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Dr. Susie Gronski - Doctor of Physical Therapy
Dr. Susie Gronski - Doctor of Physical Therapy

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Accidentally busted mid therapy?! 😲💦

No touch, no warning… and still an oops? 😳💦 Spontaneous ejaculation is real, and we’re unpacking the chaos 👀🧠

Let’s talk about something rare, awkward, and real: spontaneous ejaculation without the sexy feelings or arousal. Yup, it can happen even in a pelvic floor therapy session.

No, this isn’t a joke or fanfic. Spontaneous ejaculation can be linked to things like neurological conditions, stress responses, body wiring, and sometimes just… unexplained biology doing what it wants— bodies do body things sometimes.

In this video, I explain:

• What spontaneous ejaculation is
• How it differs from erotic arousal-based release
• Why it might happen in non-sexual settings
• How clinicians should respond, and how you can manage the moment if it ever happens to you 🫶

It’s weird. It’s fascinating. It’s bodily chaos! Watch the full video to learn more. ❤️

Accidentally busted mid therapy?! 😲💦

Comments

Thanks for sharing this, and for stepping outside your comfort zone with us, David. What you’re describing makes sense given the intensity and deep core work you’re doing. The spinal connections between the pelvic floor and abdominal muscles can trigger reflexive activity like what you’re noticing, even without arousal or erection. I’m glad the explanation helped things click. Bodies are wild like that!

susie@drsusieg.com

Ok - really going outside of my comfort zone here but I have had a similar experiences on many different occasions after working out - it happens only when I am working my core deeply and strenuously - I don't even know it is happening until I get back home and have to use the bathroom to urinate - then I will notice a very slight amount of ejaculate in my underwear - this only happens when whatever workout I am doing strenuously works the core - nothing that is even noticeable to anyone else other than me but it happens nevertheless AND there is NO arousal or erection involved whatsoever - just a strenuous use of the core - now that Dr. Susie has explained this via the spinal cord connection etc., it makes better sense as to what is going on - I wouldn't even know this is happening unless I have to urinate and the evidence is clear but now I have a better understanding as to what is happening - seriously there is NO -ZERO arousal or sexual excitement going on at all - just strenuous use of the core itself - I am always amazed as to how the body is wired and works and it amazes and impresses me even more that people like Dr Susie not only understand all of this at such a deep and detailed level but can also explain it to the rest of us so we can understand it!!! Dr. Susie, you are not only highly intelligent enough to make sense of all this, but you care enough to break it down and explain everything in a kind and helpful manner!!!! Thank You - Thank You!!!

DVM-David

It makes sense that the mix of novelty, nerves, and arousal at that age could lead to a spontaneous release like that. The doctor handled it with professionalism, which hopefully offered at least a bit of reassurance. Appreciate you opening up here. 💙

susie@drsusieg.com

I had a spontaneous ejaculation once when I was 18 and went to the college clinic for the required health screening. The dr turned out to be a very attractive female. I was still a virgin at the time and had never been touched intimately by anyone but myself. It was fine until she was palpating my chest and my penis started to rise to the occasion. I tried to think of something disgusting to try to stop it. I didn’t want to say sorry I am uncomfortable because I am getting erect. She then proceeded later to checking my testicles and for a hernia. My penis again started rising and I thought I was going to die of embarrassment. The Dr said it was normal and nothing to worry about. Finally she did the dreaded dre and the moment she touched my prostate I ejaculated all over the exam table. She seemed very surprised, but handed me some wipes and gave a couple of minutes to cleanup and collect myself. She came back and told me it was nothing to be embarrassed about and that it was probably brought on by lack of sexual release. She asked about how often I masturbated and recommended I had a release at least weekly if not more often. Just wanted to crawl into a hole and die at that point. It was several years before I tried another complete physical when we were trying to figure out why we were not getting pregnant when we had been trying for a year or so.

Craig Chadwick

Yes, this is a situation I have encountered in my clinical practice. Yes, you're correct— if/when spontaneous erection or ejaculation occur we handle the situation with care and compassion, never shame.

susie@drsusieg.com

Hey Orlando, no there is not a part 2. Curious why you thought there is a part 2? Is there a question on your mind?

susie@drsusieg.com

Yes, ejaculation can occur without an erection.

susie@drsusieg.com

Hey, Steve-- nothing to worry about. These kinds of situations are rare, and if they do occur, we handle the situation with compassion and care, no shame. 💙

susie@drsusieg.com

Great. I go for my first session in just a couple of days. I am nervous enough already and now I have one more thing to worry about.

