Male pelvic Floor Therapy ?

Sorry if i posted it in the wrong section..

Anyone here been to Male pelvic floor Therapy ? Got my First Appointment /, assessment next Tuesday.

Hopefully it will help with My current issues with ED, Sciatica & Groin/hip pain.

From what Info I’ve found online it seems to be a Pretty intimate Exam..

Just curious if anybody’s went through it and what their experience was ?

Yes, I've had pelvic floor therapy, as a result of complications from prostatectomy as well as an on-going case of piriformis syndrome.

How intimate it is depends on the techniques used by the therapist. But almost certainly you will have a digital rectal exam during the initial evaluation to determine the strength of your pelvic floor. While doing the rectal exam, the therapist will ask you to squeeze your pelvic floor muscles for a period of time to assess how well you are doing your Kegel exercises.

One therapist that I went to early on looked at my penis while I did a Kegel. This is because a properly done Kegel squeeze causes the penis to move upward, as a result of flexing the pelvic floor muscles. I think I had that done twice.

Almost certainly the therapist will give you a set of exercises to do on your own, regardless of whether you have further in-office therapy or not.

Thanks for reply and info

my Doctor Referral had me ok for up to 24 sessions if needed..

My first appointment is this coming Monday--I will post re: my experience ASAP. 😃

Thanks, I have my First Visit Assessment

next Tuesday.. really Hoping it helps some of my issues, but I’m sure I will enjoy the Experience either way.. I will be posting my experience after..

Yes, had a series and may have another one (stress from all the COVID-19-stuff seems to be getting to me). There's no getting around it, if done well it will be very intimate, but a good provider knows this and will handle it well. Mine was done in a gown in left lateral position, and TBH the biggest mental part is “I'm having to have someone do this because I can't relax my ass???”

I don't think I would call it “enjoyable” beyond the “oh my God I finally feel a bit better” part when it starts relaxing. The session will probably be noticeably uncomfortable if you need it while they work on the tight muscles, but you will see immediate improvement, then continued improvement as things relax and heal. It can take several sessions, but keep it up just like you would with an antibiotic.

You can also check in with your PT to get home care advice. There are stretches that can help and you can get a feel for where the tight bits are and work on them with a thumb (sometimes) or a Pure Wand or TheraCane or a knockoff.

Even though it can be embarrassing, try not to be. It happens and it is an easy fix.

Thanks for info..

Thankfully im never usually embarrassed by medical massage/Therapies. Other then any Pain/soreness it might Produce I usually Find most Things Relaxing , Almost

Euphoric . I’m Fine with some pain and Discomfort if it helps improve any of my issues in the End. That’s the End Goal..

The Fact That I’ve had a minor NMCF

Fetish since my First Female Doctor Physical Exam for Employment back when i was 18…

I plan to Treat my New Therapist with the Respect as I would with any Medical Professional. The Fact that the Therapist is an Attractive Female probably 20 years younger then me is Just a bonus …

Well first appointment Tomorrow morning.

a little nervous , i found out Today the Therapist is 25 yr old Very attractive Asian Female..

Had my pelvic floor PT assessment today. The therapist was very friendly, and understanding of my issues, and spent the entire hour after hearing my story go through some range of motion exercises and some external palpation of my low back, sacrum, buttocks, hips and abdomen. No disrobing, no rectal exam--she also gave me some homework exercises to do (some of which include Kegels) and I will see her again next week. I do not know if there will be an internal evaluation then, but I doubt it unless I ask for it, which I might. From a med fet perspective, it was disappointing, but if I get some relief from my delayed ejaculation and urinary retention symptoms, it will be time well spent.

I do not know if there will be an internal evaluation then, but I doubt it unless I ask for it, which I might.

When I did it the start was with less intrusive stretches and work. Can't blame them, internal work is much more invasive and probably leads to a bunch of “you want to do WHAT??” from patients or possibly uncomfortable situations for the therapist, especially if it is an attractive woman who treats men (in my area it seems women therapists treat women and men treat men, and there aren't many at all who treat men).

