Overcome premature ejaculation via pelvic physiotherapy
Use the Vigor PE Programme to help you improve your ejaculatory control one milestone at a time, from desensitisation to improved pelvic floor muscle control.
Break your premature ejaculation cycle
Good news. PE is treatable beyond resorting to numbing applications and other coping mechanisms.
Physical therapy for men’s pelvic floor is a clinically proven and effective treatment for Premature ejaculation (PE).
Pelvic physical therapy and electrical stimulation training provides measurable and longer lasting results on a physical level.
If you are already using coping mechanisms such as numbing applications be it PE sprays or wipes, physical therapy can definitely help you prolong it with increased physical control, and slowly rely lesser and lesser on coping mechanisms.
Vigor Men’s Health Centre provides a targeted pelvic floor physical therapy to help you strengthen your pelvic floor muscles that play a vital role in your ejaculatory reflex. When your pelvic floor is stronger and you learn the control techniques, it can significantly improve your endurance.
Let Physical Therapy Be Your
First Line Treatment
Whether you have Lifelong PE (Primary PE) or Acquired PE (Secondary PE), when you ejaculate too quickly during sexual activity, typically within one minute of penetration, and has little control over delaying ejaculation, Pelvic Physical Therapy can help with improving the physical aspect of the issue.
Pelvic Physical Therapy (or pelvic physiotherapy) helps with premature ejaculation and overall sexual function by training, and in some cases re-training our body whether it is a sensitivity issue or a deterioration of our pelvic floor muscles due to ageing, lifestyles, or pelvic surgery.
Your Journey to Treating
Premature Ejaculation (PE) Starts Here
Consultation & Customized Treatment Plan
Physical Therapy for Control Training
Education & Professional Support and Guidance
Throughout your treatment, we will provide continuous education and support. We address your concerns about sexual health, including strategies for managing anxiety and improving intimacy. Open communication and education are ongoing parts of your journey.
How it works
Our PE treatment is divided into 4 modules, each targeted to improve one aspect of your condition.
Depending on the results of your first consult and assessment, your treatment will include these modules:
- Desensitization therapy
- Pelvic Floor Muscles conditioning
- Behavioral modifications
- Breathing techniques
You will be guided by a pelvic health professional throughout the journey, and advice and tips will be given when you achieve milestones within each module. For example, in the initial phase, when your main reason of PE is weak pelvic floor muscles, as training up muscles take time, we may also give practical tools and tips to help you prolong the duration from where you are every step along the way.
In other words, your progress and improvement would be measured, and we will take steps to ensure your progression does not regress (go backwards).
Book a First Trial to Experience it Yourself
Full Programme
RM1,000+SST
Our PE treatment programme focuses on a few key aspects to help you desensitise AND build up a stronger pelvic floor muscle control which contributes to our ejaculatory reflex. Over a course of 4 sessions, you will receive the initial intensive training and therapy, combined with tools and tips from our Pelvic Professionals.
Training Tools
Price varies
Our Pelvic Physiotherapists recommends certain tried and tested tools and products which can aid you along the journey at each phase of your condition until you reach the normal time range. Coming soon to our stores.
Trial
RM280+SST
Get a first trial to see if the Vigor treatment approach is suitable for your condition
Receive a physical Pelvic Assessment to evaluate your present condition, and experience your first treatment same day
What Can You Expect After a Treatment Cycle?
1. For Those Struggling to Last Longer
If you experience early ejaculation and feel like you lack control, our pelvic physiotherapy helps strengthen key muscles through tailored exercises and techniques, allowing you to delay climax with greater confidence.
2. For Those Looking to Improve Sensory Control
If heightened sensitivity is a concern, our treatments focus on desensitizing specific areas through neuromuscular re-education and manual therapy, helping you achieve better control over your timing.
4. For Those Seeking Drug-Free Solutions
If you want to avoid medication or its side effects, Vigor EP offers non-invasive alternatives such as pelvic floor strengthening and shockwave therapy to improve endurance naturally.
5. For Those Aiming to Rebuild Confidence
If PE has impacted your confidence or relationships, our comprehensive treatment plan addresses both physical and psychological aspects, empowering you to feel in control and confident again.
