A simple breathing exercise to start releasing tension today
The signs your pelvic floor may already be overactive
What many men need to addressbeforeany strengthening
Why a tight pelvic floor can cause the exact same symptoms as a weak one
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For years, men dealing with pelvic pain, urinary issues, erectile dysfunction, or constipation have been handed the same advice: just do Kegels.
But here's what that advice misses: many men don't have a weak pelvic floor. They have one that's already too tight — overactive, guarded, and constantly "on." When that's the case, adding more squeezing doesn't just fail to help. It can actively make symptoms worse.
Think about clenching your jaw all day. Eventually it becomes tight, sore, fatigued, and sensitive. The pelvic floor can behave exactly the same way.
"Sometimes the issue isn't weakness. Sometimes the issue is an inability to let go."
— Dr. Lance Frank, PT, DPT · Flex PT ATL
Many men struggle in silence for years, dismissed or told their symptoms are psychological. They're not. Review this list — if several resonate, this guide was written for you.
URINARY
Urgency & frequency
Post-void dribbling
Hesitancy starting a stream
Waking up to urinate
Pain or burning with urination
BOWEL
Constipation
Hemorrhoids or fissures
Straining to evacuate
Feeling of incomplete emptying
Pain with bowel movements
SEXUAL
Erectile dysfunction
Premature ejaculation
Pain with erections
Hard flaccid symptoms
Genital tightness or discomfort
PAIN
Perineal or testicular pain
Chronic pelvic pain / prostatitis
Pain with sitting
Groin tightness
Tailbone pain
Dr. Frank covers everything you need to understand the real issue — and know what to do about it.
What your pelvic floor actually does
Why Kegels can make things worse
Signs you're dealing with tension, not weakness
The missing piece: relaxation first
The Pelvic Breath exercise
A whole-body approach to recovery

Doctor of Physical Therapy specializing in men's pelvic health. Through his practice, Flex PT ATL, and his social media channel @lanceinyourpants, he has educated hundreds of thousands of men about pelvic floor dysfunction — a topic that's chronically underserved in men's healthcare. His approach is clinical, evidence-informed, and grounded in treating the whole system, not just isolated muscles.
Dr. Lance Frank · Flex PT ATL · @lanceinyourpants
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