On my second trip the PT brought up internal evaluation and release. It was worth it even though it was uncomfortable, as it helped relax the muscles much more than the stretching. Not really exciting, but then again I'm not very medfetty anyway, someone who was might be more aroused.

Warning about the Kegels - if you are dealing with hypertonic muscles (too tight pelvic floor) my PT specifically said “don't do Kegels” (and got a look on his face when I told him it was one of the things I tried). Your muscles are too tight anyway, working them out is unlikely to help. If your problem is hypotonicity (if they're too weak) then internal release is not likely to help. You can ask about it though - if you want a good reference directed at the consumer check out A Headache in the Pelvis by David Wise and Rodney Anderson.

Well first appointment was pretty lame..lol

We Went over medical history & Issues im having and she showed me a Few exercises for my Hip/Groin & Sciatica back pain. So will be a couple visits till we get to the pelvic floor exam & Therapy .. plus she asked if i was ok having another young Female therapist sit in/Help with my Sessions. She Training her to do Male pelvic Floor Therapy.

As if I didn’t have a little Axiety already that the Upcoming Intimate Exam is with an Attractive Young Asian Female

Now it’s a Threesome..lol

plays into my CFNM fetish..

Well I guess it could be a lot worse could be two old dudes with big hands..

Well 2nd session in the Books . Basically all stretching exercises & Short Ride on Bike.

Asked if I have been doing my Exercises and if I have Had Sex since First session. Yes on Exercises, No on the Sex but Hopefully This weekend..lol

Visit 3 is Next Tuesday. Said she wants to Do a Biofeedback check on Pelvic Floor muscles.

Then maybe Internal Exam . Told me To hold off on Doing any Kegels or Reverse Kegels until after my internal Exam .

Wants to see how im Doing after a couple more Days Of exercise. Told her I’m Down for whatever she Thinks will Help. Even though she’s only about 4 years older then my youngest Kid..lol

Well Third session in the Books.

Started off asking how I was feeling I’ve been doing my exercises I told her yeah and then walking on the treadmill for 10 to 15 minutes a day twice a day little sore and tired. She started me off with 8-min on the bike, Then about 35-40 minutes and six different exercises and stretching. Then into a private room , were she explained she wants to get a little bio feedback information from my pelvic floor. Explains to me what she’s gonna do. Said she’ll leave the room for a minute while i get undressed from the waist down, lay on the table and cover up with a sheet. Couple minutes later she comes back and explains to me how the biofeedback device works tells me to bend my legs up so she can put Three sticky pad/sensors on.

One on left side of my abdomen. Then she pull sheet up and over lays it down on my hips on both sides. Then puts one Sensor on each side of my Perineum just about my Anus.

Then she has me lay my legs flat to get a baseline to see if my pelvic floor muscles are in a relaxed state. They were closed too relaxed laying Flat.

And she had me bend knees again And they were reading a little more i’m halfway up on the meter reading. Had me lay one leg straight what’s the other bent. Still fairly tight on the bent leg is on both..Then she had me lay my leg straight

And said she was gonna check The external muscles around the hips, Groin and pelvis.

So she starts massaging/needing pressure on my stomach and lower abdomen

Then across my left hip pelvis area. Then she checks the top of the pelvis/pubic bone , From my belly button to just at the top of my Penis shaft..

Slowly kneeds around and under my left Testicle down to the center of my perineum. Then she walks around the table to the right side and starts doing the same on that Side. As soon as she got to the inside Hip pelvis area that’s where my Penis way laying at the moment. When she politely said we’re gonna have to move this guy over so she picked it up and moved it over to the left. Then she Finished the same way as the other side.Of course by then i was partially Erect. I could not help it. Tells me to bend my legs again, Then Walks back around to the left side and remove the sensor from my abdomen. And then she pulls the sheet back over my knees laying it down on Groin Area . Then walks almost to Foot of Table Grabs The Sheet between my legs and lifts it up with her right hand With her left hand She reaches up and slowly peels of the Left sensor off my perineum.

