift, making it a preferred choice for many.

No hospital stay
No cutting
No catheter (in most cases)
Sexual function stays intact
Quick return to work and life

For men who are sexually active and concerned about side effects, UroLift is often the first-line option I recommend in collaboration with their urologist.

Minimally Invasive with Solid Clinical Data

UroLift is FDA-approved and backed by some of the most robust clinical data in the BPH space. Clinical studies have demonstrated the effectiveness of UroLift as a minimally invasive treatment for treating BPH, providing evidence-based support for its safety and efficacy.

Key Stats from Clinical Trials:

5-year data shows durable symptom relief
Patients report symptom relief after UroLift treatment
No new cases of ED reported in trials
High patient satisfaction
Improved urinary flow and quality of life

If you’re into data (and who isn’t when it’s your body), here’s what one of the leading studies showed:

“Erectile and ejaculatory function were preserved in 100% of sexually active men treated with UroLift.” — Journal of Sexual Medicine, 2019

How This Treatment Affects Daily Life

The goal of any BPH procedure shouldn’t just be symptom relief—it should be a return to normal life, including:

Better sleep (less nighttime peeing)
More confidence in social settings
Renewed sexual energy
Less anxiety about “accidents”

After UroLift, the most common side effects include urinary discomfort, pelvic pain, burning with urination, and blood in the urine. Most symptoms are mild to moderate and typically resolve within a few weeks. Symptoms related to the procedure are temporary, and most patients have their symptoms resolved within a short period.

Most of my patients report feeling lighter, more in control, and more themselves within weeks of UroLift.

And when they pair it with pelvic physical therapy? The results are even better.

What to Expect During UroLift Treatment

If you’re considering the UroLift System, you’ll be glad to know it’s a minimally invasive procedure designed with your comfort and convenience in mind. The entire treatment usually takes less than an hour, and it’s performed right in your urologist’s office or an ambulatory surgery center.

Here’s how it works: Using the UroLift delivery device, your doctor will deploy tiny, permanent implants that gently lift and hold the enlarged prostate tissue away from your urethra. This relieves the obstruction caused by benign prostatic hyperplasia (BPH) and allows urine to flow more freely—no cutting or removal of prostate tissue required.

The procedure can be done under local or general anesthesia, depending on your needs and your doctor’s recommendation. Most patients experience only minimal discomfort, and you’ll typically be able to go home the same day—often without the need for a catheter. Many patients experience symptom relief within just a few weeks after the procedure, and you can expect to get back to your normal routine quickly.

For men looking for a straightforward, effective way to address BPH symptoms and enlarged prostate tissue, UroLift offers a path to symptom relief with minimal downtime and a fast return to daily life.

Finding the Right Healthcare Provider for UroLift

Selecting the right healthcare provider is a crucial step in your journey to relief from BPH symptoms. The UroLift System consists of a specialized delivery device and permanent implants, and it’s important to choose a urologist who is experienced in performing this minimally invasive procedure.

Start by asking your primary care physician for a referral or searching online for urologists in your area who offer the UroLift System treatment. Look for providers who have a track record of success with the procedure and who can clearly explain how the UroLift System works to relieve obstruction caused by enlarged prostate tissue.

A knowledgeable provider will answer all your questions about benign prostatic hyperplasia, the UroLift System, and what to expect before, during, and after treatment. By partnering with an experienced urologist, you’ll be setting yourself up for the best possible outcome—achieving symptom relief and getting back to your life with confidence.

The Role and Importance of Physical Therapy in the Question: Can Urolift Cause Erectile Dysfunction?

As a pelvic health physical therapist, I’ve seen how targeted rehab can make a huge difference post-UroLift.
PT addresses pelvic floor tension, improves circulation, reduces anxiety, and promotes healthy muscle coordination. We also help men regain confidence and sexual function after BPH treatments. Personalized therapy programs can accelerate recovery, reduce post-operative discomfort, and improve outcomes for both urinary and sexual health.

Rehab with Pelvic Floor Therapy After UroLift

Recovery doesn’t end once the UroLift procedure is over — rehab is where your body integrates the change. That’s why pelvic floor therapy is so valuable in the post-op phase.

I work with men to retrain muscles that may have been compensating for years of straining or dysfunction. After UroLift, some patients develop tightness, guarding, or overactive muscles as their body adjusts to the improved urinary flow. Addressing this early leads to better long-term outcomes.

What does rehab look like?

Typical post-UroLift pelvic floor rehab may include:

Pelvic floor relaxation and retraining exercises
Manual therapy for the lower back, hips, and perineum
Breathwork and core coordination drills
Education on bladder habits, voiding posture, and fluid timing

Many men are surprised by how much PT can enhance their confidence—not just physically, but sexually and emotionally too. Think of it as the final step in reclaiming your comfort, control, and quality of life after BPH treatment.

Final Thoughts on Can Urolift Cause Erectile Dysfunction

If you’re on the fence about UroLift, here’s my take:

If you want to fix your flow and keep your mojo, it’s one of the best options out there.

But don’t go it alone.

Discomfort varies greatly between individuals, but the procedure typically helps minimize discomfort for most patients.

Talk to your urologist. Talk to a pelvic therapist. Support your recovery, mentally and physically, and you’ll be back to peak performance in no time.Ready to take the next step? Visit Pelvis NYC to schedule a consultation with a specialist who understands your body and your goals.

Pelvic Wall Therapy: A Physical Therapist’s Complete Guide to Healing

Pelvic wall therapy, more commonly referred to as pelvic floor physical therapy (PFPT), is gaining traction as a transformative approach to managing a wide range of pelvic health issues. Despite the growing attention, confusion still exists about what pelvic wall therapy entails, who it’s for, and why it’s a first-line treatment backed by research and medical professionals alike.

As a Doctor of Physical Therapy specializing in pelvic health, I’ve seen the profound impact that this form of therapy can have. This guide will walk you through everything you need to know about pelvic wall therapy.

What Is Pelvic Floor Therapy?

Pelvic floor therapy is a subset of physical therapy that focuses on treating conditions caused by dysfunction of the pelvic floor muscles. The pelvic floor consists of muscles and connective tissue that support the bladder, uterus (or prostate), rectum, and other pelvic organs. These muscles and connective tissue form a hammock-like structure that supports vital internal organs and is attached to the pubic bone and the pelvis, providing stability to the pelvic region.

In women, the pelvic floor also supports the vagina, along with other reproductive organs. Whether the muscles are too weak (hypotonic), too tight (hypertonic), or poorly coordinated, therapy can help retrain them. Dysfunction can involve muscle weakness or muscle spasms, leading to pelvic floor disorder and a range of pelvic floor disorders. These conditions can affect sexual function, and in men, may contribute to erectile dysfunction. This process improves function and alleviates common but often misunderstood.

Pelvic Floor Physical Therapy: How It Works

When people think of pelvic floor physical therapy, Kegels are often the first thing that comes to mind. While Kegels (pelvic floor contractions) can be beneficial for some patients, they are far from a one-size-fits-all solution, and in many cases, they’re not even appropriate, especially for those with pelvic floor overactivity or pain.

Pelvic floor physical therapy is a specialized therapy offering a range of treatment options tailored to each patient. This comprehensive, individualized approach goes far beyond simple exercises. An individualized plan is created based on a thorough assessment to relieve symptoms and reduce pain. The therapy addresses the full complexity of pelvic floor dysfunction by targeting muscular imbalances, nervous system regulation, postural alignment, and behavioral habits that contribute to symptoms. Treatment may include exercise to strengthen pelvic floor muscles, target specific muscles, and train for activities such as heavy lifting. Here’s what that approach often includes:

Internal and External Assessments

During the first appointment, therapists evaluate pelvic floor muscles through both external (abdomen, hips, back) and internal (vaginal or rectal) exams, and an internal exam may be performed as part of the assessment to check muscle tone, strength, and coordination. This helps identify tightness, weakness, prolapse, or scar tissue that may be contributing to symptoms.

Based on assessment findings and patient comfort, both internal and external therapy options are considered to create a comprehensive treatment plan.

Manual Therapy

Hands-on techniques—like myofascial release, trigger point therapy, and scar tissue mobilization—are used to relieve pain, improve circulation, and restore normal muscle function. These may be applied internally or externally. External therapy, including joint mobilization, may be used to address issues in the sacroiliac joint and other areas to improve mobility and support pelvic health.

Biofeedback

This technology uses special sensors attached to the body to monitor the activity of specific pelvic floor muscles. The results are displayed in real time on a computer screen, giving patients immediate feedback on how their pelvic floor muscles are functioning. This helps them learn how to properly contract and relax these muscles. It’s particularly effective for retraining coordination and improving control.

Neuromuscular Reeducation

Therapists help retrain how the pelvic floor works with the core, diaphragm, and posture. This often involves movement-based exercises that integrate breathing, lifting, and stability training for better overall control.

Tailored Pelvic Floor Exercises

Rather than one-size-fits-all Kegels, therapists prescribe tailored pelvic floor exercises that may include Kegel exercises and relaxation techniques, depending on whether the muscles are tight, weak, or poorly coordinated. These can include strengthening, relaxation, or endurance work depending on your goals.

Behavioral Coaching

Simple lifestyle changes—like improving posture, toilet habits, or breathing patterns—can have a major impact. Therapists guide patients on daily routines that reduce strain on the pelvic floor and support healing.

Collaborative Care

When needed, pelvic health therapists work alongside urologists, gynecologists, and other specialists to ensure comprehensive care, especially for complex conditions like interstitial cystitis or chronic pelvic pain.

Recognizing the Symptoms of Pelvic Floor Dysfunction

Many people live with pelvic floor dysfunction without even realizing it. Symptoms can vary based on whether the muscles are too tight or too weak. Common symptoms include:

Urinary incontinence (leakage during sneezing, laughing, or running)
Overactive bladder (frequent, urgent need to urinate)
Pelvic organ prolapse (a sensation of bulging or heaviness)
Chronic pelvic pain
Pain during intercourse or gynecological exams
Constipation or straining during bowel movements
Low back, hip, or tailbone pain with no clear orthopedic cause

If you’re experiencing one or more of these symptoms, pelvic wall therapy may help relieve symptoms and improve your quality of life.

