Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts

The #1 Mistake Men Make for Lasting Longer in Bed—And How to Fix It

Sep 26, 2025
Keeley Rankin, a sex and relationship coach with a master's in counseling psychology, shares expert insights on sexual health and intimacy. She debunks myths about premature ejaculation and discusses the importance of breathwork and mindfulness in enhancing sexual experiences. Keeley introduces a five-step method to manage arousal, emphasizing communication and exploring pleasure beyond the genitals. They also touch on navigating sexless marriages, the impact of porn on expectations, and the importance of maintaining erotic curiosity throughout life.
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ANECDOTE

Client Suicidal Over Sexual Dysfunction

  • Keeley Rankin recalled a client who became suicidal over sexual dysfunction.
  • She used breath and pelvic techniques to help him gain control and preserve his life.
INSIGHT

Relax, Don't Clench Pelvic Floor

  • Tightening the pelvic floor to stop ejaculation usually backfires and accelerates orgasm.
  • Keeley Rankin says relaxing, not clenching, is the core fix for many rapid ejaculation cases.
ADVICE

Start With Breathwork

  • Use breathwork as your primary tool during arousal and practice it first during solo masturbation.
  • Breathe slowly 5–7 counts in and out and then learn the anal breath into the back of the pelvis to down-regulate arousal.
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