And she walked around to the right side of the table and does the same thing with right side

Sensor. And she told me to lay my leg back straight, thank you poster blanket down back over covering my legs. She leaves the room for a minute and tells me to get dressed and open the door im done. Opened the door she comes back in asking about my frequent urination issues. Tell her I’m still getting up to three times a night to pee. Then she asked me if Had Sex since Last Visit. I told her yes Saturday night with the wife. I had already mentioned the urologist put me on Trimix injections for ED/erection issues. She asked me if there is any pain or discomfort with Sex or ejaculation. I told her the sex part No other then a little Sore after about 45-minutes. And just a minor pain

After ejaculating the first time.

But not after the second Time..

She did give me kind of a funny curious look..lol

But I explained to her as PG as possible the Trimix me like im 19 again but can last longer now. She said well that’s Good I assume your wife is happy about it. I told her yes and no.

Because my wife suffers from RA so we don’t get to be intimate as much as I would like And our Sexual Positions are limited by her RA pain in certain positions.

I didn’t go into very much detail. She diggs through her folder of paperwork and hands me a paper that has Different Diagrams/explanations of 15 Sexual positions. Called “Orthopedic Considerations for Sexual Activity.

She says read over these and see what works for you both. I Said thank you the scheduled me for an appointment on Friday at 11am. She said to plan on probably doing the internal rectal pelvic Floor exam Then..

A little Tired and Sore but pleased overall with this Session..

Good report, @Rnmhrd--sounds like you got the exam you were looking for and a good experience overall. I had my second appointment yesterday and raised the issue of the internal exam, which my therapist seems open to and will likely do at my next appointment. I have some of the same issues you do and between the PT and Limitless Male TRT and sildenafil, I think I'm getting there in terms of acceptable sexual function and frequency. My wife and I both still enjoy our sex and I'm not going to just give up on it. Keep us posted on your feeling about the trimix, I have considered that if the sildenafil quits working. I am pleased to report I don't always need it to maintain an acceptable erection, my primary issue is delayed ejaculation--it's a bitch getting old, isn't it?

Good report, @Rnmhrd--sounds like you got the exam you were looking for and a good experience overall. I had my second appointment yesterday and raised the issue of the internal exam, which my therapist seems open to and will likely do at my next appointment. I have some of the same issues you do and between the PT and Limitless Male TRT and sildenafil, I think I'm getting there in terms of acceptable sexual function and frequency. My wife and I both still enjoy our sex and I'm not going to just give up on it. Keep us posted on your feeling about the trimix, I have considered that if the sildenafil quits working. I am pleased to report I don't always need it to maintain an acceptable erection, my primary issue is delayed ejaculation--it's a bitch getting old, isn't it?

Well My Third Trimix injection

Went Better Then expected..

As i have mentioned in earlier post my wife and i have been married 23 years next week.

Great sex life till Almost 4 years ago when she went Through Menopause. Then the Pain started and Libido went bye bye.. Plus she suffers from RA...so Sex is few and Far between now. Told her last week I needed to do an injection before Feb 8 so I could get some Good Erection Pics to bring to my Urologist appt i have scheduled for Peyronies.

She said she was Down and willing to Help.

So after a few Glasses of Wine and a Good Edible she was in the Mood..

So we both get Naked and after a little Foreplay I went Down on Her to help her relax.

About 10-minutes in She Cum’s. While i let her relax a little I explained and Showed how I had to Do the Trimix injections. So i gave myself the

Injection and told her to Lay on her Stomach and while waiting for injection to do it’s thing I would give her a Nice back Rub which she was getting into. About 10 minutes of that and i was Getting Pretty Hard. So after Busting out the Astro Glide warming Gel I Told her to get on Top which i love but with having ED for years makes that Position harder to do without a Good Hard erection . So she gets on top and Slides it in slow so the Quick Entry doesn’t cause her the Normal painful Sex. We have not had actual Penetration Sex in months.

Wow did it Feel Great..lol

She Takes it slow till I’m all the Way in then slowly starts Moving up and Down a little more each time i can tell she’s getting really turned on, and sits her Full body weight down for Full penetration and starts wiggling her Hips and body In a Front to back Motion Rubbing her Clit on my Pubic bone as Fast as she can For Probably

5-7 minutes till she had one of those strong Shaking/Quivering Orgasms . It was beautiful. She Rolled off to catch her Breath for a minute.