Why Physical Therapy Is the First Line of Treatment

For those experiencing pelvic floor issues, physical therapy is often recommended before surgical or pharmaceutical interventions. Physical therapists play a crucial role in providing expert care, assessing each patient’s needs, and guiding them through a range of treatment options tailored to their condition. It’s a low-risk, high-reward strategy that’s supported by extensive research.

A 2024 review published in Frontiers in Global Women’s Health highlighted that pelvic floor physical therapy is significantly effective in treating pelvic floor dysfunction—including urinary incontinence, pelvic pain, and sexual dysfunction—without adverse side effects.

Unlike medications that mask symptoms, physical therapy addresses the root cause: the muscle imbalance or coordination dysfunction at the heart of the issue.

How We Treat Pelvic Floor Dysfunction in Clinical Practice

As a pelvic health physical therapist, I assess not only the pelvic muscles themselves, but also the surrounding structures that influence function. Each patient receives an individualized plan based on their specific pelvic floor disorder, taking into account their medical history, examination findings, and personal goals. Treatment plans typically include:

Manual therapy for trigger points and soft tissue tension
Postural correction and diaphragmatic breathing
Pelvic floor exercises that focus on both strength and relaxation, addressing muscle weakness as well as tightness
Scar tissue mobilization (postpartum or post-surgical)
Biofeedback and electrical stimulation as needed
Internal therapy for appropriate cases, when the patient is comfortable
Education on bladder and bowel behavior modification

Each treatment plan is customized. For example, some patients need to learn how to relax the pelvic muscles—not tighten them—especially those with chronic pain or interstitial cystitis.

Pelvic Floor Exercises: More Than Just Kegels

Pelvic floor exercises are foundational in therapy, but they must be done correctly and under the right circumstances. Not everyone should do Kegels. For individuals with overactive (tight) pelvic muscles, relaxation exercises and down-training are more appropriate.

Examples of common exercises include:

Slow and fast Kegels (for strengthening, when appropriate)
Deep core and gluteal activation
Bridge and squat progressions
Child’s pose breathing and pelvic drop stretches

Your therapist will evaluate your baseline and recommend exercises that meet your body’s specific needs.

Managing Chronic Pelvic Pain and Interstitial Cystitis with Therapy

Interstitial cystitis (IC), also known as painful bladder syndrome, is a chronic condition characterized by bladder pressure, pain, and frequent urination. While the exact cause is unknown, pelvic floor dysfunction is a common underlying factor, and IC is considered one of several pelvic floor disorders that can be addressed with therapy.

Research shows that physical therapy focusing on myofascial release and trigger point therapy can significantly reduce symptoms in people with IC. Internal therapy, such as internal vaginal or rectal release techniques, is often included in the treatment plan—alongside behavior changes and bladder retraining. The goal of therapy is to relieve symptoms and reduce pain, improving overall quality of life.

Patients with IC often respond best to a multidisciplinary approach involving PT, dietary changes, and pain psychology.

When Should You Start Pelvic Floor Therapy?

Early intervention is ideal. However, it’s never too late to seek help. You should consider seeing a pelvic health physical therapist if you:

Experience urinary or bowel leakage
Have pelvic pressure or notice a bulge
Feel pain with sex or during pelvic exams
Suffer from chronic pelvic or lower back pain
Are recovering from childbirth, abdominal surgery, or pelvic trauma

Postpartum recovery is especially critical. Studies show that initiating pelvic floor therapy within the first 6–12 weeks postpartum can prevent long-term issues such as prolapse, diastasis recti, and bladder dysfunction.

What Does a Pelvic Therapy Session Look Like?

A typical pelvic floor physical therapy session may include:

Review of symptoms and daily habits
Reassessment of posture, breathing, and muscle tone
Guided pelvic floor exercises or manual therapy, including internal and external therapy as appropriate
Education on self-care tools (perineal massage, dilators, postural changes)
Progress tracking and goal-setting

Therapy is typically done once per week for 6 to 10 weeks, depending on your condition and response to treatment.

Conclusion: Take the First Step Toward Pelvic Health

Pelvic wall therapy is a safe, effective, evidence-based path to healing pelvic floor dysfunction. Whether you’re a new mom, recovering from surgery, or managing chronic pain or interstitial cystitis, pelvic floor physical therapy offers real hope without relying on medications or surgery.

As a PT, I’ve seen how profoundly this therapy can change lives. Don’t wait for symptoms to worsen. With tailored guidance, pelvic floor rehabilitation can restore function, reduce pain, and help you reclaim control over your body.

Ready to take the first step? Visit Pelvis NYC to schedule an evaluation with a specialized pelvic health therapist and start your journey to recovery.

Varicocele: What Guys Should Know About This “Silent” Issue

Most men don’t want to talk about their balls, especially if something feels weird or off down there. But if you’ve ever felt a strange heaviness, dull ache, or swelling in your scrotum, you might be dealing with something called a varicocele.

It’s more common than you’d think. About 1 in 7 men will get one, and for guys dealing with fertility issues, that number jumps to nearly 1 in 2.

So let’s break it down—what varicoceles are, why they matter, what you can do about them, and how physical therapy (yep, really) can be part of the solution.

The Male Reproductive System

Before we go deeper, let’s quickly break down how the male reproductive system works—and why something like a varicocele can quietly throw the whole thing off.

The main parts of the male reproductive system include the testicles, which are responsible for making sperm and testosterone; the epididymis, where sperm mature; and the vas deferens, which transports sperm during ejaculation. Supporting glands like the seminal vesicles and prostate add fluid that makes up semen, helping sperm survive their journey.

All of this needs to work in sync. But here’s the catch: sperm production is extremely sensitive, especially to heat, pressure, and blood flow. That’s why your testicles hang outside the body in the first place: to stay a few degrees cooler than your core temperature.

So when something like a varicocele causes enlarged veins and increased heat around the testicles, it can throw off that delicate balance. The result? Poor sperm health.

That’s where a semen analysis comes in.

If you’re trying to conceive and it’s taking longer than expected (usually six to twelve months), doctors often order this test to get a read on:

Sperm count – how many sperm are in your semen
Motility – how well your sperm swim
Morphology – how normal they look in size and shape
Volume and consistency of the semen itself

If any of those numbers are off, a varicocele is one of the first things a urologist will look for—because it’s such a common, correctable cause of male infertility.

So… What Is a Varicocele?

A varicocele is a varicose vein—but in your scrotum, not your legs. The veins that carry blood away from your testicles get enlarged and twisted, usually on the left side, thanks to how our plumbing is built.

You might feel:

A weird dragging sensation in your groin
A dull ache after standing or working out
Swelling or even a “bag of worms” feel (yeah, it’s as weird as it sounds)
Or maybe… nothing at all

And that’s what makes varicoceles so tricky. Some guys don’t notice anything until they and their partner start trying for a baby, and suddenly, a semen analysis throws up red flags.

Varicocele Symptoms: What to Watch For

Not all varicoceles cause noticeable pain or discomfort, which is why many men don’t even realize they have one until a fertility issue arises. But when symptoms do show up, they can include a dull, aching pain or a sense of heaviness in the scrotum. Some men notice a visible or palpable lump, often described as feeling like a “bag of worms” (strange but accurate), and swelling or asymmetry in the testicles, most commonly on the left side. Discomfort may become more noticeable after standing for long periods, lifting weights, or during physical activity.

In many cases, the first clue comes during a fertility workup, when a doctor orders a semen analysis and finds issues like low sperm count or abnormal motility. That’s often when the varicocele diagnosis comes into focus, turning what seemed like a minor issue into a much more pressing concern.

How Does Varicocele Affect Fertility?

Here’s where it gets serious. Varicoceles can mess with your male reproductive system in a few important ways:

Raises testicle temperature → Sperm don’t develop properly in heat
Reduces oxygen and blood flow → Leads to oxidative stress, damaging sperm DNA
Impaired hormone regulation → May lower testosterone over time

📊 Studies show that varicoceles are present in 40% of men with abnormal semen parameters, and treating them can improve both sperm quality and pregnancy rates.

How Is a Varicocele Diagnosed?

Doctors typically diagnose a varicocele during a physical exam or scrotal ultrasound. You may be asked to stand and perform a Valsalva maneuver (basically bearing down) so they can check for vein enlargement.

It’s often graded from Grade 1 (small) to Grade 3 (large), and those grades help determine the need for medical treatment.

Varicocele Treatment Options: What Can You Do?

Not every varicocele needs to be treated. But if you’re in pain, your semen quality is poor, or you’re trying to conceive without luck, here’s what you can consider:

Watchful Waiting

If your varicocele is small and symptom-free, doctors may suggest monitoring it regularly, especially if you’re not trying to have kids right now.

Medical Treatment: Varicocele Surgery

If you’re dealing with pain or fertility problems, varicocele surgery (aka varicocelectomy) is often recommended. It involves tying off the enlarged veins to restore normal blood flow.

There are a few surgical techniques:

Microsurgical varicocelectomy – highest success, lowest risk
Laparoscopic surgery
Percutaneous embolization – a minimally invasive option using a catheter

According to the American Urological Association, surgery improves semen quality in 60–80% of men and boosts natural pregnancy rates in many couples.

How Can Physical Therapy Help Varicocele?

This is where things get interesting. Most men are never told that pelvic physical therapy can support recovery and manage symptoms, sometimes even before considering surgery.

1. Pain Management

Chronic testicular or pelvic pain isn’t always about the veins. Sometimes, it’s due to muscle tension, nerve entrapment, or poor posture.

A men’s health PT can release tension in the:

Pelvic floor
Hip flexors
Lower back and core

These techniques relieve pressure and improve blood flow.

2. Post-Surgical Recovery

After varicocele repair, PT helps you:

Regain core strength
Reduce scar tissue adhesions
Return to pain-free sex, sports, and workouts

🧠 Fact: About 30–50% of men with varicocele-related pain continue to feel discomfort even after surgery (AUA Guidelines, 2021). Physical therapy can address muscular and nerve-based causes that surgery doesn’t fix.

3. Pelvic Floor Rehabilitation

Pelvic floor dysfunction in men can mimic varicocele pain, worsen congestion, and impair urinary/sexual function.

