Sexual dysfunction in men

The pelvic floor muscles take part in erection and in ejaculation - and like any other muscles they can be too weak, too tense, or firing in the wrong order. That is why some sexual dysfunction in men responds to physiotherapy, and why patients usually learn about it very late, or never.

Physiotherapy does not replace medical assessment. Erectile dysfunction can be vascular, hormonal or neurological in origin, or a sign of a condition the patient does not yet know about - so I work alongside a urologist and, where needed, a sexual medicine specialist, not instead of them. Where the cause is muscle tension, chronic pelvic pain or a weak pelvic floor, therapy delivers on its own.

Examination and treatment always start with a conversation about what exactly is happening and what the patient wants to achieve. A rectal examination is performed only when it is needed, and always with explicit consent.