Premature ejaculation is defined as a male sexual dysfunction where a man climaxes and ejaculates (releases semen) sooner than he would like during penetrative sex. It causes negative personal consequences such as distress, frustration, and avoidance of sexual intercourse.

• Pelvic floor therapy has been shown to improve control over ejaculatory delay and allow significant increase in intravaginal/intrarectal ejaculatory latency times in men with pelvic floor muscle dysfunction. Strong Bulbospongiosus contractions may enhance and intensify orgasmic pleasures during ejaculations.

Erectile dysfunction is a male sexual dysfunction defined as a consistent or recurrent inability to attain or maintain an erection sufficient for sexual intercourse.

The pelvic floor muscle and erections
- Penile erection requires the presence of a pressurized and closed hydraulic system within the 2 top sponges of the penis (corpora cavernosa).
- Contraction of the Ischiocavernosus muscles participates in the process of enhancing erectile rigidity.
- The Bulbospongiosus muscle encircles 33-50% of the base of the penis and is responsible for preventing blood from escaping during an erection and it also assist the pumping action during ejaculation
Male pelvic floor muscle training has been shown to increase penile rigidity and hardness in some men with erectile dysfunction, potentially facilitating penetration during thrusting.
Use it or lose it: Strengthen the pelvic floor muscle if weakness is the reason but remember the resting phase acter a contraction.

Erectile dysfunction can also be treated by using low-intensity shockwave therapy or ultrasound to increase blood circulation.

There is an association between erectile dysfunction and post micturition dribble caused by pelvic floor muscle weakness, this can be the cause of some types of ejaculatory dysfunction.

Peyronie’s Disease is a connective tissue disorder of the penis resulting in penile deformity causing an upward bowing of the penis during erection, with the shaft angled to the left or right.
It may cause pain, penile deformities, penile curvature, hinging, narrowing and penile shortening that are only seen in the erect state.

Physiotherapy can assist with reducing the plaque formation together with advice regarding the use of a traction device and the Vacuum Pump.