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About the Author

Isa Herrera, MSPT, CSCS owns and operates Renew Physical Therapy, a healing center in New York City. She has dedicated her career to helping men find relief from painful pelvic conditions. Ms. Herrera believes that everyone holds the key to their pain relief, all they need is to be shown the way. Her goal is to always empower men with the tools they need to succeed on their own. Her website is www.RenewPT.com and www.EndingMalePelvicPain.com.

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Product details

Paperback: 310 pages

Publisher: CreateSpace Independent Publishing Platform; Edition 1 edition (November 19, 2013)

Language: English

ISBN-10: 1492204420

ISBN-13: 978-1492204428

Product Dimensions:

7 x 0.7 x 10 inches

Shipping Weight: 1.5 pounds (View shipping rates and policies)

Average Customer Review:

4.4 out of 5 stars

19 customer reviews

Amazon Best Sellers Rank:

#221,045 in Books (See Top 100 in Books)

A little about me: I'm 33 yo postgraduate male with escalating problems of prostadynia/chronic prostatitis/pelvic pain syndrome of the “sitting on a golf ball” type. In the past months my symptoms have worsen, waking up to pee twice a night (up from once a night), and having constant “saddle discomfort” that was aggravated with sitting, biking and intercourse. I knew I had to do something. Here comes in the book: it provides excellent instructions for internal and external massaging of trigger points in the muscles of the pelvic floor.I was skeptical at first that a woman author/doctor could possibly provide compelling advice on male physiology and symptomatology but by the same logic there shouldn’t be any male OBGYN, should there? Isa Herrera knows her job very well and my skepticism was unfounded. I am giving the book 4 stars for two related reasons: it is by far the most expensive book on the topic and the author and/or editor get very stingy with the illustrations. The trigger points and the pelvic floor muscles are at the core of the book and identifying them is crucial for the intended exercises to work. However, the provided illustrations are quite outdated black and white schematic drawings made by Frank Netter which were created for other purposes. As a result, the figure legends bombard the reader with lots of other incidental muscles that are not immediately relevant. The illustrations provided were not created for the scope of the book and the perspectives they provide are not relevant for the reader (for example: useless saggital section of the pelvic floor when the author talks about the "clock metaphor" and the three layers). The author makes up for this by providing several perspectives (sagittal, transversal etc) of the pelvic floor and leaving it up to the reader to figure it out. Consequently, it takes the reader a very long time to locate each discussed muscle in the scattered pictures across the pages of the book. I wish the book had more up to date, ideally 3D images of the pelvic floor muscles color coded for the 3 layers. Furthermore, I understand that the “clock metaphor” was created so that the reader can locate the muscles while looking in a mirror but I found this highly unpractical. For example, the 3 o’ clock is located on the reader's left while the 9 o’ clock is on the right. Later on, the author urges the reader to memorize the location of the muscles and create a mental blueprint of them but this would have been made more efficient if the “clock” were constructed from the viewpoint of the reader, not the mirror (how many of us have a decent size mirror to place on the bed, and is it really necessary for the exercises to work?). Lastly, keep in mind that this book was written by a physical therapist. It offers little to no information on mindfulness exercises or other mind-body relaxation techniques. For that, there are plenty other resources. However, what this book provides is arguably the most direct cure to your symptoms!Now let’s move on with the great parts of the book!External massage: The described exercises are word for word the ones performed on me by my physical therapist. The logic behind them is that external stretching and pressuring will lead to internal muscle relaxation. As such, these exercises should complement the internal massage of the trigger points but, as standalone exercises, they provide a much more indirect treatment for the chronic pelvic floor muscle contractions. The author recommends them for men who are unnecessarily prude about performing the internal massage but please keep in mind that you will experience an improvement much later than with internal massaging. Some readers complained that these external stretching exercises are too demanding for men of a certain age. I tend to agree but this provides yet another compelling reason to stick to the internal massage of the trigger points!Internal massage: These are a set of internal exercises for directly relaxing the pelvic floor muscles that go from gentle circular touching of the outer rim of the anal sphincter to more involved exercises of the deep muscles surrounding the prostate. For the latter, you should really invest in a crystal wand (described in the book) as your hands WILL get tired if you only use your fingers to reach the muscles.As a gay man, I have a healthy perspective on my behind but I can understand why some men are uncomfortable about performing these exercises, especially if all the touching that they have done in their lives was only to wipe out their bums after a number 2… But for your own health, please get over yourself and understand that our ass is as much yours as is our face. There’s nothing taboo about it unless we make it. Furthermore, as an authority on the matter, the exercises described are not sexual at all in nature (with the sole exception of the direct massage of the prostate – the male G spot). Long story short, I first read the chapter on identifying the pelvic floor muscles that are most relevant to me based on the accompanying description of my symptoms. Then I internally massaged these muscles as described in a later chapter. It was with great shock to realize that the muscles in question were as hard as cement… my pelvis really does have a huge headache! Now here comes the most unbelievable part: I was expecting results sooner rather than later but I certainly could not hope for results after a single session of internal massage. After a long bath during which I read the relevant chapters, I performed the exercises with my fingers for about 5-10 minutes and later that night I did not feel the need to get up to pee! That is how effective the internal massage is! In the future, I intend to invest in a crystal wand and I expect even better results in combination with mindfulness exercises, bee pollen (look up Garminex) and quercetin. The paths to chronic pelvic pain are numerous and diverse. The theories are abundant about how any one situation can lead to the syndrome. However, based on my own situation and all the resources that I’ve come across, if I were to name a single major culprit it would have to be a confluence of practices: masturbating (often to porn) while sitting (in a chair, sofa etc). In this regard, the chronic pelvic pain syndrome is truly a 21st century byproduct and more generations will succumb to it. It doesn’t take a genius to realize that there is nothing natural about masturbating and ejaculating while sitting. We did not evolve to reproduce that way. In fact, the most often affected pelvic floor muscles are the ones involved in urinary continence AND expulsing the ejaculate through our penises. It is no coincidence that these are also the muscles most pressured when we sit. When you put the two together, you are unknowingly giving your pelvis a major headache. In time, this practice will lead to a very tense pelvic floor which no longer remembers how to relax. And for that, this book comes in play.

