Impotence exercises for erection problems

1. At the first examination, a thorough screening of the degree of your erectile dysfunction/impotence, physical and mental health status is performed. We talk about it openly about it and any lifestyle issues.
2. Together we’ll find out if it’s a constant lack of erection or if it’s more situational (psychological factors). I recommend that you include your doctor in the process, as we need to ensure that all blood values and any co-morbidities are under control
3. I perform an ultrasound scan of the penis, prostate and pelvic floor, as well as a brief screening of the heart’s pumping function.
4. Advanced body composition measurement and screening of body balances and health status with the Inbody770 system. Read more below.
5. You will be guided on which pelvic floor exercises to start.
6. Together we will set expectations for your treatment and the level to which we expect to be able to move you, based on the results of the study.
7. Your course is planned
8. You will receive first treatment with shockwave and EMTT if you wish.

We’ll go in depth to make sure we can put the right treatment strategy in place to restore quality to your sex life. If dietary and lifestyle adjustments are needed, we use external partners.

I would like to help you in the clinic with your training, as I find that many men have lost control of their pelvic floor. So it can be important to activate the right muscles in the first place. This way you don’t start up on weeks of “useless” training that won’t give you the results you want. To make sure you’re activating the right muscles, we ultrasound you while performing a series of tests so you can see if/when you’re doing it right with your impotence exercises.

• When you exercise your pelvic floor, you need to learn how to ‘pinch’ the muscles so that the pelvic floor tightens up. A pelvic floor pinch can be recognised by the penis root tilting and the rectal opening constricting, like when you hold a fart.
• When you pinch, it is usually best felt around the opening of the rectum, as the muscles are fullest here. As part of the pelvic floor muscles, there is also a ring muscle around the opening of the rectum, which helps to close the outside of the opening.
• When you pinch, the pelvic floor lifts slightly, pulling the urethra and rectum towards the pubic bone. It is this movement that causes the urethra and rectum to “kink” shut.

During the initial examination, we will perform an ultrasound scan of your heart, penis and pelvic floor (including pelvic floor) to tailor the treatment to your needs. The following are examined:

1. Blood flow in the 2 arteries of the swollen limb
2. Is there calcium, fat or plaque in the swelling membrane or connective tissue?
3. Muscles in the pelvic floor that can indicate if there is balance in the hormonal system.
4. Size and risk factors around the heart and prostate.
5. Are there risk factors for developing erection problems in the future (we can see it long before the problem occurs).
6. Your control over the pelvic floor muscles.

The clinic has the latest and most advanced ultrasound scanning equipment from Sonosite, with probes targeting superficial structures and vessels. The clinic is also one of the few in the Nordic countries that offers such extensive ultrasound scanning for erection problems, and thus has a great deal of experience in translating the images into a concrete treatment plan.

When you do your impotence exercises, your pinch, it’s important that a pinch feels like a lift, a contraction or closure, like when you’re trying to hold your urine, have an ejaculation, a bowel movement or a fart. It shouldn’t feel like you’re pushing down, like when you have to defecate.

There are 3 quick ways to test if you’re pinching correctly.

• Try to stop the urine stream when you urinate. It is easiest at the end of urination, when the pressure is not so great.
• Lie on your back with your legs bent on the floor. Place a couple of your fingers on the crotch between the testicles and the rectum. Press your fingers lightly upwards and pinch. If the area gets hard, you pinch right.
• Lie on your side with your legs bent. Place your little finger inside your rectum as if it were a thermometer. Pinch and feel at the edge of a ring that laces all the way around the finger. A little deeper, you’ll feel a sling pushing your finger forward towards your pubic bone. Release the pinch and feel your muscles relax and soften again.

Squeeze around the rectal opening as if you were holding a fart. You will probably also feel the pinch at the front of the penis root. When you pinch, don’t tense your stomach, buttocks or thighs, nor should you hold your breath. This is where most people make the mistake of training

• Lie on your back with your knees slightly apart.
• Squeeze quickly and forcefully and release the pinch. Repeat 10-20 times. Each pinch should be short and powerful.
• Now squeeze moderately, hold for 5-10 seconds and release. The pause between pinches should be at least as long as the pinch, so that the muscles do not fatigue too quickly. Repeat 10-20 times.
• Try to hold a moderate pinch for up to 1 minute, or as long as you can, starting slowly and building up
• Make the last 5-10 strong pinches. Squeeze as hard as you can and release slowly (about 3 seconds). Remember the break between pinches.

After surgery for prostate cancer, it is common to see severe erection problems. Usually, the surgeon will try to preserve one of the 2 nerves running along the prostate, which has an impact on the ability to erect. If the nerve is preserved, we can use shockwave to increase erection, if possible in combination with pills or injections. Thus, you will be able to maintain sexual activity and a good erection.

However, it is important to come soon after surgery, as there is an open window for the first 6 months after surgery to stimulate the nerve tissue. This is also where we have the best chance of reducing inappropriate scarring of the pelvic floor after surgery.

Every week I have clients in the clinic who have had surgery several years ago. Here, the treatment still has a good effect in terms of increased erectile function and sensation. But where I see the biggest effect is when starting treatment a few weeks after surgery.

Most recently, shockwave treatment has been started as early as 3 weeks after surgery at Odense University Hospital, where, just like here in the clinic, they see an increased effect on the regeneration of nerve tissue. This also increases erectile function and limits potential nerve damage in the long run. In order to do the treatment so close to surgery, it requires that all cancer has been removed.

