Pelvic Floor Physical Therapy- Timberline OP

[been_too_long]

Im honestly confused by this idea. Im in no way convinced the cause doesn't lie with the SSRIs. Too many of us experience the disorder after going off them. Nor does it explain emotional blunting non-related to sex. But at the same time....

When I was finally able to ejaculate after coming off the SSRI there was two things I instantly noticed. No "orgasmic euphoria" and that the clenching was nowhere near as strong. Also even if use Viagra to get an erection; as was said; it doesn't feel like the erection starts at the anus like it did before.

Is it possible that some of the symptoms are based from a subconscious reward foul up. You don't feel "good" from the ejaculation.. the brain no longer sees it as a rewarding experience.. the subconscious sees no need for sex.. libido and erections suffers from the brains lack of desire. Reward loop broken. Only problem I see with that is Id think it would take longer for your brain to come to that conclusion, not from just one fouled up orgasm.

Now Im really confused.

[Ghost]

Devils advocate

Orgasm is driven by the pelvic floor muscles. Without them, you don't ejaculate.

The blood should fill the entire erection chambers in the entire penis. If there is softness only under the pelvic floor, this is from tension or damage there, and not from am SSRI. I don't know if that muscle problem is from the SSRI or not, but the penis tissue from under the anus is the same as the shaft. It doesn't make sense that only one would inflate.

The clenching may not be as strong because it is always tense. Imagine your hand. Outstretched, you can contract quickly to squeeze any object. However, imagine walking around with a tight fist all day. You can't flex it any harder. You will say that you can no longer flex it, but that is proof only that it is currently tight.

If you have a physical problem with orgasm, then your body can't respond chemically.

Does this make sense? I can't say you don't have PSSD, but I can say that every symptom you just mentioned could be chalked up to pelvic floor dysfunction and resulting depression/anxiety. At this rate, we are pretty bad at curing PSSD in terms of percentage. why not flip the paradigm and eliminate something else as a possible cause/ factor? There are people with pelvic issues who are stuck like us for years until they finally let the tension go.

[been_too_long]

Devils advocate

Orgasm is driven by the pelvic floor muscles. Without them, you don't ejaculate.

The blood should fill the entire erection chambers in the entire penis. If there is softness only under the pelvic floor, this is from tension or damage there, and not from am SSRI. I don't know if that muscle problem is from the SSRI or not, but the penis tissue from under the anus is the same as the shaft. It doesn't make sense that only one would inflate.

The clenching may not be as strong because it is always tense. Imagine your hand. Outstretched, you can contract quickly to squeeze any object. However, imagine walking around with a tight fist all day. You can't flex it any harder. You will say that you can no longer flex it, but that is proof only that it is currently tight.

If you have a physical problem with orgasm, then your body can't respond chemically.

Does this make sense? I can't say you don't have PSSD, but I can say that every symptom you just mentioned could be chalked up to pelvic floor dysfunction and resulting depression/anxiety. At this rate, we are pretty bad at curing PSSD in terms of percentage. why not flip the paradigm and eliminate something else as a possible cause/ factor? There are people with pelvic issues who are stuck like us for years until they finally let the tension go.

Ok, Ive suffered from this for a long time. Long enough that Im willing to entertain anything that could give relief. So I do not dismiss this theory off the cuff. I could bring up several arguments against this (as others already have,) but proponents would counter then Id counter again That is not going to get us anywhere.

I say this with all due respect because I do in fact respect you. So Ill leave this with two fruits for thought.

1) being prescribed a SSRI was a mistake. I was not suffering from depression/anxiety.

2) Occam's razor

[Marksanchez397]

Devils advocate

Orgasm is driven by the pelvic floor muscles. Without them, you don't ejaculate.

The blood should fill the entire erection chambers in the entire penis. If there is softness only under the pelvic floor, this is from tension or damage there, and not from am SSRI. I don't know if that muscle problem is from the SSRI or not, but the penis tissue from under the anus is the same as the shaft. It doesn't make sense that only one would inflate.

The clenching may not be as strong because it is always tense. Imagine your hand. Outstretched, you can contract quickly to squeeze any object. However, imagine walking around with a tight fist all day. You can't flex it any harder. You will say that you can no longer flex it, but that is proof only that it is currently tight.

If you have a physical problem with orgasm, then your body can't respond chemically.

Does this make sense? I can't say you don't have PSSD, but I can say that every symptom you just mentioned could be chalked up to pelvic floor dysfunction and resulting depression/anxiety. At this rate, we are pretty bad at curing PSSD in terms of percentage. why not flip the paradigm and eliminate something else as a possible cause/ factor? There are people with pelvic issues who are stuck like us for years until they finally let the tension go.

Ok, and if pelvic floor was the cause of some or all of our problems, how can we relax and reverse pelvic floor problems?

