Kegel Exercises for Men · Companion tool
Both of them leak. Both of them test weak. Only one of them gets better when you squeeze — and the other one gets worse. Ten minutes, and you will know which program is yours.
A pelvic floor can fail in two opposite directions, and the complaints they produce look almost identical from the outside.
Too little tone, not enough closing pressure, poor endurance. It leaks when you cough because it cannot resist the push. Strengthening is exactly right.
Held in a low-grade contraction all day, for years, never fully letting go. Clinically, hypertonic. It also leaks, and it also tests weak — a muscle held permanently short has no range left to contract through.
That second line is the whole problem. A tight floor tests weak, so it gets treated as weak. And a tight floor treated as a weak one gets worse: adding contraction to a muscle that is already chronically contracted raises the resting tone further, reduces blood supply to tissue already short of it, and turns up the pain. Men in this group do the standard exercises diligently for months and report, accurately, that they felt fine when they started and feel worse now.
So you sort yourself first. Answer honestly — the pattern is what matters, not the arithmetic.
Reading it
Nothing is scored yet. Work down both lists — the verdict updates as you go, and the four items marked key in Group B carry extra weight, because they are the ones that change the direction of the program.
This tool sorts a direction. It does not diagnose anything, and there are findings that belong to a clinician before any exercise:
Common, and not a contradiction. A floor can be tight and weak. In that case the order is not optional: you down-train first, for six weeks, and only then begin strengthening. Doing them the other way round, or both at once, is precisely what makes this group worse.
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