Men’s health PTs use techniques like:

Biofeedback
Internal release (yes, men have pelvic floors too!)
Diaphragmatic breathing to improve circulation

4. Lifestyle Support

PTs can guide you in:

Movements that improve venous return
Anti-inflammatory routines (breathing, stretching)
Advice on compression, lifting techniques, and posture

What the Research Says

2018 Review (Andrologia): Varicocele-related pain is often neuromuscular, not purely vascular. Conservative therapies like PT should be part of the care plan.
2021 Study (Urology Journal): Men undergoing PT after varicocelectomy reported faster pain relief and improved daily function.
Pelvic PT Research (Hodges, 2020): The pelvic floor is central to venous and lymphatic return, a key factor in varicocele symptom management.

When Should You See a PT?

You should consider seeing a pelvic health PT if:

You’ve had surgery but still have discomfort
You’re dealing with testicular or groin pain that doesn’t seem to improve
You want to explore non-surgical options before going under the knife
You’ve noticed that posture, movement, or stress makes symptoms worse

There’s Help—You Just Have to Ask

A varicocele isn’t the end of the world—but it’s also not something to brush off. Whether it’s causing pain, fertility issues, or just messing with your peace of mind, you deserve answers and real solutions.

Between surgical treatment, lifestyle changes, and physical therapy, there are more options than you think. The key is getting the right diagnosis and building a team that helps you move forward—without shame, fear, or guesswork.

Ready to Take the Next Step?

If you’re dealing with testicular pain, fertility struggles, or just want answers about your body, you don’t have to navigate it alone. At Pelvis NYC, we specialize in male pelvic health, offering personalized, expert-led care that supports your recovery, improves blood flow, and helps you feel like yourself again.

Whether you’re preparing for varicocele treatment, recovering from surgery, or exploring non-invasive options, our team is here to help you move forward confidently and pain-free.👉 Book a private consultation today at Pelvis NYC and take control of your health, your fertility, and your future.

Male Pelvic Floor: The Hidden Foundation of Men’s Health

When we think of men’s health, we often focus on biceps, six-packs, or heart health. Yet hidden deep within your core lies a powerful network that influences bladder control, erectile function, and posture—the male pelvic floor. While this area is often overlooked or labeled “women’s health,” men absolutely have pelvic floor muscles, and training them can transform performance, recovery, and daily comfort.

From boosting your lifts to extending your staying power in the bedroom, from post-prostate recovery to aging gracefully, your pelvic floor plays a critical role. In this guide, we’ll find out what it is, why it matters, how to work it intentionally, and how to avoid common pitfalls. Understanding and training these muscles can unlock new levels of confidence, vitality, and well-being.

What’s the Pelvic Floor—and Why It Powers Men’s Health

The pelvic floor is a group of muscles and connective tissues that form a sling at the base of the pelvis. The pelvic floor muscles form a supportive sling that helps maintain continence and sexual function.

In men, these muscles support the bladder, rectum, and prostate, and play a key role in sexual and urinary functions. Anatomically, the pelvic floor muscles stretch from the pubic bone at the front to the tail bone (coccyx) at the back, and from one ischial tuberosity to the other, providing a strong base. The urethra passes through the pelvic floor muscles, and their strength is important for urinary control. In addition to muscles, other tissue such as connective tissue also supports the bladder and bowel.

Main male pelvic floor muscles include:

Pubococcygeus (PC) – Supports the bladder and contributes to ejaculation control.
Bulbocavernosus – Affects erections and ejaculation.
Ischiocavernosus – Helps maintain penile rigidity.
External urethral sphincter – Controls the flow of urine.
Levator ani group – Lifts and stabilizes the pelvic organs.

Together, these muscles work to manage pressure in the abdomen, support internal organs, and help control bodily functions. They also coordinate with the deep core, diaphragm, and glutes.

Do Men Have Pelvic Floor Muscles?

Yes—men absolutely have pelvic floor muscles, even though they’re less frequently discussed in public health. In fact, these muscles are vital for:

Urinary continence
Fecal continence
Sexual function and orgasmic intensity
Postural support
Lower back health

Pelvic floor muscles support the bladder, bowel, and sexual function, helping maintain continence and core stability.

Ignoring pelvic floor health can lead to long-term issues that range from incontinence to erectile dysfunction and chronic pelvic pain.

Male Pelvic Floor Dysfunction: Signs & Symptoms

Pelvic floor dysfunction in men is often underdiagnosed. A weak pelvic floor or weak pelvic floor muscles can result from injury, aging, or lifestyle factors, and may lead to issues with continence and pelvic support. It can stem from weakness, tension, nerve damage, or poor coordination of the pelvic muscles.

A tense pelvic floor, also known as a hypertonic pelvic floor, occurs when the muscles are overly tight, leading to symptoms such as pain, constipation, and urinary issues.

Common Symptoms:

Leaking urine, especially after urination (post-micturition dribble)
Urgency or frequent urination
Inability to fully empty the bladder
Erectile dysfunction (ED)
Premature ejaculation
Pain in the penis, perineum, rectum, or tailbone
Constipation, straining to defecate, or difficulty moving the bowels

These issues can affect young and older men alike—often without them realizing the pelvic floor is to blame.

How the Male Pelvic Floor Muscles Work

The male pelvic floor muscles work as a supportive foundation for your pelvic organs, including the bladder, bowel, and rectum. These muscles form a hammock-like structure at the base of your pelvis, contracting and relaxing to help you control the flow of urine and feces, and to support sexual function. When you need to hold in urine or prevent passing gas, your pelvic floor muscles contract; when it’s time to urinate or have a bowel movement, they relax. This coordination is also crucial for sexual performance, as strong pelvic floor muscles can enhance erections and ejaculation.

If your pelvic floor muscles become weak or are not functioning properly, you may experience issues like urinary incontinence, fecal incontinence, or erectile dysfunction. Weakened pelvic floor muscles can make it harder to control your bladder and bowel, leading to leaks or accidents. The good news is that regular pelvic floor exercises, such as Kegel exercises, can help strengthen these muscles, improve bladder and bowel control, and support better sexual health. By making pelvic floor training a part of your routine, you can help ensure these essential muscles work efficiently throughout your life.

Finding and Contracting Your Pelvic Floor Muscles

Finding your pelvic floor muscles is the first step to effective pelvic floor training. To locate the correct muscles, try to stop the flow of urine midstream or imagine you’re trying to prevent yourself from passing gas. The muscles you engage in these moments are your pelvic floor muscles. To contract them, squeeze your pelvic floor as if you’re stopping urine or holding in gas, hold the squeeze for a few seconds, then relax. Repeat this process several times, focusing on using only the pelvic floor muscles and not your thighs, buttocks, or abdomen.

It’s important to use the correct muscles when performing Kegel exercises. Using the wrong muscles can make the exercises less effective or even cause discomfort. If you’re unsure whether you’re targeting the right muscles or if you have trouble isolating them, don’t hesitate to seek guidance from a physical therapist or healthcare provider. They can help you learn how to squeeze your pelvic floor properly and ensure you’re getting the most benefit from your exercises.

How the Male Pelvic Floor Muscles Work

The pelvic floor is dynamic. When you contract the pelvic floor muscles, they create a lift, which can be seen as an upward movement of the penis and testicles. It tightens to help you hold in urine or gas, and it relaxes to let you urinate or pass a bowel movement. During sexual activity, these muscles are also responsible for generating and controlling erections and ejaculations.

Proper function requires both strength and relaxation. If the muscles are too weak, you might experience leaks or erectile problems. If they’re too tense, it can lead to pain and urinary retention. Like any other muscle group, training and balance are key.

Kegel Workout for Men: The Core of the Pelvic Region

Kegel exercises, first introduced by Dr. Arnold Kegel in the 1940s, were designed to strengthen the pelvic floor. While popularized for women, Kegels are equally beneficial for men.

Performing a kegel exercise regularly, such as during daily routines, can help prevent urinary leakage.

🛠️ How to Do Kegels/ Pelvic Floor Exercises Correctly:

Identify the musclesTry to stop the flow of urine mid-stream. The muscles you engage are your pelvic floor.
Contract and holdSqueeze the muscles for 5–10 seconds, then relax for the same duration. Squeezing the pelvic floor muscles is the key movement in Kegel exercises and helps ensure proper muscle engagement.
RepetitionDo 3 sets of 10 reps daily. Perform them lying down at first, then progress to sitting and standing.
Breathe normallyAvoid holding your breath or tightening your buttocks or thighs.

❗️Note: Stopping urine mid-flow should only be used to identify muscles, not as a regular practice—it can interfere with bladder function.

Proven Benefits of Pelvic Floor Training in Men

✅ Urinary Control

Especially beneficial after prostate surgery (e.g., radical prostatectomy).
Can reduce urinary leakage and urgency.

✅ Erectile Function

Strengthens the bulbocavernosus muscle, which improves blood retention in the penis.
A 2005 clinical trial found that pelvic floor muscle training significantly improved ED in 40% of men within 3 months.

✅ Ejaculatory Control

Enhances awareness and control during sex.
Reduces premature ejaculation through muscle timing.

✅ Chronic Pelvic Pain Relief

Helps relax tense or overactive pelvic muscles.
Effective when combined with pelvic floor physical therapy and biofeedback.

Don’t Overdo It: The Problem of Overactive Pelvic Floors

Just like any muscle, the pelvic floor can be too tight. Men who constantly “hold in” tension may experience:

Painful urination or ejaculation
Testicular or perineal discomfort
Constipation
Urinary hesitancy

Tension in the pelvic floor muscles can also affect the back passage (rectum), leading to problems with continence and bowel movements.

If that sounds like you, relaxation techniques are more important than strengthening:

Diaphragmatic (deep belly) breathing
Gentle yoga or stretching
Manual therapy by a pelvic floor physical therapist

Other Exercises That Support the Pelvic Floor

In addition to Kegels, incorporating other functional movements can help strengthen the muscles that work closely with the pelvic floor. Exercises like glute bridges are particularly effective because they engage the glutes and lower back while encouraging pelvic stability. Squats are another excellent choice—they activate the core, hips, and thighs, which all contribute to better pelvic support. Strengthening the transverse abdominis, the deepest abdominal muscle, is also key; this can be done through controlled core exercises that emphasize deep breathing and core engagement. Movements like dead bugs and other core stabilizing drills help coordinate the pelvic floor with surrounding muscles, improving overall control and function.

