Episode 30: “Wait, I Have a Pelvic Floor?”— Male Pelvic Health, Explained
Most men have never thought about their pelvic floor (or knew they had one). But those muscles are doing critical work every single day for bladder control, bowel function, sexual health, and athletic performance.
In this episode, Dr. Alex DiGrado and Dr. Rebecca Howard Eudy talk through what the male pelvic floor is, what happens when it stops working as it should, and why so many men are suffering through symptoms they didn't know were treatable.
From younger cyclists dealing with pelvic pain to older men recovering from prostate surgery, this conversation sheds light on a topic that deserves far more attention and offers hope for men who have been suffering in silence.
What you'll learn:
How a tight pelvic floor can lead to erectile dysfunction, post-pee dribble, urgency, and pain
Why Viagra only addresses part of the picture, and what the pelvic floor has to do with the rest
What "pudendal neuralgia" is and why bike seats are a surprisingly common culprit
Why weightlifters and high-impact athletes often have pelvic floor issues and how addressing them can improve performance
How anxiety and shame around these issues can make symptoms worse
Tune in if you've ever thought:
"I didn't even realize men had a pelvic floor. I thought pelvic floor PT was only for pregnant people."
"I get up to pee multiple times a night, but I just assumed that was a normal part of getting older."
"I’m careful about my form when I work out at the gym, so why do I still feel pain ‘down there’?”
"I've been dealing with this thing for a while, but I haven't told anyone."
Helpful resources
The Fuzz Speech by Gil Hedley — a short YouTube video explaining what fascia is, why it gets stiff over time, and why movement (in more than just one direction) is one of the best things you can do for your body.
Friedman, Danielle. "Why Men Shouldn’t Ignore Their Pelvic Floors." The New York Times, 1 July 2025, https://www.nytimes.com/2025/07/01/well/live/male-pelvic-floor-health.html.
Find a pelvic floor PT near you: pelvicrehab.com or Pelvic Global Directory
Parents in Love: A Guide to Great Sex After Kids by Dr. Rebecca Howard Eudy
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Dr. Rebecca Howard Eudy
Website: rebeccaeudy.com
Instagram: @rebeccahowardeudy
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Dr. Alexandra DiGrado
Website: bostonpelvicpt.com
Instagram: @bostonpelvicpt
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Website: underthehoodpod.com