Premature Ejaculation: What Your Pelvic Floor Has to Do With It
Premature ejaculation (PE) is one of the most common sexual concerns in men. Defined as ejaculation that happens sooner than desired ,either before or shortly after penetration, it can cause frustration, stress, and impact relationships.
While many men think it’s “just in their head,” research shows the pelvic floor plays a key role in ejaculation control. That means pelvic floor physiotherapy can be part of the solution.
Education Pelvic Floor
Why the Pelvic Floor Matters in Ejaculation
The pelvic floor muscles surround the base of the penis, bladder, and rectum. During ejaculation, they contract rhythmically to push semen out.
If these muscles are:
Overactive / too tight → they may trigger ejaculation too early.
Weak or poorly coordinated → they may lack control, leading to reduced ability to delay ejaculation.
👉 In short: the pelvic floor needs the right balance of strength and relaxation.
What the Evidence Says
Studies show men with PE often have hypertonic (too tight) pelvic floor muscles.
Pelvic floor muscle training and biofeedback have been shown to improve ejaculation control in some cases.
Relaxation training and breathing strategies can reduce muscle overactivity and nervous system arousal.
How Physiotherapy Can Help
A men’s pelvic health physiotherapist can:
Assess pelvic floor muscle tone (internally if you consent, or externally with ultrasound).
Teach awareness and relaxation techniques for overactive muscles.
Guide strength and coordination training to improve control.
Use biofeedback so you can see and feel what your muscles are doing in real time.
Teach breathing and pacing strategies to manage arousal and delay ejaculation.
Other Helpful Strategies
Behavioural techniques like the “stop-start” or “squeeze” method.
Mind-body approaches (mindfulness, stress reduction).
Medical support: in some cases, doctors prescribe topical anaesthetics or medication to reduce sensitivity.
Premature ejaculation is common and it’s not just psychological. The pelvic floor is central to ejaculation control, and with the right physiotherapy, many men see improvements. By addressing both muscle balance and nervous system regulation, recovery is possible.
✨ Struggling with premature ejaculation? Book a confidential session with our men’s pelvic health physiotherapists at Renard Clinic to explore safe, evidence-based strategies.