Preventing Pelvic Floor Injuries and Health Issues

Taking steps to prevent pelvic floor injuries and health issues can make a big difference in your long-term well-being. One of the most effective strategies is to perform Kegel exercises regularly, which helps strengthen your pelvic floor muscles and supports better bladder and bowel control. In addition to exercising, maintaining a healthy weight reduces unnecessary pressure on your pelvic floor. Avoiding repeated heavy lifting and managing chronic coughs, such as a smoker’s cough, can also help protect these muscles from strain and injury.

If you experience symptoms like urinary incontinence, fecal incontinence, or pelvic pain, it’s important to seek advice from a healthcare professional. Early intervention can prevent minor issues from becoming more serious. Remember, your pelvic floor muscles play a vital role in controlling your bladder and bowel, so taking care of them through regular exercise and healthy lifestyle choices is key to preventing pain and incontinence.

Treatment Options for Pelvic Floor Dysfunction

If you’re dealing with pelvic floor dysfunction, there are several treatment options available depending on the cause and severity of your symptoms. For mild cases, performing Kegel exercises as part of a regular exercise routine can help strengthen your pelvic floor muscles and improve bladder and bowel control. If you need additional support, physical therapy with a specialist can provide targeted exercises, biofeedback, or even electrical stimulation to help retrain your muscles.

In some situations, medication or surgery may be necessary to address underlying issues like severe urinary incontinence or fecal incontinence. Your healthcare provider can help you determine the best treatment plan for your needs, whether that involves adjusting your exercise routine, making lifestyle changes, or exploring medical interventions. Don’t hesitate to reach out to a healthcare provider if you’re experiencing symptoms—early treatment can make a significant difference in your recovery and quality of life.

ℹ️ Myth Buster | Quick Q&A

Myth: “Kegels are only for women.”
Truth: Men’s pelvic floors benefit equally—improving leaks, erections, and sexual stamina.

Myth: “Stronger is always better.”
Truth: When pelvic floor muscles are too tight, they restrict function—balance, not just strength, is key.

Final Thoughts: It’s Time to Talk About It

male pelvic floor therapists in Pelvis NYC

The male pelvic floor is a vital yet often ignored part of men’s health. These muscles affect your ability to control urine, enjoy sex, support your core, and recover from surgery or injury. Understanding their function—and learning how to train them—can dramatically improve your quality of life.

Whether you’re managing a specific issue or just want to optimize your long-term health, pelvic floor care is an investment worth making. Start with small steps. Stay consistent. And don’t be afraid to seek support—your body will thank you.

✅ Ready to take your pelvic health seriously?

👉 Connect with the experts at Pelvis NYC—a leading pelvic floor physical therapy clinic specializing in men’s pelvic health, sexual dysfunction, post-surgical rehab, and core optimization. Their evidence-based, personalized programs are designed to help you regain control, eliminate discomfort, and elevate your quality of life.

Your pelvic floor matters. Make it a priority—start with Pelvis NYC today.

Kegel Workout for Men: Boost Sexual Health and Reclaim Control

Introduction: Why Every Man Needs a Pelvic Floor Stronghold

In the world of fitness, men often focus on building biceps, core strength, or cardiovascular endurance. But there’s a small, invisible group of muscles that can dramatically improve everything from your bladder control to sexual stamina—and it’s one most men aren’t even aware of. We’re talking about the pelvic floor muscles, and the way to train them is through something called the Kegel workout for men.

Once thought to be exclusively for women, Kegel exercises for men have gained traction thanks to increasing awareness in urology and sexual health, and even on platforms like Reddit and men’s wellness groups. This guide will walk you through Kegel workout for men, explain how these exercises address erectile dysfunction and premature ejaculation, and introduce how working with a healthcare provider, like the specialists at Pelvis NYC—can elevate your results.

Understanding Your Pelvic Floor Muscles and How They Work

Importance of kegel workout for men for their Pelvic Floor Muscles

The first—but most crucial—step is understanding what the pelvic floor muscles do. Picture a hammock supporting your bladder, prostate, and rectum. These muscles also support your bowel and are essential for controlling both bladder and bowel functions, including during a bowel movement. Strengthening these muscles with Kegel exercises:

Helps manage bladder leaks when you cough, sneeze, or laugh
Supports bladder and bowel control
Enables firmer, more sustainable erections
Helps control ejaculation timing
Reduces pelvic tension, discomfort, or chronic pain

That’s why kegel exercises go beyond mere fitness—they support fundamental aspects of men’s sexual health and day-to-day well-being.

What Is a Kegel Workout for Men?

Named after Dr. Arnold Kegel, who developed these exercises in the 1940s for women post-childbirth, Kegels are designed to strengthen the pelvic floor muscles. These muscles form a supportive hammock at the base of the pelvis and are responsible for controlling urination, stabilizing the core, and supporting sexual function.

For men, strengthening the pelvic floor can:

Improve urinary control (especially after prostate surgery or with age)
Enhance erections and sexual stamina
Help with premature ejaculation
Support prostate health
Reduce the risk of pelvic pain and incontinence

Men’s Kegel exercises are especially effective for managing urinary incontinence, urine leakage, and leaking urine, which can occur after prostate surgery or during activities like coughing or lifting. Regular practice of these exercises can also help improve the urine stream by training the muscles used to stop urine flow. Additionally, men’s Kegel exercises are beneficial for treating fecal incontinence and overall urinary or fecal incontinence, supporting better pelvic health and reducing symptoms of incontinence.

So why are most men not already doing this?

The answer is simple: awareness and stigma. Many men don’t know these exercises exist, and those who do often assume they’re just for women. But new research, urological guidelines, and even anecdotal success stories are beginning to change that narrative.

What Does Kegel Workout for Men Mean?

The pelvic floor muscles—particularly the pubococcygeus (PC) muscle—play a crucial role in urinary and sexual functions. When these muscles are weak, you may experience leaks after urination, poor erection strength, or lack of control during sex.

Kegel exercises involve repeatedly contracting (squeezing) and relaxing these muscles, much like you would train a bicep curl at the gym. Performing Kegels involves a specific contraction and relaxation of the pelvic floor muscles. It is important to focus on performing Kegels correctly, as improper technique—such as engaging the wrong muscles—can lead to ineffective results or discomfort. When performing Kegels, avoid engaging the buttock muscles, stomach, or stomach muscles; only the pelvic floor muscles should be working. If you feel pain while performing Kegels, stop the exercise and consult a healthcare provider. Over time, this builds strength and endurance, which translates into better control and responsiveness.

The Impact on Erectile Dysfunction and Premature Ejaculation on Kegel Workout for Men

Pelvic floor weakness is often linked to erectile dysfunction (ED). Strengthened muscles improve blood flow and structural support, which can significantly reduce ED symptoms. In fact, men using regular pelvic workouts often report firmer, longer-lasting erections.

Regarding premature ejaculation, you gain a powerful tool: better awareness of pelvic contractions. This allows you to consciously delay climax, enhancing both control and satisfaction.

By adding reliable kegel exercises for men into your wellness plan, you’re supporting sexual health on multiple fronts—with minimal effort and no pills.

Finding the Right Muscles: A Crucial First Step

Before you begin training, you need to find your pelvic floor and identify your pelvic floor muscle accurately. Here’s how (whether you call it urination or pee):

The urine stop test: While you urinate, try to stop or slow your urine stream midway. The muscles you use are the pelvic floor. (Only try this once; doing it repeatedly can harm your bladder.)
Gas prevention method: Imagine trying to hold in or prevent yourself from passing gas. That internal clench—without engaging your abs or glutes—is the target.
Visual cue: When done correctly, you may see the base of your penis retract slightly or your testicles lift a bit, as these pelvic floor muscles support the genital area.

Avoid contracting your thighs, buttocks, or abs. The focus should be internal, deep in your pelvis.

The same ones you use to stop urination, control your urine stream, or delay ejaculation are the pelvic floor muscles targeted by a kegel exercise.

Step-by-Step Kegel Workout for Men

Now that you’ve identified the correct muscles, it’s time to build a consistent routine. Like any fitness regimen, progress comes with regular, mindful practice. Kegel exercises can help strengthen the pelvic floor and improve bladder and bowel control.

Beginner Routine (Weeks 1–3)

Find a quiet place to lie down or sit.
Contract the pelvic floor and hold for 3–5 seconds.
Relax for 5 seconds.
Repeat 10 times, 3 times per day.

Be patient. Early sessions may feel awkward or weak. That’s completely normal.

Intermediate Routine (Weeks 4–6)

Increase your hold time to 8–10 seconds.
Add quick pulses (rapid contractions and releases) for 10–15 reps.
Practice in different positions: sitting, standing, or while walking.

Advanced Routine (Week 7 and beyond)

Incorporate Kegels into daily movement, such as walking, driving, or exercising.
Hold contractions during sex to improve control.
Combine with deep core work—like planks—to activate more muscle fibers.

Consistency is key. Most men begin to see real improvements in 4–6 weeks.

Hidden and Underrated Benefits of Kegel Workout for Men

The well-known benefits of Kegels—like better bladder control and improved erections—are just the beginning. Strong pelvic floor muscles provide essential muscles support for the bladder, bowel, and genital area, helping to maintain continence and overall pelvic health. There are several lesser-discussed advantages that are gaining recognition in both medical circles and online communities:

1. Relief from Chronic Pelvic Pain and Prostatitis

Men suffering from chronic prostatitis or pelvic floor dysfunction often report decreased pain and improved quality of life through pelvic floor physical therapy, which includes Kegels. According to a 2016 Cochrane Review, pelvic floor exercises significantly reduce pelvic pain and urinary symptoms.

2. Improved Post-Surgical Recovery

Men recovering from prostatectomy (prostate removal surgery) often experience urinary leakage. Studies from Harvard Health and Mayo Clinic show that patients who began pelvic floor exercises immediately after surgery regained continence faster than those who didn’t.

3. “Coregasms” and Unexpected Pleasure

In fitness circles—and Reddit threads—some men have reported involuntary orgasms triggered during intense core exercises involving pelvic engagement (like leg raises or planks). These are known as “coregasms,” and they may be amplified by a strong pelvic floor.

