When you are frantically searching for answers to erectile dysfunction, your focus likely starts with just what can done for the penis. However, tracing the anatomy proximally into the pelvis is likely to lend some potential to improve.
The blood and nerve supply to the erectile tissue decussates from the sacral nerves of the spine.
These pudendal nerve and artery are directly impacted by excess tone in the pelvic floor.
The stability of arterial blood flow to the pelvic floor is directly related to the muscle strength of ischiovanerous and bulbocavernous muscles.
Weakness of these muscles can reduce the potency of the dorsal artery, tightness of the perineal muscles can impede optimal blood supply.
While (PDE5) inhibitor pharmaceuticals work by increasing inflow to the erectile tissue, penile rigidity is also effected by weak pelvic floor muscles as they are needed to properly increase pressure by reducing outflow of blood during an erection.
Pelvic floor muscle strength can be improved by identifying the muscles at the sides of the penis, those that lift the testicles, and the muscles that lift the perineum. Ensuring that one is not engaging leg or glute muscles in substitution or bearing down or holding one’s breath is important.
Daily sets and reps of engaging these muscles is important for improving the strength and ability to relax of the pelvic floor and over a few weeks have an impact on erectile function.