Morning Erections and Testicular Health in Young Men

Testicular issues

I would like to ask if it's normal for boys my age to experience morning erections almost every morning, but I rarely have them (I'm quite sure I don't).
Is there something wrong? Also, I have one testicle that is higher than the other; is this normal? Additionally, can low male hormones or testosterone levels be treated?

Mr. Huang, 10~19 year old female. Ask Date: 2016/04/15

Dr. Li Xinyi reply Urology

No morning erections can raise concerns about low male hormones or testosterone levels.
If you are worried, it is advisable to consult a urologist for an examination and hormone testing.
Having one testicle higher and the other lower does not necessarily indicate a problem.

Reply Date: 2016/04/15

More Info

Morning erections, often referred to as "nocturnal penile tumescence," are a normal physiological phenomenon in young men. They typically occur during the rapid eye movement (REM) phase of sleep and can happen multiple times throughout the night. This process is primarily driven by the body's natural hormonal fluctuations, particularly testosterone, which peaks in the early morning hours.
In your case, the absence of morning erections could be concerning, but it is essential to understand that not every young man experiences them daily. Factors such as stress, fatigue, lifestyle choices, and even hydration levels can influence the occurrence of morning erections. If you are experiencing a significant change in your erectile function or if you have concerns about your sexual health, it may be beneficial to consult a healthcare professional for a thorough evaluation.

Regarding the asymmetry of your testicles, it is quite common for one testicle to hang lower than the other. This anatomical variation is normal and typically does not indicate any underlying health issues. However, if you notice any significant changes in size, shape, or if you experience pain, it is advisable to seek medical attention.

As for concerns about low testosterone levels or hormonal imbalances, these can indeed be evaluated and treated. Testosterone levels can fluctuate due to various factors, including age, stress, diet, and overall health. If you suspect that you may have low testosterone, a healthcare provider can perform blood tests to assess your hormone levels. If low testosterone is confirmed, treatment options are available, including lifestyle changes, hormone replacement therapy, and other medical interventions.

It is crucial to approach these concerns with a balanced perspective. While it is natural to worry about changes in your body, excessive focus on these issues can lead to anxiety, which may further impact your sexual health. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, adequate sleep, and stress management techniques, can significantly contribute to overall well-being and hormonal balance.

In summary, while the absence of morning erections can be concerning, it is not necessarily indicative of a serious problem, especially if you are otherwise healthy and functioning normally in other aspects of sexual health. The asymmetry of your testicles is typically normal, and if you have concerns about hormone levels, consulting a healthcare professional for evaluation and potential treatment is advisable. Remember, open communication with a healthcare provider can help alleviate concerns and provide guidance tailored to your specific situation.

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