“I thought I was the only one… turns out it’s real! Planks + Kegels = mind blown.” — Reddit user on r/fitness

4. Posture and Lower Back Support

The pelvic floor is part of your deep core. Strengthening it contributes to better posture, spinal alignment, and lower back health, especially when paired with glute and abdominal training.

Advanced Techniques: Biofeedback, EMSELLA, and Devices

Once you’ve mastered the basics, there are tools and therapies that can further enhance your results.

📈 Biofeedback Devices

These tools (e.g., Perifit, Elvie for Men) provide real-time feedback to ensure you’re activating the right muscles. Used in physical therapy settings, they help correct form and measure improvement.

⚡ EMSELLA Chair

This high-tech device, available in urology and wellness clinics, uses electromagnetic pulses to contract your pelvic muscles—equivalent to doing 11,000 Kegels in one session. It’s painless, non-invasive, and popular among men post-surgery or those who want to jumpstart results.

🧪 Research-Backed Results

A 2019 study published in Urology Journal reported that 61% of men saw improvement in premature ejaculation after 12 weeks of pelvic floor training.
Another clinical trial showed a 40% improvement in erectile strength in men doing daily Kegels.

Common Mistakes Men Make with Kegels

Even a simple exercise can go wrong if done improperly. Here’s what to avoid:

Overtraining: Doing Kegels too frequently can lead to tension or even pain.
Wrong muscles: If your abs, thighs, or butt are sore—you’re not doing them right.
Holding breath: This increases intra-abdominal pressure and reduces effectiveness.
Expecting overnight results: Like any muscle, the pelvic floor needs time to strengthen.

Stick with it. The reward is long-term, not instant.

Real Talk from Reddit & Men’s Health Forums

One of the most underrated places for firsthand experience is Reddit. Threads in r/pelvicfloor and r/AskMen are filled with stories, struggles, and successes.

“I was skeptical, but now I can last twice as long in bed. Wish I started sooner.” — Reddit user

“Three months of Kegels helped my post-surgery leakage more than anything else. I can go on a run again without worrying.” — User in prostate cancer recovery forum

You’re not alone. Thousands of men are now incorporating Kegels as part of their health routine, just like push-ups or cardio.

Conclusion: Why Every Man Should Do Kegels

If you’re still wondering whether Kegel workouts are worth it—the answer is a resounding yes.

From improved urinary control and stronger erections to post-surgical recovery and even unexpected benefits like posture and orgasm quality, Kegels are a low-risk, high-reward investment in your body.

You don’t need a gym, expensive gear, or even a lot of time. Just consistency, awareness, and patience.

When to Consult a Healthcare Provider

Kegels are safe and natural, but certain situations demand professional insight:

Persistent incontinence, despite consistent home exercise
Post-surgical conditions (e.g., post-prostatectomy)
Chronic pelvic or rectal pain
No improvement in sexual symptoms after several months

A dedicated Kegel workout for men is a no-cost, powerful tool that boosts your daily life—bladder control, sexual performance, and confidence, included.

But for optimal results, especially concerning erectile dysfunction or premature ejaculation, consider working with pros. Dr. Adam Gvili and Dr. Josh Weber at Pelvis NYC design pelvic floor therapy that’s tailored to your specific needs, and backed by medical science and advanced treatment options.

kegel workout for men- Dr. Adam Gvili and Dr. Josh Weber of Pelvis NYC

👉Click here to book with Pelvis NYC now—and let Dr. Gvili and Dr. Weber guide your path to better bladder, stronger erections, and lasting sexual health.

Let’s break the stigma around men’s pelvic health—with science, strategy, and skill.

Are you a woman looking for pelvic floor exercises tailored to your needs?
Check out our women’s guide: Kegel Workout for Women: How to Strengthen Your Pelvic Floor

Kegel Workout for Women: How to Strengthen Your Pelvic Floor

In today’s health-conscious world, Kegel workout for women are gaining recognition for their powerful yet simple impact on overall wellness. Whether you’re navigating postpartum recovery, dealing with bladder control issues, or simply aiming to boost core and sexual health, pelvic floor exercises can offer long-term, life-enhancing benefits.

This comprehensive guide will help you find your pelvic floor, perform Kegel exercises correctly, and make them part of your daily routine—while avoiding the common mistake of activating other muscles.

What Are Pelvic Floor Muscles?

Your pelvic floor muscles are a group of muscles that act like a sling, supporting the bladder, uterus, and rectum. It is important to identify and exercise the correct muscles to ensure effective pelvic floor strengthening. These muscles play a vital role in bladder control, core stability, posture, sexual function, and childbirth recovery. When these muscles weaken—due to aging, pregnancy, heavy lifting, or inactivity—you may experience issues like urinary incontinence, pelvic organ prolapse, or decreased sexual satisfaction.

Why Kegel Workout For Women Matters

Kegel exercises strengthen the pelvic floor, offering benefits such as:

Strengthening pelvic floor muscles, which support pelvic organs and improve overall pelvic health
Improved blood circulation to the pelvic area, which may enhance arousal, lubrication, and sensation
Support for bowel function and help in managing fecal incontinence
Reduced urinary incontinence and better control over the urge to urinate, helping to prevent leaks
Faster postpartum recovery
Improved sexual function
Support during menopause
Prevention of pelvic organ prolapse

How to Find the Right Muscles or Find Your Pelvic Floor

Before starting your Kegel workout, it’s critical to find the right muscles.

Here’s how:

The bathroom test: Try to stop the flow of urine midstream. The muscles used here are your pelvic floor muscles. (Only use this method to identify muscles, not as a regular exercise.)
Gas-hold trick: Imagine you’re trying not to pass gas. The muscles that contract are also part of your pelvic floor.
Physical Awareness: Place a finger inside your vagina and gently contract your pelvic muscles around it to confirm you’re targeting the right area.

If you’re squeezing your abdomen, thighs, or buttocks—you’re using other muscles, which won’t help your pelvic floor and may cause strain. Always avoid tightening your abdomen, thighs, or buttocks to ensure only your pelvic floor muscles are engaged.

How to Do a Kegel Workout for Women Correctly

Let’s break it down into a simple how-to guide:

Empty your bladder before starting. Do not perform Kegel exercises while urinating or try to stop your urine stream, as this can interfere with emptying fully and may increase the risk of urinary tract infection.
Contract your pelvic floor muscles (as if lifting them upward).
Hold the contraction for 3–5 seconds.
Release slowly and completely for 3–5 seconds. It is important to relax your pelvic floor muscles fully after each contraction.
Repeat 10–15 times per set.
Aim for 3 sets per day.

Keep breathing naturally. Don’t hold your breath. Avoid engaging your abs, legs, or glutes.

Gradually increasing the number of sets over time can help prevent strain and improve the effectiveness of your Kegel exercises.

The Importance of a Step-by-Step Guide

A step-by-step guide is invaluable when starting kegel exercises, especially for those new to pelvic floor muscle training. By following a clear, structured approach, you can ensure you’re engaging the right muscles—your pelvic floor muscles—rather than accidentally tightening your buttock muscles or abdomen. This precision is essential, as only the pelvic floor muscles support your bladder, uterus, and rectum, and are responsible for improving bladder control and overall pelvic health.

A well-designed step-by-step guide helps you practice kegel exercises correctly, making it easier to develop a consistent exercise routine. With each step, you’ll gain confidence in your technique, avoid common pitfalls, and maximize the benefits of your efforts. Whether you’re aiming to strengthen your pelvic floor, prevent issues like urinary incontinence, or simply support your core, a step-by-step guide is your roadmap to success.

Integrating Kegel Workout Into Your Daily Routine

Consistency is key. The beauty of Kegel workouts for women is that you can do them discreetly—anytime, anywhere.

Ideas for practice:

While brushing your teeth
During commercials
At red lights
While working at your desk
While relaxing on the couch
Before bed

Try pairing them with existing habits to build a consistent daily routine.

Being Aware of Other Muscles

When performing kegel exercises, it’s important to focus solely on your pelvic floor muscles and avoid engaging other muscles, such as your thighs, buttock muscles, or abdomen. Many people unintentionally tighten these areas, which can reduce the effectiveness of the exercises and even cause unnecessary strain. To ensure you’re isolating the pelvic floor, try practicing kegels in different positions—sitting, standing, or lying down—and pay close attention to which muscles are contracting.

If you’re unsure whether you’re performing kegel exercises correctly, a physical therapist can provide expert guidance. They can help you identify and activate the pelvic floor muscles while keeping other muscles relaxed, ensuring you get the most out of your exercise routine. Remember, the goal is to strengthen the pelvic floor, not the surrounding muscles.

Common Mistakes to Avoid While Doing Kegel Workout for Women

Using the wrong muscles—like your abs or thighs
Overtraining—this can fatigue your pelvic floor
Holding your breath—it builds pressure instead of control
Being inconsistent—it takes daily effort to see results
Experiencing pain during or after Kegel exercises may indicate improper technique and should be avoided. If you feel pain, stop and consult a healthcare professional.
Incorrect technique or excessive strain can contribute to stress incontinence, causing urine leakage during activities like coughing, sneezing, or laughing. Proper form is essential to prevent this.

Advanced Tips and Variations

Kegel exercises are simple exercises that most women can perform to strengthen their pelvic floor muscles.

Once you’ve mastered basic Kegels, consider adding variations:

1. Elevator Kegels

Imagine lifting your pelvic muscles in slow stages (like floors on an elevator).

2. Quick Flicks

Rapidly tighten and release the muscles for 10 reps—this builds fast muscle reaction.

3. Functional Kegels

Engage your pelvic floor before lifting, sneezing, or jumping.

For an added challenge, try using a vaginal cone. Insert the vaginal cone and contract your pelvic muscles to hold it in place while standing or walking. This tool can help improve the effectiveness of your pelvic floor muscle training routine.

Staying Motivated on Your Kegel Journey

Maintaining motivation is key to making kegel exercises a lasting part of your daily life. Start by setting realistic goals and tracking your progress—whether it’s improved bladder control, reduced urinary incontinence, or enhanced sexual function. Begin with just a few minutes of kegel exercises each day, and gradually increase the duration and frequency as your pelvic health improves.

A healthcare professional can help you create a personalized exercise regimen, offering support and encouragement along the way. Understanding the many benefits of kegel exercises—from better bladder health to increased confidence—can also keep you inspired. By staying committed and motivated, you’ll be well on your way to stronger pelvic floor muscles and a healthier, more vibrant you.