My physical therapist recommended I purchase this book as it is a well-written and comprehensive guide to restoring male pelvic health. I've found the information in it extremely useful and beneficial to my health. Would recommend this to any guy with urinary frequency, pain during sex, pain with/after ejaculation, any pain in the pelvic region, and even incontinence. I am an avid weightlifter and I push my body to the limits, which my pelvic floor has not responded to very well. Compounding that with anxiety and stress, men can find themselves with lots of problems down below - and it is often not your prostate, "IBS," or any other term used to diagnose something when a doctor can't quite figure out what's wrong.

Very helpful discussion of the causes behind CPPS and many suggestions for how to create your own treatment plan. The section covering the meditation/mind-body component is a little lacking, but there is so much out there about this already, that I wasn't looking for much help in that area anyway. Many different exercises are suggested and I'm sure I'll never do all of them, but it's helpful to see them and try the ones that can make sense for you. I am actually also going to Isa's Renew clinic on 33rd street in NYC, and reading this has been a great component of that treatment, since she has clearly trained the therapists (who are excellent) to 'speak the same language' as the book. I also chatted with Isa a bit about the book, and her comments were also helpful. I think this is a great addition to the small body of literature on this issue and is definitely more in the 'do it yourself' vein, than, for example, "Headache in the Pelvis" - which is an absolute MUST read for anyone dealing with this condition."Headache" is much more scientific/academic, and less self-help, but you will learn valuable information and the section on Paradoxical Relaxation is fascinating and very useful. Considering PR and trying aspecs of it, has informed my other attempts in this area, such as meditation classes, Progressive Relaxation and Autonomic Training recordings.All this said - if you are dealing with this issue in a severe way, please seek out a trained PT if at all possible. The books will help you keep up your own program, but a PT is invaluable for getting you on the road to recovery.

I got this after I had trouble reading Wise's "Headache in the Pelvis" on Kindle. The author is clear and practical. This book is a valuable resource for men, if for no other reason than it helps clarify urological issues and gives you a basis for discussion with your urologist. The recommended exercises are proving helpful as well.

Great book. Lots of good information on what can cause pelvic pain and what breathing techniques and stretches to do to ease the pain and reverse it. I felt relief after about a week of consistent use. Still have a way to go but this book has helped me a Lot and given me hope.

I received Isa's book on February 11, 2015, read the book in two days and started with doing the reverse kegels the on the third day. I added yoga stretches a few days later. I perform the stretches 3 times a day. I have had pelvic pain to varying degrees over the past five years. I got the typical response from two different Urologist that you outline in your book. I am amazed with the progress that I have made. It was so bad in the past six months that I avoided sitting whenever possible. I had even made a cushion with a cut out so there was no pressure on my pelvic muscles. I don't use the cushion anymore and I can sit on almost any seat. I have a life again. We are leaving on vacation in two weeks. We haven't had a vacation in two years. I plan to expand into the Pilates ball strengthening when I get back from vacation. Please let Isa know how much I appreciate the research she has done and the book she has written

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Ending Male Pelvic Pain, A Man's Manual: The Ultimate Self-Help Guide for Men Suffering with Prostatitis, Recovering from Prostatectomy, or Living with Pelvic or Sexual Pain PDF

Ending Male Pelvic Pain, A Man's Manual: The Ultimate Self-Help Guide for Men Suffering with Prostatitis, Recovering from Prostatectomy, or Living with Pelvic or Sexual Pain PDF