Pelvic Floor Exercises for Erectile Dysfunction: Steps to Regain Confidence

Erectile dysfunction (ED) affects up to 50 million men in the United States alone, impacting both physical and emotional well-being. (1) While medications like Viagra and Cialis are common treatments, pelvic floor exercises offer a scientifically proven, drug-free alternative that addresses the root muscular causes of ED. This comprehensive guide provides step-by-step instructions for how to perform male kegel exercises to strengthen the exact muscles that control erection quality and sexual performance.

 

Why Your Pelvic Floor Matters

Before starting pelvic exercises, it’s important to understand the physiological connection between your pelvic floor and erectile function. These often-overlooked muscles play a fundamental role in erections, ejaculation control, and urinary function.

The Anatomy of the Pelvic Floor

Your pelvic floor consists of several key muscles, including the bulbocavernosus, ischiocavernosus, and pubococcygeus (PC) muscles. These form a hammock-like structure supporting your pelvic organs and play critical roles in sexual function:

• Bulbocavernosus: The bulbocavernosus muscle wraps around the base of the penis and helps pump blood during erection and ejaculation.
• Ischiocavernosus: The ischiocavernosus muscle compresses veins to maintain rigidity during erection.
• PC Muscle: The PC muscle provides male pelvic anatomy support and contributes to erectile control.

These muscles work together to direct and maintain blood flow to the penis, which is essential for achieving and sustaining erections. When these muscles weaken due to aging, inactivity, or other factors, erectile function can decline.

 

3 Benefits of Pelvic Muscle Strength to Sexual Performance

Strong, responsive pelvic floor muscles directly translate to improved sexual function in several ways, such as enhancing the firmness of erections by trapping blood within the penis, contributing to improved sexual stamina and ejaculatory control, and intensifying orgasms through stronger connections.

Men with stronger pelvic muscles typically report better erection quality and more satisfying sexual experiences. These muscles essentially form the foundation upon which healthy erectile function is built.

 

4 Essential Pelvic Floor Exercises for Erectile Dysfunction

When the pubococcygeus weakens, it is unable to prevent blood from flowing out of the erect penis, leading to ED. (2) Pelvic exercises like these will strengthen and improve the tone of the pubococcygeus, leading to better erections.

Lying on Your Back

How to Perform: Lie down with knees bent, feet flat on the floor, and arms by your sides. Exhale and squeeze the pelvic floor muscles for a count of three. Inhale and release for a count of three.

Frequency: 10 times per set, 3-5 sets per day.

Sitting in a Chair

How to Perform: Find a comfortable position while sitting in a chair. Squeeze your penis with

just its muscles as if you are stopping urine from coming out, hold for five seconds, then release.

Frequency: 8-10 times per set, 3 sets per day.

Standing Up Straight

How to Perform: Stand straight with your arms by your sides and your feet hip-width apart. Activate the pelvic floor muscles for a count of three and release for a count of three.

Frequency: 10 times per set, 3-5 sets per day.

Functionally Integrated Kegels
How to Perform: Incorporate pelvic floor contractions into other activities like walking or lightweight exercise, contracting your pelvic muscles while performing these tasks.

Frequency: During routine activities, 3-5 times per week.

 

Clinical Evidence: How Pelvic Floor Exercises Improve Erectile Function

Pelvic floor exercises truly make a difference, and the evidence proves it. Several studies have shown that these exercises can provide natural benefits to men suffering from ED when performed consistently.

Study Spotlights

According to a study, 40% of men regained typical erectile function, while 35.5% saw improved function after six months of pelvic floor exercises. (3) Only 24.5% of patients failed to show any improvement.

Another study examined 270 men with erectile dysfunction and found that men with ED tended to show lower pelvic floor muscle maximal strength, which can be improved with regular pelvic floor exercises. (4)

Why Pelvic Floor Exercises Stand Out

Pelvic floor exercises are a natural way to improve ED without pharmaceutical side effects, which could include headaches, flushing, or vision changes.

These exercises also put less strain on your wallet, as they are completely free and easy to do at home. Pelvic floor exercises also work to address the root physical cause of ED, which is a more long-lasting solution than medication taken each time you want to have an erection.

Another benefit of pelvic floor exercises is that they are complementary to other treatments, meaning they can enhance the effectiveness of medications when needed.

 

ED Recovery Timeline: What to Expect Week by Week

Improving erectile function through pelvic floor training is a gradual process that requires patience and consistent effort. While it can be frustrating not to see immediate, dramatic results, sticking with these exercises and performing them consistently is critical for your chances of seeing improvement over time.

Understanding the Typical Timeline

For most men, the timeline for ED improvement follows this general timeline when performing consistent pelvic floor exercises:

• Weeks 1-2: Increased awareness of pelvic floor muscles; subtle improvements in control.
• Weeks 3-4: Noticeable improvements in muscle endurance and strength.
• Weeks 6-8: Initial improvements in erection quality and duration for many men.
• Weeks 8-12: More significant and consistent improvements in erectile function.
• Beyond 12 weeks: Continued refinement and maintenance of gains.

Remember that pelvic floor milestones vary between individuals based on age, fitness level, ED severity, and consistency of practice. Rather than focusing solely on erection quality, try tracking multiple indicators of progress, such as muscle control, endurance, and general pelvic awareness.