When to See a Professional

If you’re unsure whether you’re doing Kegels properly or if symptoms persist, consult a pelvic floor physical therapist. They can offer biofeedback, evaluate your muscle control, and guide you through a tailored plan.

Final Thoughts: Empower Your Core from Within

Mastering the Kegel workout for women is one of the most empowering, low-effort ways to improve your quality of life. From better bladder control to more enjoyable intimacy and improved posture, the benefits are well worth the few minutes a day it takes.

Keep in mind that it may take a few months of consistent practice to notice significant results from Kegel workouts.

Start small. Be consistent. Listen to your body. And remember—stronger pelvic floor muscles mean a stronger, more confident you.

Ready to Take the Next Step?

If you want personalized guidance or are experiencing pelvic floor issues, remember that many factors—such as pregnancy, childbirth, surgery, and aging—can affect pelvic floor health. Professional guidance is especially important for concerns related to a woman’s vagina. The experts at Pelvis NYC are here to help. Their specialized physical therapists offer customized pelvic floor therapy tailored to your needs.

Visit Pelvis NYC today to book a consultation and start your journey toward better pelvic health and lasting relief.

The Ultimate Kegels Workout: Strengthen Your Core

Kegels workout, also called Kegel exercises, are becoming more popular than ever—and for good reason. These simple exercises can significantly improve bladder control, sexual health, and core stability for both men and women. But what exactly are Kegels, and how do they benefit your health?

This comprehensive guide explains what a Kegels workout is, who it helps, how to do it correctly, and what kind of results you can expect.

Understanding Your Pelvic Floor Muscles

The pelvic floor muscles form a supportive sling at the base of your pelvis. These muscles support essential organs, like the bladder and bowel in everyone, and the uterus in women, and play a crucial role in bladder control, sexual function, and core stability. Just like other muscles in your body, the pelvic floor muscles can be strengthened through regular exercise.

Both men and women have a pelvic floor, though their anatomy differs slightly. Weak pelvic floor muscles can lead to issues such as urinary incontinence, reduced sexual sensation, or even pelvic organ prolapse in women. Strengthening these muscles through regular Kegels workouts can greatly improve quality of life.

What Is a Kegels Workout?

A Kegels workout targets the pelvic floor muscles—an essential group of muscles that support the bladder, bowel, and, in women, the uterus. A Kegels workout consists of kegel exercises, which are designed to strengthen these important muscles. These muscles form a sling at the base of the pelvis, playing a vital role in urinary and sexual function.

The exercises were originally developed in the 1940s by Dr. Arnold Kegel for women dealing with urinary incontinence. Today, research shows that both men and women can benefit from a consistent Kegels routine. Pelvic floor exercises, also known as Kegel exercises, are recommended for improving pelvic muscle strength and supporting overall pelvic health.

Benefits of Kegels Workout for Women

Kegels workouts help women strengthen their pelvic floor, especially after childbirth or during menopause. Consistent practice may improve bladder control, support the pelvic organs, and enhance vaginal tone, leading to stronger orgasms and improved sexual satisfaction. Kegel exercises can help women manage urinary leakage and other pelvic health issues by strengthening the pelvic floor muscles. These exercises can also reduce the risk of pelvic organ prolapse.

Benefits of Kegels Workout for Men

For men, Kegels can improve control over bladder and bowel movements, help manage symptoms of erectile dysfunction, and support recovery after prostate surgery as part of both the preparation for and recovery from prostate cancer treatment. Strengthening the pelvic floor may also help men with premature ejaculation and may help increase sexual stamina by improving muscle control.

How to Find the Right Muscles for Kegels

A Kegels workout is only effective if you’re engaging the correct muscles. Unlike squats or sit-ups, Kegels target internal muscles that aren’t as easy to spot. Here’s how to ensure you’re activating the right ones:

Avoid squeezing your stomach, thighs, or glutes—these aren’t the target.
The correct muscles should feel like a lift or a gentle squeeze inside your pelvis, and you should squeeze the muscles without using other muscle groups or holding your breath.
To identify the right muscles, try to stop your urine flow midstream—the muscles you use to stop urinating are your pelvic floor muscles.

If you’re unsure, inserting a clean finger into the vagina (for women) or lifting the scrotum slightly (for men) while tightening can help verify that you’re engaging the pelvic floor.

If you’re still having trouble, a pelvic floor physical therapist can offer expert guidance to help you learn correct technique.

How to Find Your Pelvic Floor (For Men and Women)

For Women:

One of the simplest ways to identify your pelvic floor muscles is by trying to stop your urine midstream. The muscles that contract to do this are your pelvic floor. While this test should not be done regularly (as it can interfere with bladder function), it’s a good way to locate the muscles initially. Weak pelvic floor muscles can cause urine to leak, so strengthening them is important for managing and preventing leakage.

Another method is to imagine tightening the muscles that prevent you from passing gas. That inward and upward feeling is your pelvic floor working.

For Men:

Try stopping the flow of urine while you’re in the bathroom. You’ll feel a pulling or lifting sensation near the base of your penis and scrotum—this indicates you’ve engaged your pelvic floor. It’s important to engage the correct muscles, as improper technique can increase pressure on the bladder and cause you to leak urine.

Alternatively, imagine you’re trying to avoid passing gas. The muscle contraction you feel around the anus and perineum is your pelvic floor activating.

Performing Kegels Workout: Step-by-Step Guide

Ready to start strengthening your pelvic floor muscles? Here’s a simple, step-by-step guide to performing Kegel exercises the right way:

Find the Right Muscles: The first step is to identify your pelvic floor muscles. You can do this by trying to stop your urine flow midstream or by squeezing as if you’re trying to prevent passing gas. These are the same muscles you’ll use during your Kegel exercises.
Get Comfortable: You can perform Kegel exercises while sitting, standing, or lying down—choose whatever position feels best for you.
Squeeze and Hold: Once you’ve found the right muscles, gently squeeze and tighten your pelvic floor. Hold the contraction for 5 to 10 seconds. Focus on squeezing only the pelvic muscles—avoid tightening your abdomen, thighs, or buttocks.
Relax and Repeat: After holding, relax your pelvic muscles completely for 10 to 15 seconds. This rest period is just as important as the squeeze.
Repetitions and Routine: Aim for 10 to 15 repetitions per session, and try to complete three sets a day. Practicing Kegel exercises three times a day helps strengthen the pelvic floor and improve bladder control over time.
Breathe Normally: Remember to breathe naturally throughout the exercise—don’t hold your breath.
Progress Gradually: If you’re just starting, begin with shorter holds and fewer repetitions, then gradually increase as your pelvic muscles get stronger.

By making Kegel exercises a regular part of your daily routine, you can help strengthen the pelvic floor, support your bladder and bowel, and reduce the risk of urinary incontinence. Consistency is key—stick with it, and you’ll notice improvements in your pelvic health and overall well-being.Kegels Routine by Experience Level

Beginners should start with 1 set of 10 repetitions of three-second holds, performed three times a day. This structured pelvic floor muscle training helps build strength and control over time. As strength improves, gradually increase to 15 or 20 reps per set, holding each for five to ten seconds. Advanced routines may incorporate resistance devices for added challenge. With consistent practice, you will be getting better results and benefits from your training.

Common Mistakes to Avoid

Many people unintentionally use the wrong muscles during Kegels, such as the glutes or abs. Holding your breath or rushing through reps can also reduce effectiveness. If you make these mistakes, you might not see the results you expect or could even weaken your pelvic floor over time. Consistency is key, so developing a routine and sticking to it will help you keep your pelvic floor muscles strong. If you continue to struggle, consulting a professional can help ensure you are performing the exercises correctly.

When to Expect Results

Most individuals start seeing results from regular Kegels within four to six weeks. Improvements in bladder control, pelvic support, and sexual function typically become more noticeable with daily practice over two to three months.

If you do not notice improvement after this period, ongoing care or consulting a healthcare provider may be necessary to ensure you are using the correct technique and to discuss additional options.

Tools and Devices to Enhance Your Workout

While Kegels can be performed with no equipment, some people use pelvic floor trainers or smart Kegel devices to monitor progress. These tools are especially helpful for beginners who want feedback on muscle engagement. Before starting with any devices, it is recommended to consult a healthcare provider for personalized guidance.

For women, Kegel weights or app-connected devices can improve strength and form. Some of these devices may also help manage symptoms of fecal incontinence. Men may benefit from perineometers or guided programs that focus on post-surgical recovery and erectile function.

Real-Life Outcomes

Many people report less urinary leakage, improved sexual performance, and greater core stability after incorporating Kegels into their wellness routine. For women, orgasms may feel more intense, while men often experience better stamina and control.

Final Thoughts

Kegels workouts are a powerful and underrated tool for improving pelvic health. Whether you’re recovering from childbirth, dealing with incontinence, or simply looking to enhance your sexual function, Kegels can make a big difference. They’re quick, discreet, and effective when done correctly and consistently.

Adding Kegels to your daily routine can improve your confidence, physical comfort, and quality of life, without requiring a gym membership or expensive equipment.

Not Sure If You’re Doing Kegels Right? Get Expert Help

If you’re unsure whether you’re engaging the right muscles or not seeing results from your Kegel workouts, it might be time to talk to a specialist.

Pelvis NYC is a leading pelvic health center offering expert care for men and women dealing with pelvic floor issues. Whether you’re experiencing bladder leakage, pelvic pain, or sexual health concerns, our team can help with:

Customized pelvic floor therapy
One-on-one guidance for proper Kegel technique
Treatment for pelvic floor dysfunction
Support for postpartum recovery, incontinence, or sexual health

👉 Visit Pelvis NYC to learn more and book a consultation today.

Don’t guess when it comes to your pelvic health—get expert support and start strengthening with confidence.

Do You Still Ejaculate After a Vasectomy? What You Need to Know

If you’re seriously thinking about getting a vasectomy—or just plain curious—you’ve probably Googled this exact question: Do You Still Ejaculate After a Vasectomy?

The short answer is yes. You still ejaculate. But there’s more to it than that.

Let’s break it all down, from what happens during the procedure to how it affects your sex life, sperm, and long-term health.