I love the intimacy of Missionary position but with Her RA it painful on her back and Hips . so i had her Roll back on Her Stomach to Finish that nice Back Rub I started.

Im straddling/sitting on back of her Thighs Rubbing her back , she’s grinding her hips and lifting her but Towards me and by Then My Erection is like Harden Steel. I grabbed a little more Lube and Rubbed some on her Very Swollen Lips And Around her Anus. I slid up a little almost sitting on her Azz

Started Rubbing her back again with a little more pressure while im moving my Hips back and forth letting my Dick slide up and down between her azz cheeks .

Slowly all the way Down to Her pussy lips back up across her Anus again and again. She’s really getting into it to the point the head of my Dick starts to slowly enter her warm azz. Now to be Honest I didn’t Expect anything more to happen because in 23 years we have never Had Anal sex, she was always afraid it would be to painful. So i never Pushed it all these years.

But she’s really getting into this, and after maybe 3-4 Times of Sliding in just the Tip she starts to push back against me a little at a Time every Time I pushed forward.

The one Thing I’ve always wanted to try since we first met was Anal ...I’m thinking to myself is this Finally going to Happen?

She is starting to push against me harder and harder and i stop moving and hold my position so it Going to happen it up to her. She keeps sliding you Azz Further back on to my Dick with each movement until her warm Azz cheeks are pressing firmly against my stomach. Now she’s taking everything I have in her Sweet behind. After just staying there for a few seconds to help relax her little Azz she starts moving in and out slowly and it’s Feeling Fucking Awesome for me, once she’s relaxed enough doing Full Strokes i Grab and Hold her Hips Tight and Said let me do This now. Started with some slow Full Strokes in and out , and between it Being our First experience with Anal sex and Her Tight Warm azz i knew it wouldn’t take long Till i was Ready to Pop..

After 3-5 minutes of slow Full Strokes im going a little faster every Stroke maybe another 5-minutes and i can feel it starting to Build. And Bam I pulled out maybe halfway and had the Best OrgasmI’ve had in Years. She was Still Quivering and shaking when we were Done. I didn’t ask but I assume she had a Anal Orgasm. If not at least she seemed to really enjoy it..

Between the Wine,Edibles and my Trimix it was a Night like when we first got Together..

Only issue after a great night was I’m in bed 30 minutes later trying to go to sleep , sporting a Still 60% Erection . Now i also Have ADD and my mind was Racing and Started thinking over the Details of this Lovely Evening with my wife. And I started to get Full on Hard again..lol

And 15-minutes later im still Rock hard and getting a little sore/aching. So after 10-15 minutes of Masterbation i came again and Finally 30 minutes later back to Normal so I could sleep..

PF Therapy Session # 4

Started as usual, 8-min on Bike

Then about 35-minutes of Stretching and Exercises, a couple new ones. She said time to go into a Room, then asked if i was ok if The other Therapist she is Training for Male PF sits in on the Session. I said of course I don’t mind. She Took me Back into the Private Room and told me to Get undressed again from Waist Down she wanted to do another PF Biofeedback Test.

She & the other Therapist leaves the room and i get undressed and under the sheet.

She comes in and explains she will be Repeating the Same Biofeedback Test we did Tuesday to see if any improvement in relaxing my PF muscles after a couple more days of Exercises.

The other Therapist pulls up a chair and sits next to my shoulder on Right side.

My Therapist starts by pulling up sheet to my bellybutton on the Left side to one sensor on my lower left Abdomen. Walks around Table to the Right side and has me bend my Knees & spread my legs apart a little bit .

Then pulls the sheet up over and lays it on my lap/Groin.

Takes the second Stick on Sensor and places it on the left side of my Perineum . Takes the Third sensor a place it on the Right side of my Perineum.

She Hands the Meter to the other Therapist and said to watch what she was doing and keep eye on meter. She says to Try and relax. I do my best.

She start on middle of my Right thigh feeling for any Tight sore spots working slowly down to my Groin/right side pubic bone.. then from Top of my Hip down to my Right butt check. Very Tender/Sore and Tense at inner hip pelvic area. Meter showed about a 4 off of Relaxed position. So she takes a few Fingers pushing on pressure points and holding there while having me pull my Knee/Thigh against Her other Hand. Then checking meter for tension release. Down to a 2.