[Ghost]

Yes I agree that pelvic floor theory is not the case for all people, but I do think that if someone has any physical changes to the penis such as:

Hard Flaccid
Soft Glans
Hourglass Shape
Changes in flaccid hang/ testicles hang
Numbness that changes or is stronger on one side or another
tingling or genital pain
Changes in orgasm strength or muscle contraction

These are pelvic floor problems and really can only realistically be caused by the pelvic floor. I mean, we could probably find a way to tie them to an SSRI, but the much simpler explanation is pelvic floor.

Obviously these don't explain every PSSD symptom, or any symptom from an SSRI, but they are a start. Sonny and I have always been adamant that PSSD isn't something that everyone who thinks has it actually does, and that the pelvic floor is something you need to check off before moving forward.

[been_too_long]

Ok, and if pelvic floor was the cause of some or all of our problems, how can we relax and reverse pelvic floor problems?

Obviously Im not a proponent of this theory for various reasons. That being said, I do believe in being honest and open. There is scant scientific data that lends toward it as a possibility for some of the people here.

https://www.ncbi.nlm.nih.gov/pubmed/27872005

https://www.ncbi.nlm.nih.gov/pubmed/16952676

its also worth taking a look at
https://www.pelvicpainrehab.com/male-pe ... -help-you/

Sorry Bunny its only on men :/

It is worth noting that sexual dysfunction is not normally cited symptom of pelvic floor dysfunction. The traditional indicators are:

•The feeling that you need to have several bowel movements during a short period of time.
•The feeling that you cannot complete a bowel movement.
•Constipation or straining pain with bowel movements.
•A frequent need to urinate. When you do go, you may stop and start many times.
•Painful urination.
•Pain in your lower back that cannot be explained by other causes.
•Ongoing pain in your pelvic region, genitals, or rectum.
•Pain for women during intercourse.

So if you do have some those symptoms as well, then I would highly advocate looking into this more. Personally the only one I match is urination but that is most likely prostate related to age, plus I dismiss it because it only started about 6 months ago, where as my PSSD started 8 years ago.

One of the things that is bothering me in this explanation if remember correctly (I was trained as a combat medic back in 1990 so am a bit hazing on it) an erection is a counter reaction. Muscles (that could be pelvic floor and remember that your penis extends in to your pelvic cavity so is longer than what you see) relax and allow blood flow into the penis; so if those muscles are constricted I could see a problem getting an erection. Problem Im seeing is remember it being a counter reaction... when you lose the reaction (after ejaculation) the muscles in the penis constrict forcing the blood out of the penis. Now if the muscles related to pelvic floor are constricted as suggested, Id rationalize that it would restrict blood backflow just as it does the blood flowing in? Seems to me if this explanation holds... after getting an erection (say with Viagra) you could suffer from priapism.

Anyway... I think theres at least two things me and Ghost can agree on. 1) whatever the cause, our shared disorder sucks. 2) if ANY theory on these forums helps alleviate even one persons pain then it was worth the discussion.

[Ghost]

Those are good studies. As you probably noticed, one is by Dr. Goldstein, and the other is by the authors of the book "A headache in the pelvis".

I find this very exciting:

"At baseline 133 men (92%) had sexual dysfunction, including ejaculatory pain in 56%, decreased libido in 66%, and erectile and ejaculatory dysfunction in 31%. After trigger point release/paradoxical relaxation training specific Pelvic Pain Symptom Survey sexual symptoms improved an average of 77% to 87% in responders"

Of course, not every person with CPPS will have sexual dysfunction, but it appears to me that it's not uncommon.

I have the problem of blood remaining in my penis for long after ejaculation. One time an ex-gf mentioned to me that she'd never seen my penis totally flaccid. That was because after sex it would stay hard-ish for a while until we fell asleep.

I think that this is muscular becuase the same force making it slow for blood to flow in is making it hard to flow out too.

I'm working on a new section of my site, and i'll update it to include this new information.

www.pssdlab.wordpress.com/physical-therapy-protocol

[Bigmum]

HIIT and fast run like 1km with speed14-16 km/h everyday increases blood flow in dick so it can be good therapy for scares, sode efect is that i feel something like preasure in teeth after that.

[raven100]

So I made an interesting purchase after doing some reading about this:

https://www.amazon.co.uk/constipation-S ... B00OX7016E

"
Our bodies have been anatomically designed to squat to do our business. When sitting on the loo the rectum is choked by the puborectalis muscle to keep the body in continence mode, which results in straining and incomplete bowel movements. It is only in the squatting postion, with knees raised higher than the hips, that the rectum is released and waste elimination can take place properly.

Straining on the loo causes a huge amount of pressure on the pelvic floor, rectal muscles and blood vessels around the rectum. Excessive straining can therefore cause bladder weakness, faecal incontience & haemorrhoids.
"

I don't really know if it's helped with any PSSD symptoms or my pelvic floor, but it definitely seems to relax my muscles more and seems a good purchase

[hs1312]

Ok . I have arranged an appointment with a pelvic floor therapist clinic . coming friday. Lets see what they say. I do think pelvic floor problems has something to do with my problems.