Men's Pelvic Health: Breaking the Silence this Movember
- Philippe Dessaulles-Goudezeune

- Nov 26
- 3 min read

Movember is coming to an end, and with it, a full month dedicated to men's health. We hear a lot about prostate cancer and mental health, and that's essential. But there's one aspect of men's health that still doesn't get enough attention: pelvic floor health.
Yes, men also have a pelvic floor. And yes, they can consult with a pelvic floor physiotherapist. Yet many men live with uncomfortable symptoms in silence, convinced that it's normal with age or that there are no solutions. Spoiler: it's neither normal nor inevitable.
Pelvic problems in men: more common than you think
The pelvic floor is a group of muscles located at the base of the pelvis that support the bladder, rectum, and play a role in sexual function. When these muscles dysfunction, several symptoms can appear:
Urinary incontinence: Leakage after urination, when coughing, running, or after prostate surgery. It's one of the most common problems, but the least talked about.
Chronic pelvic pain: Pain in the perineum, genital area, lower abdomen, or during sexual intercourse. These pains can be debilitating and greatly affect quality of life.
Erectile dysfunction: While several factors can be involved, the pelvic floor plays an important role in erectile function. Targeted rehabilitation can make a real difference.
Constipation or pain during bowel movements: Difficulty with bowel movements or pain can also be related to excessive tension or weakness in the pelvic muscles.
Whether you're a cyclist in your thirties, a runner in your fifties, or simply someone who has noticed recent changes, these symptoms deserve attention.
Why do men consult so rarely?
The answer is often simple: taboo, embarrassment, and lack of awareness. Many men simply don't know that pelvic floor physiotherapy exists for them. Others think they "just have to live with it" or that it's an inevitable consequence of aging.
Let's be clear: living with urinary leakage, pain, or altered sexual function is not inevitable. Concrete solutions exist, and they often start with a physiotherapy assessment.
How pelvic floor physiotherapy can help
In pelvic floor physiotherapy, we assess the strength, coordination, and flexibility of the pelvic floor muscles. From there, we develop a personalized treatment plan that may include:
Strengthening or muscle relaxation exercises
Tension release techniques
Advice on lifestyle habits (hydration, posture, effort management)
Post-surgical rehabilitation (particularly after prostate surgery)
Strategies to improve bladder or bowel control
The goal? To give you back control, reduce your symptoms, and improve your quality of life. Whether you're an athlete looking to optimize your performance or someone who simply wants to regain daily comfort, there are tools for you.
And if physiotherapy isn't the most appropriate solution for your situation, I can direct you to the right resources, whether that's a urologist, a specialized physician, or another healthcare professional.
A judgment-free space, for everyone
I also want to emphasize that my approach is inclusive and judgment-free. Whether you're heterosexual, gay, bisexual, trans, or non-binary, pelvic floor physiotherapy is accessible to all. Everyone deserves to be heard, respected, and supported in their health needs, regardless of their identity or orientation.
This Movember, dare to ask questions
If you have symptoms that concern you, questions about men's pelvic health, or simply want to learn more, don't hesitate to contact me. I'll be happy to answer your questions and support you, or redirect you to the right resources if needed.
Because your well-being should never be a taboo subject.