While Holding light pressure on Right inner Pelvis.

She tells me take a deep Belly breath in and out then do a Kegel(penis Flex) i call it.

Had me Do that 3 Times to check Readings from low to high. Relaxed it was at a 2 with a Kegel squeeze it was up to 12 on meter. By this Point im Feeling an Erection starting.

She walk around to left side and Starts again. Starts checking middle of thigh , front to back fir Tight muscles/sore spots. A little tender/sore in a couple spots. Back to middle of thigh checking pressure points down Slowly Towards my Groin.

Since i was already Starting to get about a 50% erection. From Right side work , And my Penis was laying against my left Thigh in crease of my Hip/groin Area. she slowly moves down my inner thigh checking pressure points looking for sore tender muscles. Until her Fingers push against my Semi erect penis shaft. I was expecting her to move it to the Right side like she did Tuesday.

But instead she wiggled her Fingers Under the Shaft until reaching my inner Groin. So my Penis is pretty much laying on the Back of her hand now. Lots of Tender Tight muscles there. Couple deep relaxing breaths the meters reading a 5 in Relaxed position. She moved her fingers in a couple spots doing trigger point pressure 30-seconds to a minute in each Tight location. Buy now with my semi erect Penis laying on back of her hand for like 2-3 minutes im Trying to get my Erection under control. Not happening..lol

She say take a couple deep breaths then relax and meter was reading a 2 relaxed.

She then says take a Deep Belly Breath in and Kegel/(Penis flex) when you exhale.

Im probably 80% hard Now laying on her hand still. I take the deep breath in then the exhale and Flex as hard as i can And Holding for 5-seconds. Which in turn pulls my Hard Erection Tight against the back of her Hand. Had me Repeat it Three Times. I can’t help but getting Harder each time. She then Slides her hand out from under my Penis . She Never mentioned anything at this point.Meter Ranged from 2 relaxed to 20 Flexing/Kegel.

She said it looks better, from last check.

She pulled the sheet up on left side and removed the sensor on my Side. Pulls the sheet back down . Walks around table on Right side towards end of table and grabs sheet between my Legs and pulls it up to me knees and reaches in and carefully removes the Second sensor on the left side Perineum, then the Third sensor on the Right side.

Says everything is progressing in a positive manner with the Exercises and walking on treadmill at home.

I asked if we will have to do Any Internal Work, she said Probably but wants to see how things improve for next 1-2 visit after more stretching/exercise. Then she Mentions she can Feel improvements because when i did the Kegels on the Left side (in her words) “I could feel your Penis shaft press hard against the back of my Hand so movement is slowly improving.. Good thing i was wearing a mask because i know my Face was Beat Red.. But she wants to wait till after my Urologist appointment next Tuesday. To see what the urologist has to say about possible Peyronies.

And let them know im Doing Pelvic Floor Therapy now.

It’s a little Odd doing a Visit like this Half naked with Two women in the Room. But i do feel little improvements every Visit. So to those Guys with ED/pelvic pain/urinary Issues just Suck it up and Go see a PF specialist..

Appointment #5 next Tuesday morning before my afternoon appointment at Urologist..

Thank you @Rnmhrd for these posts and the continued updates! I find them both fascinating and arousing. Keep it up!

Great report @Rnmhrd, thanks for the update! I had my third visit this AM and an internal exam, longest and most uncomfortable rectal exam I have ever had, but it did confirm for the PT that I have objective issues with my pelvic floor muscles, which is good to know. This is one of those situations where I was aroused by the IDEA of this exam, but the reality is it was not an arousing experience, even though I am anal erotic and the therapist was gentle as well as thorough. I have not yet had direct palpation of my genital area with this PT, do not know if she will or not. No EMG for me either. I do feel better post-therapy and will continue to pursue this, I've learned a lot.

