Does masturbation help strengthen the pelvic floor muscles?

Masturbation's Role in Strengthening Pelvic Floor Muscles

Regular sexual stimulation, including masturbation, may be beneficial for improving pelvic floor muscle strength when performed in conjunction with dedicated pelvic floor muscle exercises, but masturbation alone is not sufficient to significantly strengthen the pelvic floor muscles. 1

Understanding the Pelvic Floor and Sexual Activity

The pelvic floor consists of several muscle groups including the levator ani muscles (puborectalis, pubococcygeus, and iliococcygeus) and coccygeus muscles. These muscles play crucial roles in:

• Supporting pelvic organs
• Maintaining urinary and fecal continence
• Contributing to sexual function

Connection Between Sexual Activity and Pelvic Floor

According to clinical guidelines, there is a relationship between sexual activity and pelvic floor function:

• The American Society of Clinical Oncology (ASCO) notes that "any kind of regular stimulation (including masturbation) would likely be of benefit for improving sexual response" 1
• However, this benefit appears to be primarily related to sexual response rather than significant strengthening of pelvic floor muscles

Evidence-Based Approaches to Pelvic Floor Strengthening

Pelvic Floor Muscle Training (PFMT) - The Gold Standard

PFMT (Kegel exercises) remains the first-line and most effective approach for strengthening pelvic floor muscles:

• Consists of 3-5 second contractions followed by 3-5 seconds of relaxation
• Recommended regimen: 10-15 repetitions per session, 3 times daily 2
• PFMT is considered the gold standard for increasing pelvic muscle strength 3

Sexual Activity as a Complementary Approach

Research suggests that sexual activity, particularly orgasm, may complement PFMT:

• A 2022 study found that sexually induced orgasm combined with Kegel exercises improved postpartum pelvic floor strength more than Kegel exercises alone 4
• However, sexual activity (including masturbation) should be viewed as complementary to, not a replacement for, structured PFMT

Important Considerations and Cautions

When Sexual Activity May Not Be Beneficial

Not all individuals should use sexual activity for pelvic floor strengthening:

• Those with pelvic floor pain, muscle spasm, or hypertonicity should avoid Kegel exercises and potentially certain sexual activities 2
• Men with chronic pelvic pain syndrome should consult with specialists before attempting pelvic floor exercises 2, 5

Proper Assessment is Critical

Before beginning any pelvic floor regimen:

• Proper assessment of pelvic floor function is essential to determine appropriate interventions
• Some individuals may require pelvic floor relaxation rather than strengthening
• Specialized testing may be necessary for those with complex pelvic floor dysfunction 2

Practical Recommendations

For those seeking to improve pelvic floor strength:

1. Begin with properly performed PFMT under guidance from a healthcare provider
2. Sexual activity including masturbation may provide complementary benefits but should not replace structured PFMT
3. Consider working with a pelvic floor physical therapist for proper technique assessment
4. Be consistent with exercises - benefits typically require regular practice over time

Common Pitfalls to Avoid

• Relying solely on sexual activity/masturbation without structured PFMT
• Performing pelvic floor exercises incorrectly (which can worsen symptoms)
• Continuing exercises that cause pain or discomfort
• Overlooking the need for professional assessment in cases of pelvic floor dysfunction

In conclusion, while masturbation and sexual activity may play a supportive role in pelvic floor health, they should be considered part of a comprehensive approach that primarily features properly performed pelvic floor muscle training exercises.