When we think about pelvic floor dysfunction (PFD), the conversation often centers around women, especially during or after pregnancy. However, men can experience pelvic floor dysfunction as well, and it can significantly impact their daily lives. But even as an uncommon condition, it’s even more rarely discussed or recognized. So if you’re worried that your pelvic health may not be normal, pelvic floor dysfunction may be an explanation.
What is pelvic floor dysfunction?
Pelvic floor dysfunction refers to an array of symptoms and anatomical changes caused by problems with the pelvic floor muscles. These muscles form a supportive base for the organs in your pelvis, including the bladder, rectum, and (in men) the prostate. Proper functioning of these muscles is essential for controlling bowel movements, urination, and even sexual performance.
While pelvic floor dysfunction is discussed more openly in women’s health circles, at least one study demonstrated that up to 16% of men also suffer from it. Because this condition can affect anyone, it is a legitimate diagnosis to seek in men’s health conversations.
Symptoms of pelvic floor dysfunction for men
Pelvic floor dysfunction in men can present with a variety of symptoms, some of which are similar to those experienced by women, while others are unique to men. These symptoms can range from mild to debilitating, seriously affecting one’s quality of life.
Common PFD symptoms for men
As we’ve mentioned, pelvic floor dysfunction can affect anyone, which means there are overlapping symptoms both men and women might experience, including:
- Difficulty urinating or feeling like your bladder isn’t fully empty
- Pain or pressure in the pelvic area, lower back, or perineum (the area between the genitals and anus)
- Constipation or difficulty passing stools
- Pain during or after bowel movements
Symptoms unique to men
In addition to the common symptoms of PFD, men may also experience unique symptoms, such as:
- Erectile dysfunction or difficulty ejaculating
- Pain during or after ejaculation
- Chronic testicular or scrotal pain that isn’t linked to other conditions
Even though these symptoms can have a dramatic influence on a person’s daily life and general well-being, pelvic floor issues often go undiagnosed in both men and women. There’s a barrier to getting care for these issues because they often feel too embarrassing to mention, even to a medical professional. But if you’re experiencing these issues, you’re not alone, and you deserve to feel normal and get a course of treatment that works for you.
Treatment options for male pelvic pain
The good news is that there are several ways to manage and treat pelvic floor dysfunction in men. Treatment can begin once you establish the diagnosis, which can be done by several different health professionals depending on your preference for treatment.
Primary care
A primary care doctor is often the first place people seek help. They can evaluate your symptoms, rule out other conditions, and offer initial treatment options. Depending on the severity of your symptoms, they might prescribe:
- Medications to relieve pain or muscle spasms
- Lifestyle modifications such as dietary changes, increased hydration, and stress management to reduce triggers
If needed, your doctor may refer you to specialists such as urologists, gastroenterologists, or pelvic health experts for a deeper assessment.
Not everyone has a primary care provider or the health coverage to make these appointments affordable, which is why other options may be more accessible.
Physical therapist
Often, the root of the issue is with the pelvic muscles themselves. For this reason, physical therapy can be highly effective, particularly when conducted by a specialist trained in pelvic health. Options include:
- Manual therapy: A physical therapist may use hands-on techniques to release trigger points and tightness in your pelvic floor muscles.
- Biofeedback training: This technique uses sensors to help you become aware of how your pelvic muscles are functioning. It can help you learn to contract and relax them properly.
- Muscle relaxation techniques: Depending on the symptoms you’re experiencing, deep breathing or stretching exercises can help release tension in the pelvic floor.
In some cases, chronic stress can lead to pelvic floor dysfunction when the muscles that form the base of the pelvic region are overly tight; a condition known as hypertonic pelvic floor. In other cases, the muscles may become too relaxed and lead to symptoms of incontinence.
Because many of these muscles are involuntary and difficult to “feel” as they work, it’s important to get a professional diagnosis so you don’t try to self-treat in a way that makes your condition worse.
Mental and emotional health support
Pelvic floor dysfunction, especially when chronic, can take an emotional toll. Feelings of embarrassment, frustration, and isolation are common. Counseling or therapy can provide a safe space to work through these emotions. Additionally, some men find group therapy or support groups helpful for connecting with others who understand their experience.
Start on the path to treatment and regularity today
If you’re dealing with symptoms of pelvic floor dysfunction, you don’t have to keep suffering in silence. These issues are common and treatable. It’s time to prioritize your health and well-being, and it all starts with reaching out to the right professionals for help.
At Advent Physical Therapy, our team specializes in pelvic health and can guide you through effective, personalized treatment plans. From diagnosing the issue to providing hands-on therapy and practical advice for home management, we’re here to support you every step of the way. Get started with an appointment this week by calling a clinic near you or by requesting an appointment online today.
