Get Hard Fast: Train These Forgotten Muscles
11 Nov 2025 · 0 min
Dr. Anne Truong explains how pelvic floor muscles control erections and orgasm, then teaches Kegels: 10 reps three times daily. Studies show 75% improvement rates, with some men regaining normal function in six months and morning erections returning within a month.
Questions this episode answers
Ischiocavernosus and bulbocavernosus (bulbospongiosus).
A landmark 2024 non-human-primate study (as stated in the episode).
A 75% improvement rate (as stated in the episode).
About 40% (as stated in the episode).
Hold contractions for ~4 seconds, 10 repetitions per set, three times per day (progress from lying → sitting → standing).
This podcast is for you. The modern man. I'm Dr. Anne Truong, your host. I'm an intimate health medical doctor and best selling author of the book Erectile Dysfunction Fix. I'll do a deep dive into sexual health and performance and how it affects men of all ages and backgrounds. So let's get started and be sure to visit my website@sexualhealthformenpodcast.com for more information and resources from the show. See you on the inside.
Foreign hello there, modern man. What is the number one muscle that you need to exercise, that you never exercise? Stay tuned to this episode all the way to the end. I'm going to tell you exactly what it is and how to exercise it, because it will blow your mind that you don't even know this muscle exists in your body, but yet it is very important for your erection. So stay tuned to the end. Now, based upon my research, the number one muscle that is not your bicep, not your tricep, not your pecs, not your lats or anything, those are just muscles that make your body look better. But for your erection, the number one muscle you need to be paying attention to are the pelvic muscle. These are the muscle, this is the ischial cavernosus. It starts from your sitting bone, these are the sitting bones that you're sitting on. And it attaches to the base of your penis. And then the bulbo spongiosum, which is these muscles that starts on the base of your penis and wraps around like this. These two little muscles, they're small, but they're mighty. And they're responsible for erection, ejaculation and orgasm. They're small, they're mighty. But let me ask you this, when's the last time you exercise it? Do you even know it exists? 99% of the men that I see in my office don't even know they need to do this exercise in order for them to get better erection. In fact, the studies have shown that, that these muscle can really improve erection. Now, the ischiocavernosis, this one right here, this little right that goes from the base up like that, what it does is that it compresses penile crawl against the pubic symphysis. So it effectively acts as like a tourniquet or a constriction ring that keep the blood in the the corpus cavernosum, which is the penile muscle right here. Now, it has two critical functions. One is that it prevent blood from leaving the penis by compressing the vein that would normally drain the blood away from the penis. And then it also increases pressure. It increases the pressure I lost one of the testicles. Increases the pressure in the corpus cavernosum. So, so that way it compresses the vein. So research demonstrate that voluntary contraction, the ischiocarbonosis muscle, correlate directly with changes in the pressure the penis. What does that translate into? That it is essential for that muscle to create a rigid erection capable of penetration. Now, multiple studies confirmed that the ischiocavinosus muscle is the key muscle in achieving full penile rigidity. This was done in a landmark study in 2024 non human primate. But it does show that this muscle is key to achieving rigidity. And that also EMG study or a study that looked at muscle activity shows that ischiocavinosis muscle contraction occur with increased pressure in the penis. And that the muscle contraction force can be calculated with accuracy based on pressure that it generates. The main point is that it is powerful these muscle here powerful to keep the blood in the penis. It is powerful to keep penis rigid for penetration. The next one is the bulbocavernosus muscle, or sometimes people would say bulbospongiosis as well. It goes by both. These are the muscles right here. And it complement the ischiocavenosis muscle, also known as pelvic muscle. What it is is that it surrounds the penile bulb and also the corpus spongiosum. The corpus spongiosum is the muscle that wraps around the urethra where you urinate. So what it does is it prevents the blood from escaping the penis by compressing the the vein of the penis, which right here. It also acts as a pump during ejaculation and also help maintain erection. Studies have shown that strengthening the bulbocabinosus muscle, this one right here, or the bulbo spongiosis muscle, the same thing through pelvic floor exercises will lead to 75% improvement rate in men with ED. So weakness of both of these muscle, the ischiocavenosus and the bulbocavernosus muscle, can actually exacerbate or contribute to your ed. So when this muscle fail to contract adequately, blood cannot be trapped in the penis, leading to insufficient rigidity for sexual intercourse. So therefore, Kegel or pelvic floor muscle training targeting the two muscles is suggested. It's really the number one exercise that you should be doing even before your bicep, your tricep muscle or your deltoid muscle. If you don't exercise these muscle, then you're not going to have a good erection. So not only is applicable for men with ed. But it's also important, if you don't have ed, then you maintain your erection rigidity. And for men with ed, this is the way for you to restore your erection again. So in clinical studies, 40% of men regain normal erectile function after six months of Kegel exercises. And that you can retain dysfunction even for long term. How do you do these muscle? Well, because of the location of the muscle. Let me move the testicle out of the way. This one goes up and this one wraps on the base. So when you contract the muscle, the you want to make sure that you're relaxing your buttock muscle, relaxing the inner thigh, relaxing your abdominal muscle. What I see in my patient when I'm showing them how to do the Kegel exercise is that they tighten up their buttock, tighten up their muscle, and then like, you don't have to do that. You should be doing this fully relaxed, lying on the floor or lying on the sofa, lying on the bed. And just, just concentrate on identifying the muscle that stop your urination midstream. Let's say when you're going to urinate, if you're going to stop your urination, that the muscle that you want to concentrate on only don't contract the buttock, don't contract the legs, and don't contract the abdominal muscle. Because when you do that, you're really doing Pigo wrong. 