Should you be exercising your penis?

Rumours relating to hacking your sex life with the likes of ‘penis gyms’ and ‘penis training programs’ have been doing the rounds in recent weeks. So far so curious. But are these practices *really* a thing and if so, who is doing them and do they *actually* work?

This article is a repost which originally appeared on ES Magazine

Edited for content.

Our Takeaways:

· There are exercises which you can perform to improve penile/sexual function

· Certain devices can be used to aid the process of developing sexual and penile fitness

· Research and care should be taken when you first undertake a penis training routine

You are by now probably familiar with the concept of biohacking, namely the self-improvement trend started by a handful of individuals who, venturing into the unknown, made it their mission to find whatever means, from microdosing to eccentric exercise trends and extraordinary diets to enhance their physical, cerebral and even spiritual function.

Five or so years later Silicon Valley caught on with the likes of Twitter founder Jack Dorsey and former Facebook president Sean Parker joining the brigade and forking out tens of thousands of dollars to improve everything from their productivity to muscle condition. Often they turned to the world’s biohacking ‘gurus’, self-experimenting guinea pigs and lifestyle enhancers such as Ben Greenfield, Tim Ferriss and Gwern, as their guides, eschewing traditional medical professionals, presumably preferring the more macho and unconventional approach. It’s perhaps worth mentioning that approximately 90% of biohackers are men…

Washington State based Greenfield is an elite biohacker who says he has a biological age of nine and makes a successful living documenting his quest for the world’s most effective means of physical and cerebral enhancement. While his practice is vast and varied, covering everything from microdosing LSD to supplementation and a process described as a ‘full-body stem-cell local’ whereby every joint in the body is injected with stem cells, it is arguably his reporting on sexual performance technologies and comments on penis gyms (he wrote a blog post entitled ‘how to make your penis stronger with a Private Gym’), which have garnered most attention. On day one of the 30-day Private Gym program Greenfield wrote, ‘I start round one of my training: contract, relax, contract, relax, five rounds done. 20 rapid flexes, done. 20 second hold, done. My penis quivers (oh geez, did I just write that?) under the weight towards the end.’ It’s undeniably attention-grabbing stuff.

And before those of you with a better-than-average anatomical knowledge flag – correctly – that contrary to popular belief the so-called love muscle contains no muscle and therefore can’t be trained, we know. And so does Greenfield. What he colloquially refers to in this way is in fact – less thrillingly – known as pelvic floor training.

Editor’s Note: The penis does contain smooth muscle tissue, which is different from skeletal muscle tissue. It should also be noted the Bulbocavernosus muscle which supports the base of the penis and extends to part of the shaft is indeed composed of skeletal muscle tissue.

Long considered a woman’s work, pelvic floor exercises tone the muscles that support the uterus. Done daily they can ease childbirth, prevent incontinence and even improve your sex life. Now however, experts are keen to flag that men have the same network of muscles as women. Extending like a hammock from the tailbone to the pubic bone they support the back, abdomen, bladder and bowel helping to maintain faecal and urinary continence. In male bodies these muscles also surround the base of the penis and are activated during erection, orgasm and ejaculation, as well as being responsible for the surge of blood flow to the penis.

Medical evidence suggests that done correctly male pelvic floor exercises taught by the likes of Professor Grace Dorey a professor emeritus of physiotherapy and urology at The University of West England can improve pelvic floor control, urinary function (particularly after radical prostatectomy surgery to treat prostate cancer) and sometimes even sexual function. Doctors explain that like all muscles, pelvic ones weaken with age, but can be strengthened by tightening the muscles used to cut off a flow of urine midstream. Held for a few seconds this contraction is then released and the motion repeated 10 to 15 times.

There is unsurprisingly, a budding market of systems to aid men with such ‘exercises’. Greenfield’s preferred Private Gym for example, includes an instructional DVD and small, ultralight weights on a silicone band that fits around the penis and is intended for men who want to add a little resistance training to their routines. The KegelPad meanwhile is another tool designed to aid good practice. Of the former Professor Dorey, has gone as far as to say ‘ It’s as good as Viagra, without the costs and the side effects…the pelvic floor muscles provide the base for the erection — for the penis to sit on, if you will.”

