Greetings from the world of male sexual wellness! If you’re someone who has suffered from premature ejaculation (PE), then you are well aware of how frustrating and embarrassing it can be. But have you ever wondered “can a weak bladder cause premature ejaculation?” Yes, that’s a common question many men have asked.

In this article, we at ShagLonger will delve into the connection between these two seemingly unrelated topics and how they can impact your sexual control and health. We’ll unravel the anatomy of both the urinary and reproductive systems and examine the evidence linking a weak bladder to PE. And of course, we’ll discuss the different treatment options available, including the benefits of pelvic floor exercises.

So, if you’re eager to understand the connection between a weak bladder and PE and learn how you can take charge of your sexual well-being, keep reading!

The anatomy of the urinary and reproductive system

These systems are actually closely linked and share many of the same muscles. Let’s dive in and explore the anatomy of these important systems and how they work together to keep you healthy.

Starting with the bladder, it’s a muscular sac that stores urine until it’s ready to be expelled from the body. This is where the pelvic floor muscles come into play. The pelvic floor muscles, including the bladder sphincter and the pubococcygeus muscle, help control the release of urine from the bladder. These muscles are responsible for keeping everything in place and functioning properly.

Now, let’s talk about the reproductive system. It too is closely connected to the urinary system, with many of the same muscles playing a crucial role in both. The pelvic floor muscles play a significant role in helping with the control and function of the reproductive system.

So, the urinary and reproductive systems are intimately connected and share many of the same muscles, including the pelvic floor muscles.

These muscles play a critical role in helping maintain control and proper function of both systems, and it’s important to keep them strong and healthy. Understanding the anatomy of these systems and how they work together can help you stay informed about your sexual and urinary health.

So does a weak bladder cause PE?

Well not exactly, a weak bladder does not directly cause premature ejaculation. However, the muscles in the pelvic area that regulate our bladder function also have a hand in sexual performance.

If these muscles aren’t strong, they could potentially lead to both incontinence and premature ejaculation. Don’t worry, we’ll delve deeper into the research on this topic a little later on!

Weak bladder syndrome

Urinary incontinence, or weak bladder syndrome, is a widespread issue that affects a staggering number of people globally. This condition is defined by the lack of control over your bladder, resulting in symptoms like frequent urination urges, occasional leakage, and a sense of urgency.

How a weak bladder could affect the control of ejaculation

The bladder and the muscles involved in sexual function are closely connected, so a weak bladder can have an impact on the control of ejaculation. This is because the muscles involved in both bladder control and ejaculation are part of the same network of muscles in the pelvic region.

When a man has a weak bladder, the pelvic muscles are more likely to be tense and overactive. This increased level of tension can have a direct impact on the muscles involved in sexual function, making it more difficult for a man to control his ejaculation.

Evidence from studies and medical reports on the link between a weak bladder and PE

This research study aimed to understand the impact of overactive bladder (OAB) on sexual health in men and women. The study was conducted in the United Kingdom, Sweden, and the United States, and involved a cross-sectional survey of the general population, conducted online. 

Participants were asked about their urinary symptoms, sexual activity, and satisfaction, and were divided into three groups: those with incontinent OAB (I-OAB), those with continent OAB (C-OAB), and those with no/minimal urinary symptoms (NMS). 

The results showed that those with I-OAB or C-OAB were more likely to report decreased sexual activity and enjoyment, as well as a higher likelihood of erectile dysfunction (ED) and ejaculatory dysfunction (EjD) in men, but not premature ejaculation

The study concludes that OAB has a significant impact on sexual health in both men and women, and that sexual health should be considered as part of the assessment of individuals with OAB. 

What can cause an overactive bladder?

There can be several factors that can cause an overactive bladder, which could lead to an increased risk of PE. Some common causes include:

  • Nerve damage: Nerve damage to the bladder, such as from a spinal cord injury, can cause an overactive bladder.
  • Bladder muscle instability: Overactivity of the bladder muscle can cause the frequent urge to urinate.
  • Enlarged prostate: An enlarged prostate can put pressure on the bladder, causing it to contract more frequently and urgently.
  • Urinary tract infections: A urinary tract infection (UTI) can cause inflammation and irritation of the bladder, causing the person to urinate frequently.
  • Certain medications: Some medications, such as decongestants and antidepressants, can cause an overactive bladder.
  • Neurological conditions: Neurological conditions, such as Parkinson’s disease and multiple sclerosis, can also lead to an overactive bladder

Lower urinary tract symptoms (LUTS) and Premature ejaculation

Lower urinary tract symptoms (LUTS) refer to a group of symptoms that are related to the bladder, prostate, and urethra. These symptoms are common in men, and their severity increases as men age.

This systematic review aimed to investigate the relationship between LUTS and premature ejaculation in men. The researchers searched for relevant studies in five online databases and also reviewed the reference lists of selected articles. A total of 12 articles were included in the review, consisting of one cohort study and 11 cross-sectional studies. The quality of the studies ranged from poor to good.