Great to hear, having my 5th session Tomorrow Morning. Last one was best one So Far, we are Getting pretty Comfortable with Each other. And after asking my Permission To have the Other Young Therapist Sit in For Training on all Remaining Visits(20) . Getting the Help i need and Secretly the Medical NMCF Fantasy i Dream of..lol

Roger all of that, @Rnmhrd, keep 'em coming (pun intended…) 😉

Session #5

Male PF Therapy Session #5

Intro: Below is 100% as it happened. Names have been changed to protect privacy, except me I’m Tim...lol

Session 5 started in the Private Room . The Therapist “Sherry”

Asked how my weekend Was? I had Told her Last Friday that it was our 23rd wedding anniversary on Saturday. And we planned to Try out my Trimix injection again either Sat or Sunday. Sherry then asked so how did it go? Any pain or soreness after ejaculation , I said not exactly.

She said well what do you mean? I explained well this time the Trimix worked a little too well. She knows all mine and my wife’s health issues.

I proceeded to explain to her as PG as possible, we’re still trying to adjust the dose just Right. I said we Dropped the Dosage from 30-units to 25 this Time. And maybe 10-15 minutes after injection i was “Good to Go”. Then another 20 to 25 minutes of warm up

aka Foreplay we started “messing Around “..

Now I had already explained to her that my wife suffers has RA and a little atrophy Pain as one of her post menopausal symptoms. Sherry asked if my wife was on an Estrogen supplement I told her no I’m trying to convince her to go to her doctor. And then she asked if we are using a good lubricant. I said yes.

I don’t explain as clinically as possible that after about 45-minutes and multiple Orgasms it was starting to experience Pain/Soreness, so we stopped.

I was just getting warmed up and Because of the Trimix i was still Hard as a Rock and No where Near Ready to Ejaculate yet. Sherry’s Eye’s Got really Big, she Giggled a Little and said after 45 minutes even I would be Sore..I said of course I didn’t want my wife to be in any pain so we stopped.

But by then I’m just over an Hour into a Raging Hard on. So of course im Going have to Fix the Issue myself. I said I masturbated pretty vigorously for about 25 minutes but it was just not happening..lol

By then i was Exhausted and A litte Sore myself. So I went to the bathroom a Took three pseudoephedrine pills, Grabbed a couple frozen gel packs out of the freezer wrapped them around my Hard penis for about 30-min before my erection started going back down to normal. I Said Next time i will have to drop the dosage is just a tad more, she said that’s probably a good idea.

The she said she wanted to do another biofeedback test to see how things are progressing. Told me she wouldn’t leave the room so I can get undressed from the waist down the up on the table and cover up with the sheet, And she would right back in.

No in this session it was just me and her in there because the other therapist was out sick today. I got undressed and Ready , a few minutes later she came in. So I want to do the same biofeedback cast as the last two times. So I’m laying on my back she Tell me to my legs, Then she pulls up the sheet and places the First Sensor on my Left Hip. Then pulls sheet up and over my knees Towards my Stomach.

Now i shave Everything downstairs so everything is soft and smooth already. She takes a little Alcohol whip and cleans around my Perineum on both sides. Takes the second sensor and places it on the left outside of my Perineum. Walks around to the Right side of Table lifts up sheet to place the Third sensor on outer right side of Perineum. And as she walks back around to left side of Table again i can feel that Third sensor Pop off. I said I think that one just Fell off. So she reaches over and lifts up the sheets between my Knees and takes a Peak, Yep you’re right it fell off. So she reaches back in and puts it back on.

Tell him to lay my legs flat take a couple deep Tummy breaths to get a Relaxed reading. It was in about 2 On meter. Had me bend my knees to check in that position. My socks kept wanting to slide so I couldn’t really relax my legs without my feet sliding. So she walked out of the room grabbed little strap

To put across the top of my feet to keep my feet from sliding. No I was able to relax down to 5 on the meter. she had me lay my leg straight and started Moving her fingers around checking for sore pressure points From my belly button to the left side and right side of my outer hip bone. Slowly moving down and across till getting to base of my Penis. Had me bend my legs again and starting on Right side checking from middle/back side of Right Thigh Back Around to my outer thigh. Slowly lower each time till she was almost to the Crease of the inner Thigh and outside of my pubic bone. Stopping when her Fingers Hit my Penis. Without a Word she moves my penis over to the Left side.

