More Reliable Erections
Helping men experiencing changes in erection quality and erectile dysfunction (ED).
Explore Reliable ErectionsWhat this page covers
- ✓Why men's pelvic health problems are rarely about one thing
- ✓The five areas we see men for, and where to read more
- ✓How we assess pelvic floor function without an intimate examination in most men
- ✓Which clinic you'll be seen at, and what it costs
- ✓Where ACC does and does not apply
- ✓How to talk to us before you commit to an appointment
Why Is Men's Pelvic Health About More Than One Symptom?
Most men's pelvic health concerns don't happen because one part of the body suddenly stops working. Erections rely on blood flow, nerves, pelvic floor muscles, connective tissue and general health working together. Bladder control depends on coordination, strength and timing. Pelvic pain often involves muscles, nerves, breathing, movement and the nervous system.
That's why understanding the whole system matters.
The pelvic floor is a group of muscles slung across the base of your pelvis, from the pubic bone at the front to the tailbone at the back. Men have one. It holds the bladder and bowel closed until you decide otherwise, it contributes to the firmness of an erection and the timing of ejaculation, and it works alongside your deep abdominal muscles, your back muscles and your diaphragm to stabilise your spine.
Like any other group of muscles, the pelvic floor can be underactive and weak. It can also be overactive and unable to let go. Both cause problems, and they cause different problems, which is why the same symptom in two men can call for opposite approaches.
Our role is to identify the bottlenecks and develop the right pathway for you.
What Would You Like To Improve?
Better Bladder Control
Helping men living with urinary incontinence, urgency, night-time waking and post-void dribble.
Explore Bladder Control →Greater Control Over Climax
Helping men understand premature ejaculation and develop greater control.
Explore Premature Ejaculation →Recovery After Prostate Treatment
Structured rehabilitation before and after prostate surgery, radiation or other prostate treatment.
Explore Prostate Recovery →Live Without Pelvic Pain
Understand what's contributing to ongoing pain in the perineum, testicles, penis, tailbone or lower abdomen, and how recovery begins.
Explore Pelvic Pain →
Also seen at CoreGood
A Stronger Back and Core →
Why Is CoreGood Different?
Rather than recommending the same treatment for every man, we first identify what is limiting your function.
Two men may both experience erectile dysfunction but for completely different reasons. One may primarily benefit from pelvic floor rehabilitation, another from vascular optimisation, another from rehabilitation after prostate treatment, while someone else may require help addressing pelvic pain or nervous system regulation.
Depending on your assessment, your personalised pathway may include pelvic health physiotherapy, focused shockwave therapy, PelviPower magnetic stimulation, MAPLe HD EMG, real-time ultrasound, exercise rehabilitation, education and other evidence-informed approaches.
Technology supports clinical reasoning. It never replaces it.
Will I Need An Intimate Examination?
Not usually. Whenever possible we use objective, non-invasive assessment to understand how your pelvic floor is functioning. Real-time ultrasound imaging and biofeedback allow us to assess muscle activation, coordination and control without an intimate examination in most men. You stay in your clothes for biofeedback work.
If additional assessment is clinically indicated, we'll explain exactly why it's being recommended, answer your questions and make sure you're comfortable before proceeding. You'll always be part of that decision, and you can decline any part of an assessment at any point.
This is the question most men want answered before they ring, so we've put the answer here rather than at the bottom of a page.
Book a ConsultationWhich Clinic Will I Be Seen At?
CoreGood has two clinics and men are seen at both. Every assessment technology we use is available at both sites. If a particular piece of equipment matters for what you are dealing with, ring and ask before you book.
| Kāpiti Coast | Palmerston North | |
|---|---|---|
| Address | 2 Seaview Road, Paraparaumu Beach 5032 | OraKinetics, The Pillars, 91 Milson Line, Palmerston North 4410 |
| Men's conditions seen | All five | All five |
| Real-time ultrasound and biofeedback | Yes | Yes |
| PelviPower magnetic stimulation | Yes | Yes |
| Focused shockwave therapy | Yes | Yes |
| Clinic days | Monday, Wednesday and Friday, 8am to 5pm | Tuesday, 8am to 5pm |
Online video consultations are also available. These suit an initial conversation, education and home programme reviews, though they cannot include hands-on or ultrasound assessment.
What Does It Cost, And Will ACC Pay For It?
Most men's pelvic health conditions are not covered by ACC. ACC covers injury, not illness. Erectile dysfunction, premature ejaculation, age-related bladder weakness, overactive bladder and chronic pelvic pain that did not follow an accident are all treated by ACC as health conditions rather than injuries, so appointments for these are self-funded.
We would rather tell you that on this page than at the front desk.
Where ACC may apply for men
- A pelvic, coccyx or groin injury from a specific accident, such as a fall or a sports injury.
- Any other injury caused by a specific incident that is affecting your pelvic function.
Where ACC generally does not apply
- Erectile dysfunction.
- Premature ejaculation.
- Age-related or degenerative stress incontinence, and overactive bladder.
- Chronic pelvic pain of non-traumatic origin.
Whether incontinence following prostate surgery can be claimed as a treatment injury is a separate question with no simple answer, and it is not something we can promise. If your leaking began after prostate surgery, raise it with us and we will tell you what we know.
| Appointment | Fee |
|---|---|
| Initial assessment (60 minutes) | $230 |
| Follow-up appointment | $140 |
| Free 15-minute discovery call | No charge |
Do I need a referral?
No. You do not need a referral from your GP to book a pelvic health physiotherapy appointment in New Zealand. You can ring us directly. If you would like us to write to your GP or urologist afterwards, we're happy to, with your permission.
Not Ready To Book Yet?
Ring us for a free 15-minute discovery call. You'll speak with Nathan, you can describe what's been happening in your own words, and you'll get an honest answer about whether pelvic health physiotherapy is a sensible place to start. There is no charge and no obligation to book anything afterwards.
Plenty of men make that call years after their symptoms started. Nobody at this end finds it unusual.
Common Questions
Do men have a pelvic floor?+
Yes. The male pelvic floor is a group of muscles running from the pubic bone at the front of your pelvis to the tailbone at the back. It keeps the bladder and bowel closed until you choose otherwise, contributes to erectile firmness and the timing of ejaculation, and works with your abdominal, back and breathing muscles to support your spine.
What does a men's pelvic health physio actually do?+
The first appointment is a conversation and an assessment. We go through what you've noticed, when it started, and the health, medication and lifestyle factors that may be relevant. Then we look objectively at how your pelvic floor is working, usually with real-time ultrasound imaging or biofeedback. After that we discuss what we've found and what the options are.
Is this just Kegels?+
No. Pelvic floor exercises are one option among several, and they are the wrong option for some men. If your pelvic floor is already overactive and struggling to release, more squeezing can make symptoms worse. That is exactly why we assess first.
Will I be seen by a man?+
Yes. Nathan Scott is the clinician who sees men at CoreGood.
Can my partner come with me?+
Yes, if you would like them to. Some men prefer to come alone. Both are common and neither is a problem.
Is what I tell you confidential?+
Yes. Your clinical records are held under the Health Information Privacy Code. We do not write to your GP or anyone else without your permission.
Take The First Step
You don't need to know exactly what's wrong before asking for help.
Whether you've been experiencing symptoms for weeks or years, the first step is understanding what's changed and what can be done about it. That's what a first appointment is for.