Building Momentum Through Consistency

When starting pelvic floor exercises, start with manageable goals —even five minutes of exercise, three times daily can lead to significant improvement. To help you stay on top of your workouts, track your progress in a journal or on a mobile app.

Establishing triggers for exercise (such as when brushing your teeth or commuting) is a great way to build consistent habits that will help you reach your goals. Remember that gradual, sustainable progress delivers more lasting benefits than sporadic intense sessions.

 

Complimentary Strategies to Enhance Erection Strength

While pelvic floor exercises form a cornerstone of natural ED improvement, they work best as part of a comprehensive approach to sexual health. Other factors like nutrition and circulation, cardiovascular and resistance training, and sleep and stress management can also play a key role in enhancing your erection strength.

Nutrition and Circulation

Certain foods, beverages, and substances can help manage ED. (5) These include:

• Pomegranate juice
• L-arginine (found in protein-rich foods like red meat and poultry)
• Watermelon
• Ginseng
• Zinc
• Dark Chocolate
• Oysters
• Maca Root

Circulation is also key for erectile function. Stay well-hydrated for optimal muscle function and blood volume. Limit alcohol intake, which can undermine pelvic floor nutrition benefits and impair sexual function.

Cardiovascular and Resistance Training

Regular cardiovascular and resistance training is also a recommended way to reduce erectile-related issues. Regular cardio workouts (30+ minutes, 3-5 times weekly) improve endothelial function and blood vessel health. While strength training can help boost testosterone, hip and core exercises can strengthen the pelvic region.

Sleep and Stress Management

Chronic stress triggers hormones that constrict blood vessels and reduce sexual desire. Implement stress-free sex strategies like mindfulness or meditation to improve ED.

Proper sleep is also important, as 7-8 hours per night of quality sleep can help with optimal hormonal balance. Consider mental wellness support through therapy if anxiety of relationship concerns are contributing to erectile issues.

 

Avoiding Pitfalls: Common Mistakes with Pelvic Floor Training

Even with the best intentions, men often encounter challenges that can diminish the effectiveness of pelvic floor training. When working on pelvic floor exercises, try to be aware of muscle strains such as pelvic aches or frequent urination, as they could be a sign that you need to adjust your pelvic exercise routine.

Overdoing It or Doing It Incorrectly

Watch for these common Kegel mistakes when working out your pelvic floor:

• Performing exercises with improper form (contracting abdominals, glutes, or thigh muscles).
• Exercising too frequently without adequate recovery time.
• Holding contractions too long, leading to pelvic floor strain.
• Inconsistent practice followed by overcompensation with excessive exercise.
• Not fully relaxing between contractions, causing PC muscle fatigue.

When It’s More Than Weak Muscles

While pelvic floor exercises benefit many men, they might not resolve all cases of ED, especially for those with underlying medical causes. Consult a specialist if you experience sudden onset ED or complete inability to achieve erections.

Medical erectile dysfunction can be caused by issues such as cardiovascular disease, diabetes, or hormonal imbalances, and may require comprehensive treatment approaches. Certain medications can also cause ED as a side effect.

Psychological factors that may cause ED sometimes require therapeutic interventions, alongside physical exercise and proper nutrition Pelvic floor training works best when incorporated into appropriate care for your specific situation.

 

Sustainable Pelvic Floor Routines

Success with pelvic floor strengthening comes from integrating exercises into your lifestyle in a way that you can maintain long-term. Develop a routine that works for you and fits into your schedule. Additionally, ensure you’re combining pelvic floor exercises with a balanced, healthy lifestyle.

Here’s a sample weekly pelvic floor plan to consider:

• Monday, Wednesday, Friday: 3 sets of 10 basic contractions (morning, afternoon, evening).
• Tuesday, Thursday: 2 sets of longer holds (8-10 seconds each) plus quick flicks.
• Saturday: 1 light session of basic contractions.
• Sunday: Rest day for recovery.

This is just one example of a weekly workout plan. Adjust it based on your progress, lifestyle, and personal and professional schedule. The key is to create a Kegel schedule that you’ll incorporate into your daily routine, to improve ED over the long-term.

 

Elevating Sexual Health Through Targeted Training

Pelvic floor exercises represent one of the best ways to address erectile dysfunction. By strengthening the very muscles that support erectile function, you’re taking direct action to improve your sexual health naturally.

Remember that meaningful results typically emerge from consistent practice over weeks and months, not days. The gradual improvements you’ll experience—stronger erections, better control, increased confidence—build upon each other to enhance your overall sexual experience.

Ready to take action? Commit to a 6-8 week Kegel challenge, starting today with just three 5-minute sessions. Document your progress, celebrate small improvements, and consider sharing your journey with a healthcare provider who can offer personalized guidance. Your path to stronger, more reliable erections begins with the first contraction.

References

1. Definition & Facts for Erectile Dysfunction
2. Do erectile dysfunction exercises help?
3. Pelvic floor exercises for erectile dysfunction
4. A prospectively collected observational study of pelvic floor muscle strength and erectile function using a novel personalized extracorporeal perineometer
5. Foods to Help Erectile Dysfunction