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MEN AND KEGELS: SHOULD YOU OR SHOULDN’T YOU? – WHEN “HELPFUL” CAN BECOME HARMFUL

  • Jan 15
  • 2 min read

MEN AND KEGELS: SHOULD YOU OR SHOULDN’T YOU? – WHEN “BENEFIT” CAN TURN INTO HARM

When facing issues such as premature ejaculation, erectile dysfunction, weak urination, or pelvic pain, many men are advised:👉 “Do Kegel exercises to strengthen your pelvic floor.”

But the truth is:

  • Not everyone should do Kegels.

  • And doing them incorrectly can actually make symptoms worse.

💡 THE MALE PELVIC FLOOR HAS TWO MAIN CONDITIONS

To know whether Kegels are appropriate, you must first understand the current state of your pelvic floor muscles.

1️⃣ Weak pelvic floor (hypotonic) – Kegels may help

Common signs include:

  • Urine leakage when coughing, laughing, or running

  • Premature ejaculation due to poor control

  • Reduced erection quality

  • Difficulty holding gas or stool

In this case, Kegels can improve muscle strength and endurance → potentially relieving symptoms.

2️⃣ Overactive / tight pelvic floor (hypertonic) – Kegels can make it worse

Common signs include:

  • Pelvic pain, testicular pain, pain during ejaculation

  • Difficulty urinating, intermittent urine stream

  • Constant tight or heavy sensation in the perineum

  • Tension in the lower abdomen or groin

  • Erectile dysfunction (due to impaired blood flow)

In this situation, Kegels are like forcing an already tight muscle to contract harder, which can lead to:

❌ More pain❌ More difficulty urinating❌ More pain during sex❌ Worse erectile function

👉 Kegels are NOT a “default” exercise for all men.

📌 SO WHAT SHOULD MEN TRAIN INSTEAD?

If the muscles are weak → Do Kegels correctly(including contract – hold – relax phases, coordinated with breathing and proper neuromuscular control)

If the muscles are tight → Focus on relaxation

  • Diaphragmatic breathing

  • Stretching of hips, glutes, and inner thighs

  • Pelvic floor relaxation techniques

  • Biofeedback to learn how to properly “let go”

👉 Most men actually present with increased pelvic floor tension rather than weakness, which is why proper assessment is essential.

📌 COMMON MISTAKES MEN MAKE WHEN DOING KEGELS

  • Tightening the abs or glutes instead of the pelvic floor

  • Holding the breath

  • Over-contracting, increasing muscle tension

  • Training too many times per day

  • Following generic videos that don’t match their condition

💙 ADVICE

Kegels are only effective when they are properly indicated – correctly performed – and professionally monitored.

If you are experiencing urinary symptoms, pain, or sexual dysfunction, have your pelvic floor evaluated before starting any exercise program.

📆 Working hours:Monday – Friday: 5:00 PM – 9:00 PMSaturday – Sunday: 8:00 AM – 6:00 PM

📍 32 Nguyen Viet Xuan Street, Thanh Xuan District, Hanoi📞 Zalo consultation – Hotline: 0859201919

💙 Q+ Medic – The first step toward comprehensive, scientific, and compassionate healthcare.

 
 
 

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Assoc. Prof. Dr. Nguyen Quang

Committed to providing comprehensive healthcare that respects diversity.

Hotline: 0859201919

32 Nguyen Viet Xuan,

Phuong Liet Ward, Hanoi

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