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Pathway

Pelvic floor

Levator ani muscle group

The Muscle Underneath

1 blend on this site modulates it.

Also searched as Levator ani muscle group.

In depth

The sling of muscle supporting the pelvic organs — the levator ani group, which contracts rhythmically at orgasm and can be trained deliberately. It is the best-evidenced intervention in this whole area, and it is not a supplement: strengthening it changes measured sexual outcomes in both sexes.

What drives it

Testosterone increases it.

The levator ani and bulbocavernosus are classical androgen-dependent muscles whose mass tracks testosterone. PMID 29280355

Estrogen balance increases it.

Estrogen maintains urogenital and pelvic-floor connective tissue and muscle integrity. doi 10.1371/journal.pone.0349371

What it drives

It increases Orgasm.

10.1016/j.esxm.2021.100441 — Meta-analysis of 21 randomized trials: pelvic floor muscle training improved arousal (1.49; 95% CI 0.13-2.85) and orgasm (1.55; 95% CI 0.13-2.96). reviewers grade the certainty very low — wide intervals, high heterogeneity. S0002-9378(24)00006-1 — Pelvic floor muscle training for female sexual dysfunction: systematic review and meta-analysis of 21 RCTs, Am J Obstet Gynecol. doi 10.1016/j.esxm.2021.100441

It increases Sexual function.

10.3390/medicina62071412 — pelvic floor muscle training improved arousal (1.49; 95% confidence interval, 0.13-2.85), orgasm (1.55; 95% confidence interval, 0.13-2.96), satisfaction (1.46; 95% confidence interval, 0.14-2.77), pain…. doi 10.3390/medicina62071412 · PMC12440505

It increases Female libido.

10.1016/j.esxm.2021.100441 — Women who received pelvic floor muscle exercise training had increased sexual desire, arousal, satisfaction, and orgasm, fewer lubrication needs, and less pain during sexual intercourse. doi 10.1016/j.esxm.2021.100441 · PMC12440505

It increases Ejaculatory control.

10.4103/aja.aja_30_18 — The evaluated studies consistently demonstrated that pelvic floor muscle training significantly improved IELT and reduced the severity of PE. doi 10.4103/aja.aja_30_18 · PMC12440505

Blends that modulate it

Each blend page names this pathway and carries the study behind its claim.

Niagra (Desire, Arousal & Climax) →

See it on the map

Open the causal map to follow this pathway upstream and downstream, arrow by arrow, each with its study.

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