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Ask Dr. Susie a Question❓ (Patreon)

Published:
2025-12-19 16:38:00
Imported:
2026-10
Tags:

Content

Got a question about sex, pleasure, pelvic health, or that thing you’ve been too shy to Google? Here’s your chance!

Drop your question in the comments below. I’ll answer these in a video series in January 2026. If you’re curious about it, someone else probably is too.

So… what do you want to know? 🤔

Comment below and stay tuned for the next Ask Dr. Susie video!

Files

Comments

Carlos

Dr. Susie, I have high blood pressure and diabetes but both have been very well controlled since immediately after they were diagnosed. The high blood pressure started when I was in my 30's and diabetes started 6 years ago when I was 50 years old. I know that both these health conditions can lead to erectile dysfunction. My question is: if both of these conditions have always been well controlled with medications, am I still going to get ED just by virtue of the fact that I have these two conditions even though well controlled.

John Bastian

I visited my 9th Male Pelvic Floor Therapist in my area this week. I spent 45 minutes talking with her about my conditions. I have grown to not discuss sex issues or even mentioning exactly where the burning, numbness or tingling is on my body because that seems to shut the therapist up. I did mention how much burning there is in my pelvic area and was told to sit on a tennis ball positioned under my hip area. Then handed two print outs of exercises that I can do at home.

JT

I’m a mid 50’s male struggling with urinary and fecal incontinence and not being able to hold it in long when feeling the urge to go. My sexual performance is now waning too. I recently had a interstim implant placed and I am seeing some help with urgency but still having the other issues. I’ve been shuffled from specialist to specialist but none mentioned pelvic therapy. Any suggestions on paths to improve. All of this is really impacting me.

Ernest Andrew

I had prostate enucleation (similar to TURP) two years ago. At first I had retrograde ejaculation, but it eventually died. I can sometimes have a penile orgasm, but often nothing. My provider switched me from SSRI to SNRI but it still got worse. The female urologist wouldn’t believe me and insisted that I was still having retrograde ejaculation. Is there any chance of getting it back? I also have Peyronies so PIV isn’t possible, but my wife and I still enjoy outercourse. And HELL NO I will not have surgery for Peyronies!!!

elenthis27

Early 40s male here. Can significant physical trauma effect how Early in middle age your testosterone starts to decrease?

J R

How long can chronic pelvic floor dysfunction last?

Bob L

Hi Dr. Susie, Something that freaked me out a bit. I was using my vibrating pelvic wand having some pelvic fun time while going about the Big M. This was at bedtime and after ejaculating, I was up like 4-5 times during the night and peed for only 5-10 seconds. It really freaked me out man. That had never happened to me. Of course, it was the first time using the vibrating wand during fun time. Did my prostate just clinch up? It didn’t happen the next night. I have pictures…no…I do not have pictures. For urinary dripping after I pee, my urologist she has me on 10 mg of tadalafil in the am and 0.8 of tamsulosin in pm. Thanks.

Carlos

Dr. Susie, is there a right way and wrong way to do kegels. Is it possible to over do kegels over the course of the day. Can you maybe give the do's and don'ts for kegel exercises.

GAMtnMan

You have mentioned (I think this is correct) that you recommend the Vacurect device. Do you have any thoughts or recommendation for a penile traction device? Merry Christmas!!!

Dr. Susie Gronski - Doctor of Physical Therapy

Hi J R, There’s no single timeline for pelvic floor dysfunction. How long it lasts really depends on the individual. Things like your medical history, current symptoms, contributing factors, and how your body responds to treatment all factor in. Some people notice improvement in a few weeks, while for others it can take several months or longer. Recovery is very individual.

Dr. Susie Gronski - Doctor of Physical Therapy

That's really unfortunate to hear, John. I'm sorry that your care has been invalidating. Yes, sitting on tennis balls may help, but I would suggest a softer ball like the Franklin Smooth Ball set https://amzn.to/45j5cq8 You can adjust the density to accommodate to your current tissue tolerance and comfort.

Dr. Susie Gronski - Doctor of Physical Therapy

Hi Carlos, Yes, it’s still possible. Even when diabetes and high blood pressure are well controlled with medication, ED can still happen. That’s because changes to blood vessels and nerves can build up over time, especially if these conditions were present for years before they were managed. Good control now absolutely lowers risk and can slow progression, but it doesn’t always reverse past damage. In addition, some blood pressure meds (like thiazide diuretics and some beta blockers) can affect erections, and things like cholesterol, sleep, mood, stress, and hormones also play a role. So control helps a lot, but it’s not a guarantee.

Dr. Susie Gronski - Doctor of Physical Therapy

I’m really sorry you’re dealing with this, JT. Urinary and fecal urgency and leakage can be very disruptive, and it’s common for sexual confidence and performance to wane when your body is struggling. I’m glad to hear the InterStim has helped some with urgency. That tells us neuromodulation is doing part of its job, but it’s rarely the whole picture. Care for bladder and bowel control typically includes pelvic floor therapy as a first-line or complementary approach, especially when urgency, leakage, and coordination issues are present. Pelvic therapy focuses on retraining timing, strength, and relaxation of the pelvic floor, biofeedback, and it can address bladder, bowel, and sexual function together rather than in silos. Being shuffled between specialists without anyone mentioning pelvic therapy is unfortunately common, but it doesn’t mean you’ve run out of options. I’d strongly suggest asking your urologist, colorectal provider, or the team managing your InterStim for a referral to a pelvic floor therapist who treats men and works with bladder, bowel, and sexual concerns.

Slamsmith

What options are there for a circumcised man who wishes it were never done to him? (I was circumcised as a new born)