Medical Q&As

Premature ejaculation - weak pelvic muscles?

Can weak pelvic floor muscles be a contributory factor in causing premature ejaculation?

Weak pelvic floor muscles are unlikely to be a sole cause of premature ejaculation; however, in some cases pelvic floor exercises might be part of the solution. It is generally believed that most cases of premature ejaculation occur for psychological and not physical reasons. Depression, anxiety, fear of failure, fear of rejection or ongoing problems in the relationship can all give rise to premature ejaculation. Sometimes previous negative sexual experiences can cause the problem. Most men experience premature ejaculation occasionally so it is only really a problem if it happens all of the time. It is quite normal for a man to experience premature ejaculation during his first attempts at sexual intercourse. It is also common for it to happen if a man has not ejaculated for a long time. However, if it happens repeatedly it can be a cause of great distress to a couple. Some men ejaculate prematurely during foreplay, whereas others ejaculate as they attempt penetration and others may ejaculate very quickly after penetration. Essentially the problem is a lack of control over ejaculation so that it always happens earlier than the man or his partner would want. Psychotherapy, counselling or a modified “Masters and Johnson” method are the most commonly employed therapy methods. SSRIs (selective serotonin reuptake inhibitors), which are largely used in the treatment of depression, have also been used to treat premature ejaculation because they inhibit ejaculation. Kegel or pelvic floor exercises are often integrated into such programmes. It has been suggested that these exercises help to increase the awareness of sexual sensations thereby facilitating greater enjoyment of sex.