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One participant, age 41, reported that adding box breathing (4 seconds in, 4 hold, 4 out) before PFMT sessions noticeably improved his ability to feel the contraction and maintain erection qualitya correlation that makes physiological sense given the role of parasympathetic tone in erections
Halpin SJ, McIvor C, Whyatt G, Adams A, Harvey O, McLean L, et al
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