99% of men do it wrong. Even I did it wrong too. I thought I knew how to do it, and then I went to see a pelvic floor therapist and find out that I was contracting too many muscles as well. So for women, what they find is that if your pelvic muscles are weak, they'll find that they have frequent urination and when they cough, they lose a little bit of urine. For men, you don't see that. For men, it really shows up more as erection or decreased volume or force, as well as decreased orgasmic muscle contraction. So how do you do this exercise? And you identify the muscle by stopping the urination midstream. And when you actually contract the muscle, you will actually see that the penis will kind of go back in towards your pubic symphysis muscle. So it kind of like retracts in a little bit. It kind of comes up, come inside a little bit. You will see it. That's when you know you're doing it right. But you got to make sure you relax the other muscles. Okay. You want to contract and try to hold it for about 4 seconds. Try to hold for 4 seconds, but don't Try to hold your breath while you're doing that. And then you want to do a set of 10. And your goal is to hold it for about four seconds. Oftentimes, don't be surprised, you can't because your muscle is weak. And so you work your way up. Even if you hold it for one second, you work your way up. What you can also do is you put your index finger and your middle finger like right underneath the scrotum. Right here, right underneath your scrotum. This area is called the peritoneal area. Right here. And you put your fingers right in here. You're going to feel a pressure. You can feel like a contraction when you contract your muscles. You'll feel it right there and you know you're doing it right. And you also see the penis kind of coming in towards your body or your pubic symphysis a little bit as well too. So you can have a visual feedback as well as a tactile or touch feedback as well. You just put your finger just underneath the scrotal area. You want to start this while you're lying. Do three sets, and then when you get better, you do a sitting and then standing. And you can either do it on your own and you can see this, or you can go to a pelvic specialized therapist that's a physical therapist that can do that, specializes in pelvic therapy. Now, typically, you'll see result in about six to eight weeks with daily practice. And you can actually even see morning wood returning probably within the first month to six weeks as well too. So just know that this works. Studies shows that it does work. This small, mighty muscle is responsible for penile rigidity, helping you with your erection, orgasm as well as ejaculation. It also function as urination as well too. But when's the last time you exercise this right? Probably not until you listen to this video or you've been my patient, or you know that I'm very passionate about teaching you strategies that you can do at home to restore your erection again as well as maintaining your erection. Because you don't have to have a problem to do Kegel. You can have good erection, but still do Kegel. So that way you can maintain it or you have Ed. Then do Kegel. Know that within six to eight weeks, with daily practice, 10 rep, three times a day, that you're going to see improvement even in morning wood. Now, how good is that? Now I want to also stress that you not only do the Kegel, but you also have to follow the four Pillars of sexual health which is following a Mediterranean diet. Check out the Mediterranean diet link. Free for here. And then also doing exercise, meaning you're just walking 30 minutes three to five times a week. And you can. That's it. You can go to gym if you want, but you don't need to. You can just do body weight as long as you move, keep moving for 30 minutes every other day. Number three, it's getting adequate sleep at least seven hours at nighttime. And then number four, try to manage your stress. Lower your stress. I'm not talking woo woo stuff, I'm talking about breathing. Remember, follow this video when I talk about doing box breathing and how box breathing can really decrease your heart rate, really lowering your stress. Five minutes of doing this exercise will actually lower your stress level for 24 hours. I'm not asking you to go to yoga or anything like that. I'm just really asking you to stop breathing for five minutes and see how you feel. Little simplest thing can go a long way. Don't need to buy any fancy equipment or anything. Just do breathing. Mediterranean diet, walking and doing altigal exercise and getting adequate sleep. So I hope this is useful for you. It will mean the world to me if you press like and comment and subscribe to the channel. About 90% of the people that watch our video are not subscribers. Please subscribe. I would appreciate it if you do share this with somebody that you know can benefit from this. Because my goal is to show you things that you can do on your own to maintain your sexual health and that I'm here if you need to get out of ED faster and better quality and really helping you lead a better quality of life. So that's why you want to work with me. Check out the link down below or check out Get Wood now course where I kind of lay down the foundation of what you need to be doing to restore your erection. Again. Check it down here at. Of course. Get Wood Now. I hope to see you next episode. Let me know what else you would like me to talk about. See you later. Okay, Modern man. You are not alone. And you don't have to suffer anymore. ED can feel isolating, frustrating and even defeating. The endless guessing, the quiet shame, the weight of not feeling like yourself. It's exhausting. But here's the truth. You are not broken. You are not alone. And you don't have to figure this out alone anymore. The Get Wood now boost program is your step by step path to sexual confidence and restoration. No more suffering in silence. No more trial and error. Just real solution, real result and the confidence you deserve. It's time to take back your power on your term. Let's get this journey started together. Check out the course@getwoodnow.com I'll see you there.
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