.png)
How Pelvic Floor Dysfunction Affects Men: Symptoms & Solutions
- Dr. Ben Moore
- Aug 28
- 4 min read
When most people think of pelvic floor issues, they picture postpartum women — not active, athletic men. But pelvic floor dysfunction affects men too, often in ways that go undetected or misunderstood. From unexplained pelvic pain to urinary issues and performance limitations, the symptoms can be both frustrating and disruptive.
At Evo Performance Therapy in Nashville, TN, we’re seeing more men speak up about these challenges — and more importantly, find real solutions through specialized pelvic floor physical therapy. Understanding the signs and knowing when to seek help can make all the difference in your recovery and quality of life.
This blog explores how pelvic floor dysfunction shows up in men, what causes it, and how the right treatment can help restore strength, control, and confidence.
Why Pelvic Floor Health Matters for Men
The pelvic floor is a group of muscles and connective tissues that support the bladder, rectum, and sexual organs. For men, it plays a critical role in urinary function, sexual performance, and overall core stability. Despite its importance, pelvic floor health is rarely discussed — especially in male-focused healthcare settings.
When these muscles are too tight, weak, or poorly coordinated, men may experience a range of issues that affect their day-to-day life and physical performance. Whether you’re lifting weights, running, or just trying to get through your workday comfortably, a dysfunctional pelvic floor can limit your ability to move freely and feel confident in your body.
Unfortunately, many men delay seeking care due to stigma or a lack of awareness that pelvic floor therapy even exists for them. But with growing research and specialized care available, more men are getting the support they need — and seeing powerful results.
Common Symptoms of Pelvic Floor Dysfunction in Men
Pelvic floor dysfunction in men doesn’t always present in obvious ways. The symptoms are often subtle at first — or mistaken for unrelated issues — which can delay treatment and prolong discomfort. Understanding the full range of signs is key to identifying the problem early and getting effective help.
Some of the most common symptoms include:
Urinary leakage or urgency, especially during exercise, sneezing, or after urination
Pelvic or lower abdominal pain that doesn’t respond to typical treatment
Pain during or after intercourse, or difficulty achieving or maintaining an erection
Constipation or straining during bowel movements
Core weakness or instability, especially during functional or athletic movement
Men may also feel a sense of tightness or pressure in the pelvic region, groin, or lower back that doesn’t resolve with stretching or rest. Because these symptoms don’t always appear together — and aren’t often talked about — it’s easy to overlook the pelvic floor as the source.
At Evo Performance Therapy, we help men connect the dots between these symptoms and their root causes, creating treatment plans that restore comfort, confidence, and performance.
How Men's Pelvic Floor PT Helps Resolve Dysfunction
Pelvic floor physical therapy is a targeted, evidence-based approach that addresses the root causes of dysfunction — not just the symptoms. For men dealing with discomfort, weakness, or performance limitations, pelvic floor PT offers a clear path toward recovery and lasting relief.
At Evo Performance Therapy, pelvic floor treatment begins with a detailed evaluation of how your core, hips, and pelvic muscles are functioning. We assess not only strength and mobility but also coordination, breathing patterns, and how your body responds under load or during specific movements.
A personalized treatment plan may include:
Manual therapy to release trigger points, reduce tension, and improve tissue mobility
Pelvic floor muscle retraining using cueing, neuromuscular re-education, or biofeedback
Breathwork and core integration to restore stability and reduce pressure on the pelvic floor
Mobility drills and functional strength training to correct imbalances
Education and movement coaching to change daily habits that may be contributing to the issue
Importantly, men’s pelvic floor PT is discreet, respectful, and tailored to your goals — whether you're returning to sport, resolving chronic pain, or improving function in everyday life.
Evo Performance Therapy’s Approach to Men’s Pelvic Health in Nashville
At Evo Performance Therapy, we take a proactive and personalized approach to men’s pelvic health — one that’s rooted in education, movement, and long-term results. We understand that pelvic floor dysfunction can be a sensitive issue, which is why our care is grounded in professionalism, privacy, and clear communication.
Our team begins with a comprehensive movement assessment to evaluate how your pelvic floor, core, and surrounding structures are functioning as a system. We then build a customized plan that fits your lifestyle, training demands, and personal goals — whether that means resolving pain, improving bladder control, or enhancing athletic performance.
We also take pride in helping men understand their bodies better. Through 1-on-1 care, ongoing progress tracking, and performance-focused strategies, we support your recovery while building strength and confidence from the inside out.
If you’re experiencing symptoms of pelvic floor dysfunction — or just want to move, lift, and live without restriction — Evo Performance Therapy is here to help you take the next step.