Then check pressure points from Top inner Hip/pelvis all the way Down to the Right of my Anus. Lots of sore some painful spots..Said we got some work to do.

Then walked back over to the left side and starts checking everything the same as she did on the right Side.

A few sore spot on my inner thigh. When she gets to Crease/Groin-outer pubic bone her finger Stop at my Penis Again this Time wiggling her Fingers under to get all the way Down. Basically penis laying on back of her Hand Again.. im sporting a little chub by then but not Erection in any way . Lots of sore spots move back and forth on some pressure points holding about 20 seconds On each spot to help release tension in the muscles. Then has Take a couple deep Tummy breaths to check the meter and the relax state.lowest was a 2. And had me do a Kegel squeeze To check tension reading. About 15-17. Had me do that 5 Times.

Said everything is looking a little better , but more work to do. Told me to get dressed and come out and I’ll start the exercises. Had me start off with five minutes on the bike,

Then over the course of an hour multiple reps of about eight different exercises and Buy then i was exhausted..

End of session i made another appointment Session #6 for Friday at 11 AM..

Male Pelvic Floor therapy session #8

Started off with 6-min on Bike.

Then about 30-min of Stretching & Exercises.

Then into the Private Room.

Went over my 24-hr Bladder Log to see if there’s improvement on me getting up 3-4 Times a Night To Pee.. Therapy & exercises plus Walking at Home everyday has me Down to 1-2 Times a Night To Pee. Which is better..

Went over how everything has been going as Far as Pelvic Floor pain or Pain with Sex. Told Her a little better Except the Stinging pain From intense Orgasm Friday when the Wife and i had Anal Sex for First Time in 23 years of marriage.

Told her wife wanted to give it a Try because Pain from PIV sex after menopause. Told her other then the Pain i had During Orgasm it was the Best Sex we have had in probably 15 years..

Said she wanted to do another Biofeedback Test to check numbers..

I just Ordered a intimate Rose pelvic wand off Amazon so I could Do some Internal Trigger Point massage at Home. I brought it with me to therapy to show her , to Ask her to explain the Correct way to use it at Home. She spent 15-min explaining the How to points..

And said we will leave the room real quick getting dressed and will get the biofeedback test going.

As usual I took everything off from the waist down, got up on table and covered myself With the sheet. Two minutes later they both came in. She asked if it’s ok if The other therapist sits in on the session for more training of course I said yes..

Same as all the other biofeedback session has me bend my knees then grabs the sheet pulling it up and over and down on my lap. Then proceeded to put the first sensor on my left hip. then puts Second sensor on the left side of my perineum, and the third sensor on the right side of my perineum.. Has Me lay my legs straight down He was a couple deep breaths text to meet her to see how relaxed my pelvic floor gets. And has me bend my knees and checked it again . Meters reading a little better than before. Has me roll on my Right side And does some pressure/trigger point checks to muscles just to the right of my Anus. Definitely some sore spots. As we roll over on my left side, And checks the same muscle/spot yes to the left of my anus, pretty sore there too..

Tells me to Roll on my back again on my and bend Knees again. She says I’m gonna take the sensors off now.

And she said since you’re gonna to be doing trigger point therapy at home with the Wand, Is it ok if she Does and internal exam to see where you’re at ? I Said of course I’m fine with it. She said Now I want to ask you kind of personal question ? Have you ever done or do any kind of butt play during sex or any Toys ? I said of course every once in a while but just a Finger, never any Toys .

She said well good then you’ll know what to expect.

She had me roll over on my right side and of course I’m face-to-face a Foot away from the other therapist sitting in a chair next to me..lol

Then she explains what she’s gonna do. I said OK. She again if you don’t mind I’m now going to Put Lube on my Finger and insert my Finger now. And of course the sarcastic comedian i am i said to to answer your question Hopefully you’re not to open hardware, no I don’t mind..lol

Of course she said as she giggled a little, yeah that’s a little odd.