We use Evidence-Based Treatments
Role of Pelvic Physiotherapy in Premature Ejaculation (PE) Treatment
Read More
This study assessed the effectiveness of pelvic floor rehabilitation in 78 men with lifelong PE. The program focused on increasing awareness of pelvic floor muscles, timed contractions during the pre-orgasmic phase, and strengthening through biofeedback, exercises, and electrostimulation. After 2–6 months of training, 54% of patients were cured, with a subgroup improving their intravaginal ejaculation latency time (IELT) from <2 minutes to >10 minutes. Younger patients (<35 years) showed higher success rates (65%).
Key takeaway: Pelvic floor muscle rehabilitation is a time-intensive but effective, drug-free approach for managing PE, with the added benefit of no side effects.
La Pera, G. (2014). Awareness and timing of pelvic floor muscle contraction, pelvic exercises, and rehabilitation of the pelvic floor in lifelong premature ejaculation: 5 years’ experience. Archivio Italiano di Urologia e Andrologia, 86(2), 123–125. https://doi.org/10.4081/aiua.2014.2.123
Read More
In this study, 80 men with PE were divided into two groups: one receiving the stop-start technique alone and the other combining it with sphincter control training. After 6 months, both groups showed significant improvements in IELT and reduced scores on the Premature Ejaculation Diagnostic Tool (PEDT). However, the group combining stop-start and sphincter control training demonstrated superior results in increasing IELT and reducing PE symptoms.
Key takeaway: The stop-start technique is effective for PE, but combining it with sphincter control training enhances outcomes, providing a comprehensive strategy for symptom improvement.
Doğan, K., & Keçe, C. (2023). Comparison of the results of stop-start technique with stop-start technique and sphincter control training applied in premature ejaculation treatment. PLOS ONE, 18(8), e0283091. https://doi.org/10.1371/journal.pone.0283091
FAQ
1. What duration is considered Premature Ejaculation (PE)?
PE is typically defined as ejaculation that occurs within one minute of penetration or sooner than desired during sexual activity. However, timing can vary, and it’s important to consider both physical and emotional factors.
2. Can PE heal itself over time?
In some cases, PE may improve over time, especially if it is caused by temporary factors like stress or anxiety. However, consistent or long-term PE may require treatment and professional guidance for effective management.
3. I'm too sensitive. What if I get aroused and ejaculate during treatment?
This is a common concern for men with PE, and it’s nothing to feel embarrassed about. If it happens, our therapist will handle it professionally, and it will provide valuable insight into your sensitivity levels for tailoring your treatment.
4. Will the therapist teach techniques to help me last longer?
Yes, part of your treatment will involve education on techniques to help you last longer, such as pelvic floor exercises, desensitisation techniques, relaxation techniques, and behavioral strategies to improve control.
5. What should I prepare before attending the treatment session?
There’s not much you need to prepare. Just remember your symptoms and be ready to discuss them openly with your therapist during the first session.
6. Is the assessment and treatment painful?
For certain cases, a DRE (Digital Rectal Examination) may be required. In DRE the therapist will insert a finger into your anus to assess your pelvic floor muscles. An EMG (Electromyography) may also be performed to aid the optimal assessment, where an anal probe is inserted to track your pelvic muscle strength and endurance.
7. Do I need to remove my pants and underwear during treatment?
Yes, in order to provide effective treatment to you.
8. Is my therapist a male? Will I feel awkward or shy during treatment?
Yes, your therapist will be male. However, there’s no need to feel awkward or shy. Our therapists are professionals and are experienced in dealing with these issues.
9. Is the examination and treatment painful?
The process is usually not painful and we will guide you through relaxation techniques throughout. While there may be mild discomfort, we will always check in on your comfort level.
10. Are there any side effects after treatment?
There are minimal to no side effects after treatment.
11. What if I get an erection during the treatment?
This is a normal physiological response, and there’s nothing to be embarrassed about. It’s a sign of progression, and your therapist will view it professionally.
12. What if I feel aroused during treatment?
Arousal can happen, and our therapist will handle the situation professionally. There is no need to worry.
13. Can older individuals receive treatment too?
Absolutely! PE can affect men of all ages, and everyone deserves a fulfilling sexual life. We are here to help you regain your confidence.
14. If I'm on medication, can I still receive treatment?
Yes, but it’s important to inform the therapist of any medications you are taking so they can tailor the treatment plan accordingly.