• The use of shockwave creates new small blood vessels in the penis and cleans the “dirt” in the swellings. The nerves, muscles and blood vessels of the diaphragm are also stimulated, giving you a stronger and better erection again. Completely without the unpleasant side effects seen with other treatments.
• The program usually lasts 6-8 weeks and is tailored to your needs and the severity of the problem in relation to your desired sex life. All with the aim of you having a high quality of life and good self-esteem. You get the tools to make a difference for yourself, your feelings as a man and not least your erection, so you avoid problems again in the future. A course of treatment usually consists of 6, 9 or 12 sessions, with 90% of our clients experiencing a better and more powerful erection.
• In cases of severe illness or medication, ongoing maintenance may be required, but I will advise you on this at the first consultation after the initial examination.
• I clarify what the triggers are for you the first time you come to the clinic for an examination. This way you will also be able to continue working with different tools yourself. Recent research and experience from our German colleagues show that it is recommended to supplement with an additional course of 6 treatments after 6 months. This has been shown to give a longer lasting effect (several years, at the level achieved).
• Others choose to have regular maintenance with a few treatments throughout the year, to have a high nerve activity.
• A single shockwave treatment in combination with EMTT costs from 1,200-2,000 Danish kroner, depending on how advanced a solution you choose. I was the first in Denmark to work with the combination of Shockwave and EMTT , where we see a higher effect than Shockwave alone and have set the standard for ED treatment both in Denmark and abroad.
• At the first consultation, you can choose whether you only want a conversation and examination, which costs from 1,500 DKK, or start the treatment right away.
• If you want to see a review of different studies, you can see them here: Studies on ED

By using shockwave, new small blood vessels are formed in the penis and we stimulate the nerves, muscles and blood vessels of the diaphragm, giving you a stronger and better erection again. Completely without the unpleasant side effects seen with other treatments or pills.

A standard course of treatment consists of 6 or 12 sessions, where 85% of our clients experience a better and more powerful erection. For some, a higher number of treatments may be necessary. The number is based on the severity of your ED problem, your medication intake and your lifestyle. We clarify what the triggers are for you, the first time you come to the clinic for an examination.

A single shockwave treatment in combination with EMTT costs from DKK 1,200. We are the only ones in Denmark working with the combination of Shockwave and EMTT, where we see a higher effect than shockwave alone. We are currently the only ones in Denmark to offer this effective form of treatment.

The treatment and assessment of your erection problem is carried out by one of Denmark’s leading experts in urological shockwave treatment, Michael Strøm, who is also a member of The International Society for Sexual Medicine.

• The treatment of erection problems (Erectile Dysfunction) with focused shockwave is done by treating the diaphragm and shaft of the penis with shockwave. Here, the sound waves will increase blood flow and the formation of new blood vessels, as well as break down any calcifications and cholesterol build-up in the swelling membranes. It loosens up tense muscles, allowing good blood flow back to the penis from the pelvic floor.
• The shockwave treatment itself lasts about 15-20 minutes, based on research-based protocols and the equipment available at the clinic, which is the latest available.
• The treatment is painless for you, and cannot be compared to if you have had it before in, for example, a shoulder. You only feel a slight tingle. You are of course welcome to bring your partner to the treatment if it gives you more reassurance.
• There are no risks and side effects of the treatment. You will also be able to have sexual activity as usual throughout the course of treatment. However, it can positively affect bladder control, as well as the quality of ejaculation.

With the specialized solutions in the clinic, I work with more than just the traditional shockwave treatment. There are 2 levels of extended processing.

ED Plus is treated with a combination of EMTT and Shockwave. In this way, we significantly increase the formation of blood vessels and stimuli on nerve pathways compared to standard treatment. This will also provide increased control over the pelvic floor muscles when doing your impotence exercises.

At the same time, there is an increased treatment focus on the central nervous system and cognitive function (CNS), which also has an important impact on our erectile function when choosing the executive solution. This helps to provide a higher quality nerve signal to the penis from the CNS.

ED Plus and Executive are especially targeted at those with severe erectile dysfunction, where there are other diseases in the body that can counteract traditional measures.

If you want more information about this type of treatment, you will be guided the first time you visit the clinic.

I also have the opportunity to combine the shockwave treatment with the brand new EMTT technology, which provides an increased stimulation of the nervous system and elasticity of the pelvic floor tissue and an increased release of growth factors and other building blocks for increased cell quality. Therefore we stimulate a wider area than with shockwave alone. To have a good and strong erection, the tissue in the penis must be able to expand up to 20-25 times, therefore flexible tissue is essential.

With this combination, a stronger effect is seen than with shockwave alone. Our clients who have previously received Shockwave as a standalone support this. I expect this combination to become the standard of care for erectile dysfunction.

I was the first in Denmark to introduce EMTT in 2020 and was the first to offer this innovative combination treatment, which will give you a better result and a stronger erection. Other clinics have since tried to implement my protocols in their treatments.

“Despite regular exercise, a healthy diet and a continued active sex life, through my fifties I have experienced a gradual deterioration in my ability to achieve a proper and sustained erection. In fact, the process probably began even earlier.

Pills I have never really liked, and although an easy and effective short-term effect is achieved here. I was curious when I read about Michael and MS Insight. I took the test and gave myself a birthday present by buying what in my case was 6 recommended treatments.

You quickly get used to the formless and in no way painful treatment with shockwave therapy of the diaphragm and penis. The treatment is painless and you quickly get used to relaxing with the “tingling” waves from the shockwave machine.

Can you convince yourself that there’s not much difference between opening your mouth and dropping your pants in private with your therapist? Then the experience is on a par with a dental cleaning. Michael is very orderly and has always handled the treatments of me and the interaction in the private room in a good and relaxed way.

After my 6 treatments I experienced a noticeable change in both the ability to have and the frequency of having a natural good erection. Cosy when you wake up in the morning, and nice when you’re with your girlfriend.

Although it’s not cheap, it’s been worth it for me and I might go again in 5 or 10 years if I later lose the level I’ve now regained.”