What is Erectile Dysfunction?

Erectile Dysfunction (ED), also known as impotence, refers to the inability to achieve or sustain an erection adequate for sexual intercourse. It is the most commonly reported sexual health issue amongst men, affecting up to two-thirds of men over the age of 45. If left untreated, ED can significantly impact a man’s physical health, psychological well-being, and overall quality of life. Seeking professional medical intervention is crucial for effective management and treatment.

What is Male Pelvic Floor?

The male pelvic floor is a network of muscles, ligaments, and connective tissues located at the base of the pelvis, providing support to the bladder, rectum, and prostate. These structures play a critical role in regulating functions such as urination, bowel movements, and sexual activity, by ensuring stability and strength in the pelvic region.

The pelvic floor muscles are essential for maintaining continence, supporting sexual function, and contributing to posture and core stability. In men, weakness or dysfunction of these muscles can result in conditions such as urinary incontinence, erectile dysfunction, or pelvic pain.

How Pelvic Floor Physiotherapy can help with Erectile Dysfunction:

Male pelvic floor dysfunction has been linked to erectile dysfunction (ED), as well as issues with ejaculation and orgasm. Pelvic floor muscle retraining has been shown to enhance penile rigidity and hardness in men with ED, thereby facilitating vaginal penetration during intercourse. A randomized controlled study (Dorey, G. et al., 2004) demonstrated that, at the 3- and 6-month marks, men who engaged in pelvic floor muscle exercises and biofeedback experienced a significant improvement in erectile function.

A physiotherapist can assist in managing and treating erectile dysfunction (ED) through a variety of approaches:

1. Pelvic Floor Muscle Training: Strengthening and/or retraining the muscles to support erectile function.
2. Biofeedback: Teaching patients to control pelvic floor muscles to enhance sexual performance.
3. Manual Therapy: Addressing muscle tightness or dysfunction in the pelvic region, lower back, and hips to improve circulation and mobility.
4. Exercise and Lifestyle Guidance: Offering advice to improve cardiovascular health and reduce stress.
5. Education and Psychological Support: Addressing both the physical and emotional factors contributing to ED.

Are you experiencing ED or uncertain if pelvic floor physiotherapy is right for you? Our Women’s Health Physiotherapist Amy Humphreys is here to help. Contact us today at (02) 9709 2803 or book your consultation online. We’re dedicated to providing expert care tailored to your needs.