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Pelvic Floor Dysfunction in Men: Causes, Symptoms, Mental Health & Recovery Tips (Patreon)

Published:
2026-05-31 19:41:48
Imported:
2026-10
Tags:

Content

Hey friends! I’ve been invited back to the Man Up Podcast with urologists Drs. Justin Dubin and Kevin Chu, and I’m beyond humbled to share my knowledge and passion for men’s pelvic health with their community again.

In this episode, we talk about who may be at risk for pelvic floor dysfunction, the connection between mental health and pelvic pain flare-ups, and how understanding why you hurt can actually help you hurt less, especially with pelvic or genital pain.

We also get into compulsive thinking, unmanageable anxiety, practical pelvic pain advice, bowel health and toilet tips, and pelvic floor exercises that challenge our urology hosts. And yes, I call Dr. Dubin out on his improper pelvic floor contraction technique 😂.

There are plenty of laughs, too, because this is how learning should be, guys.

I hope you enjoy part two of Below the Belt!

Haven’t seen part one? Check it out here.

Medical Disclaimer: The information shared in this podcast is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. Listening to this episode does not establish a healthcare provider-patient relationship. Always consult your qualified healthcare provider regarding any medical concerns or before making changes to your healthcare routine. Individual needs and circumstances vary.

Files

"Below the Belt Part 2: Talking Pelvic Floor Health" feat Dr. Susie Gronski - Episode 122

05/25/26 In this episode, Dr. Justin Dubin and Kevin Chu welcome pelvic health expert Susie Gronski to discuss men's pelvic floor health, risk factors, and practical exercises. They explore how pelvic dysfunction affects men, the connection with mental health, and strategies for prevention and recovery. Chapters 00:00 Introduction and Recap of Part 1 00:55 Understanding Pelvic Floor Dysfunction in Men 06:12 The Connection Between Mental Health and Pelvic Pain 11:06 Exploring the Impact of Sexual Behavior on Pelvic Health 16:40 The Role of Knowledge in Pain Management 25:18 Addressing Anxiety and Its Effects on Pelvic Health 31:33 Practical Advice for Pelvic Floor Health 33:13 Understanding Bowel Health and Toilet Habits 39:38 The Importance of Preventative Pelvic Health 55:14 Practical Tips for Pelvic Floor Exercises #menshealth

Comments

Crenshaw

Very informative and a lot of fun to watch.

Cory

Love this podcast! I really needed to hear this discussion. It helps me so much to understand what's going on ❤️

Александр

Can severe scrotal asymmetry (left side hanging very low, feeling swollen, congested, and having a dull ache) combined with premature ejaculation be caused purely by tight/hypertonic pelvic floor muscles and compressed nerves? All my spine MRIs, scans, and urological tests are completely clear

Александр

I’ve noticed a very specific pattern in my body and would love to hear your expert opinion. What does it mean anatomically if a chronic groin and pelvic issue completely changes during a bowel movement and for about 10 minutes after it? Specifically, during a bowel movement, the left testicle (which normally hangs very low and slightly behind the right one) actually pulls up tighter, aligns symmetrically with the right one, and the pelvic pressure drops. Remarkably, if I masturbate strictly within this 10-minute window, my control over ejaculation returns to normal, and there is no premature finish. What exactly is happening during this short window, and how can I break this cycle?

Dr. Susie Gronski - Doctor of Physical Therapy

It sounds like this could be a temporary inhibition or neural distraction resulting from the mechanics of the bowel movement. The pelvic floor muscles naturally relax during urination and defecation, and with the added stretch of the anal sphincter and pelvic floor during a bowel movement, there may be a temporary relaxation or inhibition afterward. There are many overlapping nerves and systems at play in the pelvis, so it’s difficult to pinpoint one exact mechanism here. But if I had to guess, this theory sounds biologically plausible.

Dr. Susie Gronski - Doctor of Physical Therapy

Sounds like there may be some venous congestion or possibly a varicocele going on in the left testicle, especially with the swelling, heaviness, and dull ache you’re describing. There may also be muscular and nerve-related factors contributing to both the scrotal symptoms and premature ejaculation, but we can’t strictly say this is entirely due to a tight pelvic floor or compressed nerves. Rarely is there just one factor at play, especially when it comes to pelvic and sexual symptoms.