Dr. Anne Truong explains that many men with ED have overly tight pelvic floor muscles, not weak ones. Doing 100 Kegels daily on a tight pelvic floor makes it worse, not better. You need a doctor to check your pelvic floor tone before exercising it.
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Why does generic Kegel fail and make some men worse? Well, here's something nobody talks about. Some men do not have weak pelvic floor muscle. They have tight pelvic floor muscle. The muscle that are chronically clenched from stress, sitting all day, or years of anxiety around sex that they cannot release. If you have a tight pelvic floor muscle, you start doing 100 Kegels a day, what happens? You don't strengthen it. You actually make it tighter, and you're making your worse. This is why you have to be examined by a physician, and that will create a protocol for you and recommendation what you can do. When I see men with ED, I always examine the pelvic floor muscle, whether it's tight, whether it is relaxed or not. And that's when we will decide whether you need to do Kegel, because if your muscles are tight and you do Kegel, then it will make your ED worse.