Introduction to Birth Control

When it comes to preventing pregnancy, there are many birth control options available for both men and women. These range from daily pills and barrier methods to long-term solutions like intrauterine devices and surgical procedures. For men seeking a reliable and permanent form of birth control, a vasectomy stands out as one of the most effective forms available.

A vasectomy procedure works by cutting or blocking the vas deferens tubes—the tiny tubes that carry sperm from the testicles to the urethra. By interrupting this pathway, sperm can no longer mix with semen during ejaculation, effectively preventing pregnancy. The rest of the ejaculate remains unchanged, as only the sperm are blocked. This makes vasectomy a popular choice for men who are certain they do not want more children or wish to avoid the risks and responsibilities of other methods.

While the procedure is straightforward and typically performed under local anesthesia, it’s important to understand both the benefits and potential risks. Like any medical procedure, a vasectomy can have side effects, and it’s essential to discuss your overall health and family planning goals with your doctor before making a decision. By learning how the vas deferens and the tubes that carry sperm are involved, you can make an informed choice about whether this effective form of birth control is right for you.

What Is a Vasectomy?

A vasectomy is a minor surgical procedure that offers a permanent form of birth control for men. It works by cutting or blocking the vas deferens—the tubes that carry sperm from the testicles to the urethra. The vas deferens is the tube that carries sperm from the testicles to the urethra, and by cutting or sealing this tube, sperm can no longer mix with your semen when you ejaculate.

A qualified surgeon, such as a urologist, typically performs the vasectomy. But here’s what often gets left out of the conversation: a vasectomy doesn’t change how your body produces semen or testosterone, nor does it affect your ability to orgasm. In fact, many men say sex feels even better afterward because the stress of an unplanned pregnancy is off the table.

Does a Vasectomy Affect Ejaculation?

One of the most common questions men ask before getting a vasectomy is, “Do You Still Ejaculate After a Vasectomy?” The good news is that a vasectomy does not negatively affect ejaculation in terms of quantity, quality, or sensation.

Here’s why:

Volume of Ejaculate: Only about 2 to 5 percent of your ejaculate is actually sperm. The majority of the fluid comes from the seminal vesicles and the prostate gland. Since a vasectomy blocks the sperm from entering the semen but does not affect these glands, the overall volume of your ejaculate remains virtually unchanged.
Sensation and Orgasm: The nerves responsible for orgasm and ejaculation are not touched or altered during a vasectomy. This means that your ability to experience pleasure and orgasm stays exactly the same. Most men report no difference in orgasm intensity or sexual satisfaction after the procedure. However, ejaculating too soon after the procedure can cause discomfort or make the area feel swollen, so it is important to wait until you have healed before resuming sexual activity.
Appearance of Semen: Your semen will look and feel the same as before. It maintains the usual texture, color, and consistency because sperm only make up a small portion of the ejaculate.
Ejaculation Frequency: Your body will continue to produce sperm, but since they can’t travel through the vas deferens, they’re naturally reabsorbed. This does not impact how often you ejaculate or your sexual function.

In summary, on “Do You Still Ejaculate After a Vasectomy”, a vasectomy does not affect the act or sensation of ejaculation, only the presence of sperm in the semen. For many men, this is a relief because they can maintain their normal sexual routine with the added benefit of permanent contraception. During the first few ejaculations after a vasectomy, some men may experience mild discomfort, but this usually resolves quickly.

Do You Still Ejaculate After a Vasectomy?

Yes, you do. Most men notice no change in the amount, look, or feel of their semen. That’s because only a small fraction of semen—about 2 to 5 percent—is made up of sperm. The rest comes from fluids produced by the seminal vesicles and the prostate gland, which remain completely unaffected by the procedure.

So when you ejaculate after a vasectomy, the fluid looks and feels the same. The only difference is that it will no longer carry sperm.

What Happens to the Sperm?

After a vasectomy, your testicles still produce sperm just like before. But because the pathway is blocked, the sperm are absorbed by your body. The body absorbs these sperm cells naturally, breaking them down and recycling their components as part of the normal healing and reproductive process. The testicle continues to produce sperm even after the vasectomy, but since they cannot travel through the vas deferens, they are simply reabsorbed.

This doesn’t cause any pain or swelling in most men. It’s simply part of how your body maintains balance.

What to Expect From the Vasectomy Procedure

The vasectomy procedure itself is a quick and relatively painless outpatient procedure, often performed in a doctor’s office. It usually takes 15 to 30 minutes and is done under local anesthesia in a clinic or outpatient setting. Vasectomy is considered a quick procedure, typically completed in under an hour.

There are two main methods of this minor surgery:

Traditional vasectomy – A small incision is made in the scrotum to access and cut the vas deferens.
No-scalpel vasectomy – A tiny puncture is made in the skin, reducing recovery time and the risk of complications.

After the tubes are sealed or clipped, the incision is closed, often without the need for stitches.

How Long Until You’re Actually Sterile?

Many men are surprised to learn that they’re not sterile immediately after a vasectomy. It can take a few weeks to several months for all sperm to clear from the reproductive tract.

In the days after a vasectomy, patients should avoid sexual activity until cleared by their doctor.

That’s why doctors recommend waiting about 8 to 12 weeks and having at least 20 ejaculations before doing a semen analysis. This test checks to make sure your semen is sperm free.

Until then, you should continue using additional contraception until a semen analysis confirms the semen is sperm free.

The Role of the Semen Analysis

A post-vasectomy semen analysis is a critical step. It’s not enough to assume the procedure worked—you need proof.

During the test, you’ll provide a semen sample that’s examined under a microscope to detect any remaining sperm. A successful vasectomy is confirmed when the semen analysis shows no sperm present. If the sample is clear, you’re considered sterile. If sperm are still present, you’ll need to wait and test again.

Skipping this step is risky. There have been rare cases of unplanned pregnancies because men assumed they were infertile too soon.

Does a Vasectomy Affect Your Sex Life or Sex Drive?

Now that we have already answered the question “Do You Still Ejaculate After a Vasectomy?”, most people notice no difference in their sex drive or sexual satisfaction after a vasectomy. People worry about changes to their sex life, but these concerns are usually unfounded.

This is one of the biggest concerns men have—and the answer is reassuring.

Your sex drive stays the same. Your body still produces testosterone, which regulates libido, energy, and muscle mass. The procedure doesn’t interfere with your hormones or your ability to get and maintain an erection.

As for your sex life, many men report improvements. With no fear of pregnancy, intimacy can feel more relaxed and spontaneous. Orgasms remain just as strong, and ejaculation feels the same.

Common Concerns Men Have Before the Procedure

Let’s clear up some of the myths and fears around vasectomy:

1. Will it hurt? You may feel a slight pinch or tug during the procedure, but the pain is minimal. Most men say recovery feels like mild soreness or bruising.

2. Is it permanent? Yes, vasectomies should be considered permanent. While vasectomy reversal is possible, it is a more complex and costly procedure and is not always successful. Compared to tubal ligation, which is the permanent birth control option for women, vasectomy is less invasive and generally has a quicker recovery.

3. Will people be able to tell? Not at all. There’s no visible difference in how you look or perform sexually.

4. Does it increase the risk of cancer or disease? No credible evidence supports a link between vasectomy and serious health issues like prostate cancer or heart disease.

For more information about vasectomy, recovery, and sexual health, the Urology Care Foundation provides reliable guidance and patient education.

What’s the Recovery Time?

Recovery is usually quick. Most men are back to work in two to three days and can resume sexual activity within a week, depending on how they feel.

Before surgery, you may be asked to trim or shave the genital area. Use a disposable razor and avoid using an electric razor or hair removal products, as these can increase the risk of irritation or infection.

Tips for smooth recovery:

Apply ice packs for the first 24 hours
Avoid heavy lifting or vigorous activity for a few days
Wear supportive underwear to reduce discomfort
Take over-the-counter pain medication if needed
Keep the genital area clean and dry to prevent infection

While complications are rare, contact your doctor if you experience severe pain, swelling, or signs of infection in the genital area.

Vasectomy is highly effective, with a long-term success rate of over 99% as a form of birth control.

Are There Any Risks?

Vasectomy is one of the safest surgical procedures available. But like any medical intervention, there are potential side effects:

Minor bruising or swelling – Common and temporary
Sperm granuloma – A small lump that forms when sperm leaking from the cut end of the vas deferens enters the surrounding tissue; usually resolves on its own
Post-vasectomy pain syndrome (PVPS) – A rare condition affecting 1 to 2 percent of men, involving chronic testicular pain

These are not the norm, but they’re important to be aware of so you can make an informed decision.

Additional Considerations

After undergoing a vasectomy, there are a few important factors to keep in mind to ensure a smooth recovery and maintain your overall health. One potential risk is post-vasectomy pain syndrome, a rare but persistent pain in the testicles that can develop after the procedure. This discomfort may be caused by inflammation, infection, or a sperm granuloma—a small lump that can form if sperm leak from the cut end of the vas deferens. While these complications are uncommon, it’s crucial to follow your doctor’s post-procedure instructions and attend all recommended follow-up appointments to catch any issues early.

Another consideration is your sex life. Most men find that their sexual performance and satisfaction remain unchanged after a vasectomy, and some even report improvements due to reduced anxiety about unintended pregnancy. However, it’s normal to have concerns about how the procedure might affect your sexual activity. If you experience any persistent pain or changes in sexual function, don’t hesitate to reach out to your healthcare provider for support.

It’s also important to remember that while vasectomy is a highly effective form of birth control, it does not protect against sexually transmitted infections (STIs). If you or your partner is at risk for STIs, using condoms or other forms of protection is still necessary to safeguard your sexual health.

In summary, vasectomy is a safe and effective way to prevent pregnancy, but it’s essential to weigh the potential risks and benefits, stay informed about possible complications, and continue practicing safe sex to protect against other forms of infection.

Final Thoughts: Do You Still Ejaculate After a Vasectomy- What Every Man Needs to Know

If you’re considering a vasectomy, it’s natural to have questions and concerns. The good news is that it’s a safe, effective, and straightforward option for long-term birth control.

You’ll still ejaculate. Your sex life won’t suffer. Your hormones won’t change. The biggest difference is peace of mind.

And in the end, that can mean a more confident, enjoyable sex life—for you and your partner.

Still Feeling Discomfort After Your Vasectomy?