Steve

I was at a gunshow and someone brought in a shotgun and there was a latent discharge. ( not apologizing about the pun )

Douglas Roberts

Am I understanding that the ejaculation can happen even though I've avoided having an erection? This would be difficult to deal with if the therapist is not super lay back.

Guy (works)

I agree Douglas, a male provider to me lacks compassion and a willingness to slow down and explain and their touch is disgusting. I feel better taken care of seeing female providers for the past 4 years, a little more concerned about bodily function but not being shamed like males have done.

RJ S

thanks for sharing Byron, I've had this shame of erections at doctors appointments for 29yrs. and stopped getting treatment for many years. After starting PFPT treatment last year I started having 3-5 unwanted erections a day with spontaneous ejaculations & while on the table for perineum manual therapy while she held my genitals out of her way. I was mortified but she never said a word. It's happened several times since then but seems to get less stressful for me. At least I'm not being shamed for it, that's a plus. I think shaming from a medical provider for trying to have a conversation about genital function & pain was more devastating to me. Dr Susie will talk to you about it, DM her on here

RJ S

Is there a part 2 to this?

Orlando

Everyone is different, that’s for certain. Theoretically, I quasi understand but there’s more to it I guess. I’ve seen the ‘models’ doing the videos and I asked myself, ‘can I do that?’ Well I don’t know, largely because in my PFPT, there’s been none of this kind of treatment or examination. That concerns me because I want a comprehensive approach to this issue. I have found that the more multifaceted approach I take, results come from it. The largest thing that I have taken away is the feeling that I shouldn’t be worried about it. It’s not healthy to be worrying about getting an erection when given the circumstances, an erection is a celebration by itself . Well then you can be examined and treated by a male provider. That is the most disgusting feeling I know of. I would avoid treatment and I think men have historically responded like this.

Douglas Roberts

Dr. Susie, is this a topic you have encountered in your profession, or just a subject commonly discussed in your industry. If you have experienced this could you share for the benefit of those who haven't experienced it. I am sure if you have you handled it professionally without embarrassing your patients.

Byron

Bring it up. This is a time for open communication. When you have the conversation and are satisfied that both you and the therapist are understanding it is much easier to relax, or deal with uncomfortable situations. My therapist and I had some very in depth conversation and I was able to relax a tad. I was glad to see that the therapist used draping, though I don't know that being visual is any more anxiety producing than touch, and that she carried on a constant line of chatter that I realized was to distract me. Get everything out there so you can work together.

Guy (works)

This happened to me once in life about 20 years ago, and I was mortified. It was when my pelvic issue first began. The physician was doing a extremely thorough examination of my scrotum. Its was unique in the she would pin the shaft to the opposite side of the teste she was examining. Inadvertently putting pressure on the base and manipulating the shaft. Again all this was incidental. My cases was a bit unique at time. She examined each testicle 3 or 4 times alternatively each time shifting the shaft from one side to the other. I recall apologizing as I was beginning to experience erection. She stated it was normal and fine, and that she was almost complete. I felt a odd sensation, but was trying to let the professional complete the exam, and when I realized what the sensation was it was too late. As I was saying "I think we need a break", I ejaculated. She was mortified and I was humiliated. My condition got worse bc for over a decade I was too ashamed to seek help. It was so confusing to me bc I wasn't even sexually aroused. I do recall that fact. I have never had the courage to share this until now. Now I am incredibly saddened that much of what I suffer today is bc I neglected to get treatment for almost 14 yrs after that.

Byron

I appreciate this explanation. The idea of ejaculating like that horrifying me, even though I'm confident that I won't experience it during my PFT session(s) in September. The possibility of erections kind of makes me nervous, but I think I've seen enough information from you, that has eased my nerves a bit. But I'm curious, does the therapist address that possibility before she begins her examination, or just when/if it happens? Or even address it at all? I don't want to bring that subject up, "out of nowhere" prior to examination. But I also don't want to deal with it as it arises (pun somewhat intended)

Danny Hendrie

Thank You Dr. Susie, I really needed to hear that, watched it twice. Made me think of a loaded firearm, point and shoot. So a professional shouldn't be uncomfortable with this spontaneous reaction right?

RJ S


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