The prevalence of premature ejaculation in men with LUTS ranged from 12% to 77%. Most of the studies showed a significant relationship between LUTS and premature ejaculation, with PE being more common in older men, the highest prevalence observed in the age group of 60-69 years.

In conclusion, there appears to be a possible association between LUTS and PE in men, but further research using more robust study designs such as cohort or case-control studies is needed to establish a clearer relationship between the two conditions.

The role of pelvic floor exercises in treating premature ejaculation

You may have heard of pelvic floor exercises, better known as Kegels. These exercises target the muscles in your pelvic area, which can lead to improved bladder control and even better sexual function.

If you’re experiencing premature ejaculation, Kegels might just be the solution for you. By building up the strength of the muscles involved in ejaculation, you can gain more control over when and how you climax. Give it a shot!

man lying on floor

Steps for performing pelvic floor exercises

Performing pelvic floor exercises is relatively simple and can be done anywhere and at any time. Here are the steps for performing pelvic floor exercises:

  1. Locate the muscles: To locate the pelvic floor muscles, try stopping and starting the flow of urine when using the bathroom. The muscles used to do this are the pelvic floor muscles.
  2. Isolate the muscles: Once you’ve located the muscles, try to isolate and contract them without tensing the muscles in your legs, buttock, or abdomen.
  3. Hold and release: Hold the contraction for 5-10 seconds and then release. Repeat this process 10-15 times, working up to holding the contraction for 10 seconds and releasing it for 10 seconds.

It’s important to perform pelvic floor exercises regularly to see the maximum benefits. Try to integrate pelvic floor exercises into your daily routine, such as while you’re sitting at your desk or watching TV.

Effectiveness of pelvic floor (kegel exercises) for treating PE

So are kegel exercises effective for premature ejaculation? In many cases Yes!

This study aimed to evaluate the effectiveness of pelvic floor muscle rehabilitation as a treatment for premature ejaculation. The study involved 40 men who had lifelong premature ejaculation and had a baseline intravaginal ejaculatory latency time (IELT) of less than 1 minute. These patients underwent 12-week pelvic floor muscle rehabilitation.

The results of the study showed that after the rehabilitation, 33 out of the 40 patients (82.5%) were able to gain control of their ejaculatory reflex and had a mean IELT of 146.2 seconds. Of these 33 patients, 13 were evaluated at a 6-month follow-up and were found to have maintained a significant increase in IELT compared to their initial IELT.

In conclusion, the results of the study suggest that pelvic floor muscle rehabilitation is a promising and cost-effective therapeutic option for the treatment of premature ejaculation and sexual performance. The researchers propose that this therapy should be considered as a new viable option for treating premature ejaculation.

However, it’s important to keep in mind that pelvic floor exercises may not be effective for all men with premature ejaculation. In some cases, other underlying medical conditions or psychological factors may be contributing to the problem and may require additional treatment.

Other treatments for premature ejaculation

As well as pelvic floor exercise there are several treatment options available to help overcome PE. Here, we will outline some of the most common medical and non-medical approaches:

Medical Treatments

Medical treatments for PE may include medication prescribed by a doctor, such as selective serotonin reuptake inhibitors (SSRIs), topical anesthetics, and tramadol. In some cases, behavioral therapy, such as the “squeeze technique” or “stop-start method,” may also be recommended.

Natural supplements

Natural male enhancement supplements can be a great alternative for those looking for a non-medical approach to treating PE. These supplements are designed to help boost sexual stamina and prolong sexual performance. While it’s important to be cautious of products that may contain potentially harmful ingredients, there are many natural supplements on the market that are safe and effective.

At ShagLonger, we have thoroughly reviewed and tested a variety of natural male enhancement supplements.

Check out our in-depth analysis of Performer 8

It is important to discuss all treatment options with a healthcare provider to determine the best course of action for addressing premature ejaculation. An open and honest conversation can help you make an informed decision and improve your overall sexual health.



So, we’ve been digging into the connection between a weak bladder and premature ejaculation and how these two issues can affect your sexual health and control.

We’ve learned about weak bladder syndrome, also known as urinary incontinence, its effects on sexual health, and how studies have shown that an overactive bladder can lead to decreased sexual activity, and enjoyment.

We discovered that the anatomy of the urinary and reproductive systems are closely connected through the muscles in the pelvic region. Although a weak bladder doesn’t cause PE directly, it can still have an impact on your sexual function and control.

We learned about weak bladder syndrome, also known as urinary incontinence, and its effects on sexual health. Studies have shown that an overactive bladder can actually lead to decreased sexual activity and enjoyment.

We also discussed the various causes of overactive bladder syndrome, including nerve damage, bladder muscle instability, an enlarged prostate, UTIs, medications, and neurological conditions. And finally, we talked about the close connection between lower urinary tract symptoms (LUTS) and premature ejaculation.

So, if you’re someone who has experienced premature ejaculation were curious about the connection to a weak bladder, now you know!

Thanks for joining us on this journey of discovery, and remember, take control of your sexual health and never be afraid to ask questions!

Jocelyn Padilla, Certified Sex Educator

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