While most men recover quickly, a small percentage experience lingering discomfort or chronic pain after the procedure. If that sounds like you, knowing that help is available is important.

Pelvis NYC specializes in diagnosing and treating post-vasectomy pain, including conditions like:

Post-Vasectomy Pain Syndrome (PVPS)
Sperm granulomas
Nerve sensitivity
Pelvic floor dysfunction

Their team of experts uses a combination of advanced diagnostics, pelvic floor therapy, and targeted pain management to help men fully recover and regain quality of life.

Do You Still Ejaculate After a Vasectomy? What Every Man Needs to Know

👉 Visit Pelvis NYC to learn more about post-vasectomy discomfort and personalized treatment options.

Don’t ignore persistent pain, especially when effective, research-backed solutions are available. A quick consultation could be the first step toward lasting relief.

Orthopedic Therapy: How to Heal, Recover & Improve Performance

Introduction: Let’s Talk About Orthopedic Therapy

At Pelvis NYC, we know how deeply joint pain and muscle tension can affect your day-to-day life. That’s why we offer comprehensive orthopedic physical therapy for men and women of all ages, treating everything from sports injuries and chronic back pain to post-surgical rehab and long-standing musculoskeletal issues.

But we don’t just treat isolated symptoms — our approach focuses on helping you move better, feel stronger, and return to the activities you love. Through personalized care and functional movement strategies, our mission is to guide you toward long-term relief, improved performance, and a more resilient, pain-free body.

What Is Orthopedic Physical Therapy?

Orthopedic physical therapy focuses on the musculoskeletal system—the intricate network of bones, muscles, joints, tendons, and ligaments that keep you moving. Our goal is to:

Restore strength and flexibility
Reduce pain and inflammation
Improve mobility and function
Prevent future injuries

One of the primary aims of orthopedic therapy is to relieve pain and improve quality of life.

Whether you’re dealing with a sports injury, recovering from surgery, or managing chronic conditions like arthritis, orthopedic therapy offers personalized strategies to get you back on track.

What Does an Orthopedic Physical Therapist Do?

As an orthopedic physical therapist, my role involves:

Conducting comprehensive assessments to diagnose and identify movement dysfunctions
Developing personalized treatment plans tailored to your specific needs
Implementing hands-on techniques like manual therapy and dry needling
Guiding you through therapeutic exercises to rebuild strength and mobility
Collaborating with orthopedic doctors to ensure cohesive care

Our partnership is all about empowering you to take control of your recovery.

Reasons to See an Orthopedic Physical Therapist

You might consider seeing an orthopedic PT if you’re experiencing:

Chronic joint or muscle pain
Post-operative recovery needs (e.g., joint replacements, rotator cuff repairs)
Acute injuries like sprains, strains, or dislocations
Overuse injuries from repetitive motions
Mobility issues due to aging or inactivity
Low back pain impacting daily activities

Early intervention can prevent minor issues from becoming major setbacks.

Understanding the Musculoskeletal System

Your musculoskeletal system is the foundation of every movement you make. Here’s a quick breakdown:

Component	Function
Bones	Provide structure, protect internal organs, and are crucial for overall bone health in orthopedic treatments
Muscles	Facilitate movement through contraction
Tendons	Connect muscles to bones
Ligaments	Connect bones and stabilize joints
Joints	Allow mobility and flexibility
Cartilage	Cushions joints to reduce friction
Connective Tissue	Supports and connects other tissues and organs

When any part of this system is compromised—due to injury, overuse, or aging—orthopedic therapy can help restore balance and function.

Conditions Treated by Orthopedic Therapy

Orthopedic physical therapy is a versatile and effective approach to treating a wide range of musculoskeletal conditions. Whether you’re dealing with joint pain, knee pain, carpal tunnel syndrome, or an ankle fracture, orthopedic physical therapists are equipped to help you find relief and regain function.

Conditions We Treat at Pelvis NYC

We believe effective recovery begins with an accurate understanding of your condition. Our orthopedic physical therapy team combines clinical expertise with personalized care to treat a diverse range of joint and musculoskeletal disorders. Whether you’re navigating a recent injury or managing a long-standing issue, we’re here to help you restore movement, reduce pain, and return to doing what you love.

Common Orthopedic Conditions We Specialize In:

Osteoarthritis
Degenerative joint changes that lead to pain, stiffness, and decreased mobility.
Sports-Related Injuries
From sprains and strains to overuse injuries, we help athletes of all levels recover safely.
Shoulder Dysfunction
Including rotator cuff tears, frozen shoulder, impingement syndrome, and instability.
Foot & Ankle Disorders
Conditions such as plantar fasciitis, Achilles tendonitis, and ankle sprains.
Spinal Pain (Neck & Low Back)
Treatment for disc issues, postural strain, and chronic spinal pain.
Chronic Pain Syndromes
Long-term pain conditions managed through manual therapy, movement re-education, and pain science education.
Elbow & Wrist Conditions
Issues like tennis elbow, golfer’s elbow, carpal tunnel syndrome, and repetitive strain injuries.
Hip & Knee Dysfunction
Common conditions include labral tears, patellofemoral syndrome, IT band syndrome, and arthritis-related stiffness.
Post-Operative Rehabilitation
Recovery support after surgeries such as total joint replacements, ACL repair, and spinal surgery.
Inflammatory Joint Conditions (e.g., Rheumatoid Arthritis)
Managing pain, preserving joint mobility, and maintaining function with tailored programs.

Orthopedic Doctors: Your Partners in Musculoskeletal Health

Orthopedic doctors specialize in diagnosing and treating conditions related to the musculoskeletal system. They can:

Perform diagnostic imaging (X-rays, MRIs)
Prescribe medications for pain or inflammation
Administer injections (e.g., corticosteroids)
Recommend physical therapy
Perform surgeries when necessary, an orthopedic surgeon can address fractures, arthritis, and sports injuries

Collaborating with orthopedic doctors ensures a comprehensive approach to your care.

What to Expect at Orthopedic Physical Therapy

Your first visit typically includes:

Initial Evaluation: Reviewing your medical history, assessing your symptoms, and conducting physical assessments
Treatment Plan: Setting personalized goals for pain relief and improved function
Manual Therapy: Hands-on techniques to reduce stiffness and enhance mobility
Guided Exercises: Strength, coordination, and flexibility drills
Education: Guidance on ergonomics, home exercises, and lifestyle adjustments

Consistency is key—most patients attend sessions 1–3 times per week for 4–12 weeks, depending on their condition.

Orthopedic Therapy for Different Types of Recovery

🛠️ Post-Surgical Rehabilitation

Essential after procedures like:

Joint replacements (hip, knee, shoulder)
Spinal surgeries
ACL reconstructions
Rotator cuff repairs

Goals include regaining motion, minimizing scar tissue, and rebuilding strength. Orthopedic doctors often recommend surgery for severe conditions, but they typically explore non-surgical alternatives first.

Rehabilitation After Acute Injury

For injuries like sprains, strains, or fractures, therapy helps:

Reduce swelling and pain
Prevent re-injury
Rebuild joint stability and proprioception

Early intervention shortens downtime and prevents complications.

Rehabilitation After Chronic Injury

For conditions like tendonitis, bursitis, or arthritis, therapy provides:

Joint protection techniques
Muscle balancing
Postural correction
Long-term pain management strategies

Orthopedic Sports Medicine

Orthopedic sports medicine is a specialized field within orthopedic surgery that focuses on the diagnosis, treatment, and prevention of sports-related injuries. Whether you’re a professional athlete or someone who enjoys staying active, orthopedic sports medicine specialists are dedicated to helping you maintain your physical health and performance.

What Types of Treatments Are Used in Orthopedic Therapy?

Orthopedic PT employs various evidence-based interventions:

Treatment Modality	Purpose
Manual Therapy	Mobilizes joints and massages soft tissues
Dry Needling	Targets muscle knots to reduce pain
Therapeutic Exercise	Builds strength, flexibility, and endurance
Electrical Stimulation (TENS)	Controls pain and stimulates muscles
Kinesiology Taping	Supports injured areas without restricting motion
Ultrasound Therapy	Accelerates tissue healing

These treatments are tailored to your specific needs and recovery goals. Effective orthopedic practice involves a combination of surgical and nonsurgical methods, emphasizing the importance of practical experience in treating musculoskeletal issues.

E-stim and Other Modalities

In orthopedic physical therapy, various modalities are used to enhance the healing process and improve patient outcomes. One such modality is electrical stimulation, commonly known as e-stim.

Prevention and Maintenance

Preventing future injuries is just as important as treating current ones. Strategies include:

Regular physical activity to maintain strength and flexibility
Proper ergonomics at work and home
Education on body mechanics and injury prevention techniques
Use of supportive devices like braces when necessary

A proactive approach ensures long-term musculoskeletal health.

Spotlight: Pelvis NYC – Specialized Orthopedic Care

Located in the heart of New York City, Pelvis NYC offers comprehensive orthopedic therapy with a unique focus on pelvic health. Orthopedic therapy is provided in various settings, including outpatient clinics, hospitals, and sports facilities, making it accessible to a wide range of patients.

Why Choose Pelvis NYC for Orthopedic Therapy

Orthopedic Physical Therapy for All- Pelvis NYC

Why Choose Pelvis NYC for Orthopedic Therapy?

Specializing in complex pelvic and spine conditions
Trusted by athletes, postnatal patients, and chronic pain sufferers
Offers comprehensive orthopedic evaluations and movement screens
Combines physical therapy with clinical Pilates and pelvic floor therapy
A highly skilled team of orthopedic physical therapists providing comprehensive care
Orthopedic PTs are board-certified, ensuring high standards and proficiency

Pelvis NYC integrates manual therapy, corrective exercise, and patient education to provide personalized care.

🔗 Learn more: www.pelvis.nyc

💡 Final Thoughts

Orthopedic therapy isn’t just about recovering from injuries—it’s about empowering you to live a pain-free, active life and engage fully in your daily life activities. Whether you’re dealing with a recent injury, recovering from surgery, or managing a chronic condition, working with a skilled orthopedic physical therapist can make all the difference.

Remember, your journey to recovery is a partnership. Stay committed, communicate openly, and together, we’ll achieve your health and mobility goals.

Ready to take the next step? Reach out to www.pelvis.nyc to start your journey toward better movement and a healthier life.