Psoas muscle and erectile dysfunction: What you need to know

4 min
Some medicine circles postulate a possible connection between the psoas muscle and erectile dysfunction (ED), with the theory being that tension or dysfunction in the psoas muscle, often attributed to factors such as stress, poor posture, or prolonged sitting, can contribute to ED. Pelvic floor dysfunction. A weak pelvic floor may, in turn, lead to various problems, including erectile dysfunction.
Psoas Muscle and ED

What is psoas muscle?

The psoas muscle is a deep-rooted core muscle located in the lower lumbar region of the spine. It consists of two muscles: the psoas major and the iliopsoas. These muscles work together to flex the hip joint and play an important role in stabilizing the spine and pelvis during movement.

What is erectile dysfunction?

Erectile dysfunction (ED) is a condition characterized by the inability to achieve an erection of the penis or the inability to maintain an erection sufficient for satisfactory sexual intercourse. It is a common condition that can affect men of all ages. There are many reasons behind erectile dysfunction. They may be psychological or physiological, and they have their own specificity that relates to the condition of each man individually.

Weak pelvic floor

Pelvic floor weakness is when the muscles, ligaments, and connective tissues that support the pelvic organs do not work optimally. The pelvic floor muscles form a structure that helps support the pelvic organs and maintain urinary and bowel incontinence. When these muscles become weak or damaged, it can lead to various symptoms and health problems.

  • The most prominent causes of weak pelvic muscles in men:

  1. Aging: As you age, your pelvic floor muscles can naturally weaken due to hormonal changes and poor muscle tone.
  2. Obesity: Excess weight can increase pressure on the pelvic floor muscles, leading to weakness or dysfunction.
  3. Chronic constipation: Straining during bowel movements can strain the pelvic floor muscles, causing weakness over time.
  4. Chronic cough: Conditions such as chronic bronchitis or asthma that causes persistent coughing can weaken the pelvic floor muscles.
  • Symptoms of pelvic floor dysfunction:

  1. Incontinence.
  2. Fecal incontinence.
  3. Discomfort or pain in the pelvic area, including during intercourse.
  4. Incomplete emptying of the bladder or bowel.

How to stretch your hip flexors?

  • Hip Flexor Stretch with Arm Raise:

  1. Kneel down on your left knee.
  2. Extend your left arm up and slightly back.
  3. Feel the gentle pull in your hip flexors.
  4. Hold for 30 seconds, then release.
  5. Repeat this stretch three times on each side.
  • Seated Hip Flexor Stretch:

  1. Sit on the edge of a chair or bench.
  2. Cross your right ankle over your left knee.
  3. Gently press down on your right knee to feel the stretch.
  4. Hold for 30 seconds.
  5. Switch to the left side and repeat.

Hip flexor corrective exercises

  • Kneeling Hip Flexor Stretch:

  1. Kneel down with one knee on the floor.
  2. Extend the other leg forward.
  3. Keep your upper body upright.
  4. Hold this position for 30 seconds and then release.
  5. Repeat this stretch at least 3 times on both sides to target your hip flexors.
  • Bridge:

  1. Lie down with your feet flat on the ground and knees bent.
  2. Place your arms by your sides.
  3. Slowly lift your hips to create a “bridge.”
  4. Hold this position for 5 to 10 seconds, engaging your glutes and abs while keeping your shoulder blades and neck on the ground.
  • Front Leg Raises:

  1. While standing upright, extend your right leg forward.
  2. Lift it as high as you can.
  3. Lower it back down.
  4. Repeat with the left leg.
  5. Continue alternating between legs for 12 to 15 reps.
  • Hip Circles:

  1. Balance your weight on your right leg.
  2. Move your right leg in circular motions.
  3. Repeat in the opposite direction.
  4. Switch to the left leg and repeat.
  • Sidesteps:

  1. Get into a squat position.
  2. Take sideways steps to the right.
  3. Then step back to the left.
  4. Repeat for 10 to 12 steps in each direction.


Q: Can tight hips cause groin pain?

A: Yes, tight hips can contribute to groin pain, as tightness in the hip flexors or surrounding muscles can pull on the groin area, leading to discomfort or pain.

Q: Can sex cause low back pain?

A: Yes, sexual activity can sometimes cause or exacerbate lower back pain, especially if certain positions or movements put a strain on the lower back muscles or spine.

Q: Does flexibility affect sex?

A: Yes, flexibility can affect sex by allowing for a greater range of motion and comfort during sexual activities.

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