Socal Urology Institute Logo


Perceptions of premature ejaculation (PE) are often subjective; Some men believe they have premature ejaculation inappropriately, but the International Society of Sexual Medicine defines premature ejaculation as ‘ejaculation within a minute.’   There have been a variety of treatments for premature ejaculation over the years.   Some are more effective than others, but some men have not responded to the previous treatment options.

PE affects a significant number of men at some point in their lives.  However, a new study shows that pelvic floor exercises can help with treating lifelong premature ejaculation problems.

Findings of the new study, show possible improvements in the condition of men with chronic premature ejaculation as researchers found that pelvic floor exercises done for 12 weeks may help treat men with PE.

Many factors can weaken pelvic floor muscles, including the surgical removal of the prostate and conditions such as diabetes and overactive bladder.  This can lead to incontinence of both urine and feces.  They can also enhance sexual enjoyment.  Kegels improve ejaculatory control and can lead to stronger, firmer erections.

For the study presented at the European Congress of Urology in Stockholm April 13, a team of researchers lead by Antonio Pastore, from the Sapienza University of Rome, involved 40 men between 19-46 years old who suffered from premature ejaculation and already tried different treatments such as behavioral therapy, antidepressants and creams but without success.

The researchers had the participants do pelvic floor muscle exercises for 12 weeks and measured the men’s time-to-orgasm during this period.  The men’s ejaculation time when the trial started was 31.7 seconds on average but this rose to 146.2 seconds at the end of the 12-week period.

A large percentage of the subjects showed improvements as well.  Of the 40 men who participated in the study, 33 showed improvement within 12 weeks, two dropped out of the trial after showing some improvement and only five did not show any significant improvement.  The 33 men who showed significant improvements continued the trial for six months and reported that they were able to maintain their improved ejaculation time.

Pastore said that pelvic floor exercises have several advantages over existing PE treatments. The technique, for instance, is cost effective and does not have side effects and while the exercise still needs to be standardized, the results of the trial suggest that it can be adopted as a therapeutic option for men with premature ejaculation

Kegel exercises are simple clench-and-release exercises that strengthen the pelvic floor muscles.  The pelvic floor is really a series of muscles and tissues that form a sling, or hammock, at the bottom of the pelvis which holds the organs in place.


For an appointment or consultation with Dr. Gary Bellman,
please contact the office or call 818-912-1899