That said Karl Monahan of London’s The Pelvic Pain Clinic recommends that patients practice due diligence when purchasing such items, taking the time to identify companies that are legitimate and well intentioned. ‘Choose those which offer sound, medically supported programs and clinical trials,’ he says. Moreover, many of the symptoms associated with poor pelvic health actually have separate root causes that should be professionally diagnosed and treated. ‘Working with an experienced specialist is the best way for men suffering with pelvic floor related symptoms,’ he explains. ‘Unguided programs can also lead to patients overdoing their pelvic floor exercises, which can in turn, have dramatic effects on their pelvic health.’

Greenfield too warns against seeing biohacking and hacking technologies as quick fix. ‘A negative implication of the proliferation of these self-improvement methods is that people are inherently lazy and so in many cases [think] these biohacks can be used as a shortcut,’ he tells us. ‘But biohacking is not a shortcut. It’s the use of science or technology to enhance human biology, but always needs to be paired with actual hard work and dedication.’

 

 

 

 

 

 

 

Study: ED questionnaire lacks crucial questions

Study: ED questionnaire lacks crucial questions

By Jeni Williams

* This article is a repost which originally appeared on UrologyTimes

Chicago-A patient-reported outcomes survey that is widely used to determine whether men are experiencing erectile dysfunction (ED) fails to ask three critical questions that could uncover whether men truly have ED and the extent to which they face challenges, researchers say.

In a presentation at the AUA annual meeting in Chicago, one research methodologist said there are three obvious problems to using the six-question version of the International Index of Erectile Function (IIEF-6) to assess erectile function:

• Men who respond that they are not sexually active are not asked why—and their answer significantly lowers their survey score. Yet for many men, lack of sexual activity is not due to a loss of sexual function.

• Men are not asked whether they are using erectile aids.

• Because men do not report use of erectile aids, physicians miss an opportunity to ask patients to rate their level of sexual function with these aids.

“Too often, a man who says he is not having sex is automatically defined as having ED when that may not be true. If someone is not having sexual activity, you cannot assume that person has ED. You must ask additional questions,” Andrew Vickers, PhD, attending research methodologist, Memorial Sloan Kettering Cancer Center, told Urology Times.

Once men share the answer to this question, it’s important to adjust survey results to reflect the reason men are not having sex. Only in doing so can health care professionals gain valid insight into a man’s sexual health, Dr. Vickers said.

The study was conducted by researchers at the University of Michigan Medical School, Ann Arbor and Memorial Sloan Kettering Cancer Center under the direction of Karandeep Singh, MD, MMSc, assistant professor of learning health sciences and assistant professor of medicine for the University of Michigan Medical School. The study was supported in part by funding from the National Institutes of Health/National Cancer Institute, Blue Cross and Blue Shield of Michigan, and the National Institute of Diabetes and Digestive and Kidney Disease.

Men with prostate cancer who had undergone radical prostatectomy were asked to complete the existing version of IIEF-6 as well as adjusted versions that added a question about the use of erectile aids, instructed men to respond to the survey based on their level of erectile function without use of aids, and asked men who reported not having intercourse to share the reason why. EPIC sexual function scores were analyzed for men who reported no sexual activity on the IIEF-6.

A total of 24,732 surveys were completed by 6,780 men as part of their routine care. The results show the extent to which the IIEF-6 provides limited insight around erectile function in some men who have undergone radical prostatectomy.

Study: ED questionnaire lacks crucial questions: Page 2 of 2

Among the 16,573 surveys that included data around the use of erectile aids, 15% reported the use of erectile aids, predominantly injections (89%). A simple modeling analysis showed that before a question around the use of erectile aids was introduced, some men would report their level of erectile function using the aids; others would assess their erectile function without the use of aids.

Among men who stated they were not having sexual intercourse, 46% gave reasons other than ED for the absence of sexual activity, including lack of a partner, sexual orientation, sexual preference, and health problems of the female partner. In men who were having sexual intercourse, doubling the first three questions on the survey resulted in almost perfect scores compared with the full IIEF-6.

In the 251 men who reported not having sexual activity, 13% reported they continued to have erections sufficient for sexual activity. Meanwhile, 5.6% reported scores of at least 65 on the EPIC sexual function domain.

Adjusting the survey to provide more detailed and informative insight into the erectile function of men who have undergone radical prostatectomy “is an easy fix,” Dr. Vickers said.

“The problem is not in calculating a group average. The problem is in working with individual patients,” he added.

It’s also important to ensure patients understand what is meant by the word “intercourse,” Dr. Vickers said.

“Some men think ‘sex’ means ‘intercourse’ [only],” he said.