Premature ejaculation (PE) is the awkward party crasher of the bedroom. It shows up uninvited, ruins the mood, and leaves everyone mildly disappointed. It also happens to be the most common male sexual health issue, affecting about one in four men. Some guys swear by lidocaine delay sprays (Popstar Delay Spray, anyone?), and others turn to prescription meds. But if you’re not into numbing agents or popping pills, you might be looking for a more hands-on, drug-free approach—literally.

Cue the pelvic floor muscles (PFMs). These deep, often-ignored muscles have a major say in whether you last five minutes or five seconds. And when they’re too tight, weak, or poorly coordinated, it can spell disaster for your stamina. That’s where pelvic floor therapy for men enters the chat—and more specifically, a tool like the TheraWand.

Think of the TheraWand as a foam roller for your pelvic floor—except way more discreet and designed for internal use. The LA Wand model is the fan favorite: a smooth, rigid, medical-grade acrylic device with two rounded ends and a gentle S-curve that lets you reach your pelvic floor muscles through the rectum.

Yes, that means going in through the backdoor. And yes, it’s totally legit. Pelvic floor physiotherapists use similar techniques in clinical settings, but the TheraWand lets you do it at home. It’s non-porous, easy to clean, and built to last longer than your last Netflix subscription.

When your Pelvic Floor Muscles (PFMs) are stuck in a state of overactivity—constantly clenched and ready to fire—the body becomes hypersensitive to arousal. This can trigger the ejaculatory reflex at the drop of a hat (or the touch of a thigh).

In men with PE, studies have shown higher resting pelvic floor tone and weaker voluntary contractions. Translation: your muscles are too tense to do their job properly. Pelvic floor physiotherapy, including internal pelvic floor massage, has been shown to relax these muscles, improve coordination, and extend intravaginal ejaculatory latency time (IELT). One study even reported a jump from 0.6 to 2.7 minutes after just three months of therapy. That’s more than quadruple the fun.

Here’s what TheraWand does that other tools can’t:

• Myofascial release: It targets taut bands of muscle and helps break up those stubborn knots that make everything feel tight, tense, and one bad thrust away from climax.

• Neural down-training: The gentle sweeping action soothes the overactive nerves that scream "GO NOW."

• Body awareness: You’ll learn to recognize when your PFMs are involuntarily contracting—and how to let go of that tension in the heat of the moment.

Internal trigger point release isn’t new, but it’s finally getting the attention it deserves in the world of premature ejaculation treatment.

While there’s no massive Randomized Control Trial yet that pits "TheraWand plus pelvic floor therapy" against therapy alone, the early studies are promising. Across various studies involving chronic pelvic pain (which shares a lot with pelvic floor tightness in men), TheraWand use led to a 40% drop in trigger-point sensitivity and no major side effects—just some mild soreness.

Men who’ve tried TheraWand report:

• Noticeable pelvic release after just a couple sessions

• Better bladder and bowel function

• More control in bed

That last one? That’s the kicker. Many say they can better detect their "point of no return" and deploy squeeze or stop-start techniques with more success.

Follow this TheraWand routine and you’ll be a pro in no time:

1. Prep: Empty your bowels, wash your wand, and grab a water-based lube. Lidocaine sprays like Popstar Delay Spray can ease any initial discomfort.

2. Position: Lie on your side or squat in the shower—whatever helps you relax.

3. Insert gently: Use the smaller end, go about 2–3 inches in, and angle toward your tailbone.

4. Search and release: Move slowly until you find a sore spot. Apply gentle pressure for about a minute while breathing deeply. Repeat for 3–4 points.

5. Cool down: End with diaphragmatic breathing and pelvic drops.

Start with 2–3 sessions per week, taper to once weekly after the tenderness eases.

TheraWand benefits go way beyond muscle relaxation:

• Increases IELT

• Improves mind-body connection

• Reduces anxiety and performance pressure

• Pairs perfectly with behavioral methods like stop-start, squeeze, and mindful breathing

Add in Popstar Delay Spray for extra support while your muscles retrain.

• Kegel apps: Great for some, but dangerous for men with tight pelvic floors. More clenching = more PE.
• Biofeedback chairs: Fancy and helpful, but expensive and often miss the internal component.
• Soft silicone wands: Gentler but often too flimsy for deep release work.
• SSRIs: Effective, but come with side effects.
• Lidocaine sprays: Instant help (and no prescription needed).

A combo of TheraWand and Popstar Delay Spray hits the sweet spot: accessible, targeted, and highly effective.

At $65–$90, TheraWand is not cheap, but it’s also not a one-and-done toy. The TheraWand is durable, easy to clean, and may be covered by FSAs with a therapist’s note. Long term, it’s way cheaper than weekly PT sessions or prescriptions.

You might be a good candidate if:

• You feel tension or pain in your pelvic region

• You’ve tried other PE treatments with little success

• You’re open to exploring internal tools and working with a PT

Pairing TheraWand with pelvic floor physiotherapy and tools for pelvic floor therapy like breathing exercises, reverse Kegels, and behavioral training is where the magic happens.