Why Men Need To See A Pelvic Floor Physical Therapist

May 27, 2020

YES! Men have pelvic floors too. There are numerous myths out there about pelvic pain and dysfunction, with the most common misconception being that it only affects women. WHY would only women have this secret set of muscles, ligaments, nerves, etc? Men pee, poop, and have sex. What do we believe aides these functions in men?

Male and female pelvic floor pain and dysfunction are not synonymous and may present differently. However, both can be 100% treatable!

Unfortunately, pelvic pain/dysfunction in men is extremely misunderstood. It typically goes undiagnosed or misdiagnosed. 

When men do seek treatment for their symptoms they are often tossed around different medical providers. Pelvic floor PT can eliminate the need for invasive diagnostic medical procedures, medications that only act as band aids, and unnecessary surgeries which in turn saves the patient a significant amount of time, stress, and money. 

Common complaints of men with pelvic pain or dysfunction:

  • Penis Pain, Testicle Pain, Groin Pain, Abdominal Pain, Low back or hip pain, Perineal Pain (area between scrotum and anus)
  • Inability to obtain or maintain an erection
  • Pain before, during, or after an erection
  • Pain before, during, or after intercourse
  • Urinary or fecal incontinence 
  • Hesitancy, urgency, or frequency of urination 
  • Pain or burning during urination

What could have caused this? 

Published evidence based research is limited regarding the cause of pelvic pain or dysfunction in men. But, what I often see in my clients is trauma (repetitive falls from playing sports or with hobbies), poor postural habits or holding patterns in response to stress and anxiety, poor coordination or strength somewhere in the body creating pelvic floor imbalance, and/or surgery creating pelvic floor dysfunction. 

So now what?

First and foremost seek out a specialist in pelvic floor pain and dysfunction. A physical therapist trained in this will be able to identify the man’s “holding patterns” and teach him ways to improve his posture. You’re probably holding your shoulders toward your ears while reading this or gripping your buttchecks. These are holding patterns that will greatly affect pelvic floor tension and pain. Gaining awareness of these and finding the root cause of your pelvic pain and dysfunction will allow the specialist to determine the best individualized treatment to begin the road to recovery.  

So Ladies, talk to your partner. 

Talk to your dad. 

Talk to your brother or son.  

Education and empowerment is IMPERATIVE!

Always seek a conservative approach first! 

Make sure the healthcare professional listens to your concerns, validates your pain experience and understands the science behind pain. Reach out to a professional pelvic floor PT that understands men’s health. 

I am here for you. I will listen. I will guide you on your road to becoming pain free. 


Love and Wellness, 

Dr. Andrea 




Pelvic Pain The Ultimate Cock Block. Dr. Suzie Gronski DPT, PRPC, WCS


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