She then pulled the sheet up an off my Butt laying it on Front side of my Hip. So from the Middle of my back to the back of my knees was pretty much Exposed to her Now . She said here we Go and with her Right hand Holding my Left Hip she takes the lubed middle finger on her left hand and kinda Lubes up across my Anus an slowly push’s it in . I think she was Expecting some type of Reaction from me, but didn’t get one. It actually Felt pretty Darn Good but I didn’t show it at all until she went slowly knuckles Deep right into my Prostate, then she definitely noticed my reaction.

She started moving in and out all along my pelvic Clock checking for Pressure/Sore or tight spots. She found about three or four really sore spots.

And did some pressure hold triggerpoints on the inside base of penis muscles which were in the 9 -11 and 1- 3 area because those were sore and pretty tight. It’s been about 3 to 5 minutes no I need side doing some trigger point pressure and I could feel both sides releasing tension. When she was done I explained I’ve got more out of that 10 minutes of internal trigger point pressure work then in the first eight sessions with external massage/trigger point and exercises. She said that’s great we’ll have to start doing that at least once a week. But she told me not to start any at home internal therapy for a couple days to give my muscles a chance to heal up a little so they wouldn’t be so sore. She said everything is looking good she said or I will leave the room so you can go ahead and get dressed and we’ll set up an appointment again for Friday. I got dressed she came back and we had another 10 minute chat and had me add another exercise to my my at home exercise schedule made my appointment for this Friday at 11 AM. All in all I thought it was a pretty good session finally got the internal exam that I’ve been waiting For since first evaluation Visit.

And guess what I can definitely feel a difference in my pelvic floor loosening up even four hours after my therapy session..

How did the conversation came up for you guys with the doc? Have never heard of this until now and none of my doctors have ever suggested this before..

I have not read the wording before, but I have several accounts form collectede testamonial about threatments that could deserve that name, but does not differ much from female floor therapy. It seems mostly to happen with teenagers that attend sport clubs or the like to adjust the pelvic muscles, tendons and joints to the demands of the sport.

Some sport doctors have got into legal trouble because they have given young girls treatment of the type when not needed, but still it is a common practice of many others to adjust teens and children to top sport achievments. Sport clubs and sport schools are so eager to puh the achievmnts that they do whatever they can to push these achievmnts that minute amount that can result in a medal,.

Competitive sport actors and also professional dancers are extensively manipulated physically, and the pelvi zones are not any exception from the rest of the body.

But I am sure many more can benefit from it. This area has the same general problems as other parts of the scheletomuscular setting.

And indeed it can be a very itimate procedure, since one must often enter the anus and work on the surroundings of anus to get full effect. But the general methods are like in physiotherapy of other body parts.

@DannyBoyz I saw some internet videos about it, got a referral from my PCP for the PT dept at my local hospital and I am very glad I did. It has helped me considerably!

I had my prostate out awhile back. Had problems leaking, so I was referred to PT.

She did a few rectal exams during string of visits to assess progress. She said I was tightening up at the last visit. Told me to keep doing the exercises. I find I am still leaking, however.. I bought one of those TENS exercisers to see if it would help. It definitely makes you clench, much harder than doing it "manually." The jury is out on how successful it well be.

Here's a good episode of Conan discussing and demonstrating a device for male pelvic floor training. It's educational as well as funny. Seems to me there is quite a bit you can do without any devices - just Kegel exercise. It's easy and you can do it anywhere, anytime. I'd be curious if insertable devices are really that effective (for men).

https://www.kgoal.com/products/kgoal-boost-kegel-trainer-for-men?gclid=EAIaIQobChMIpLGdyJbB9gIVMQV9Ch2VJAiTEAQYASABEgJQ-PD_BwE

I stumbled upon this thread and noted it is over 2 years old, which is an eternity considering recent improvements in Pelvic Floor PT lately. I have been having problems with ED, mild urinary and fecal urge incontinence, difficulty with orgasm, and some low back and pelvic pains. All of these are things that PFPT can help with. I would be very interested in hearing any further updates from previous posters, and experiences from patients who have been through PFPT more recently to see how things have changed.

Our local University has a PT Program that includes a therapist with a doctorate in PFPT, and offers very reasonably priced sessions. I don't mind having students sit in on, or even participate in my appointments, as long as they can learn how to help with my problems.