Erection and Congestion Timing: When to Seek Urology Help - Urology

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Erectile congestion issues?


Hello, doctor.
I would like to inquire about the time it takes from erection to full engorgement and how to define what is normal or abnormal.
In the past, I would achieve full engorgement very quickly, but now it takes longer to reach full rigidity.
Is there a problem with this? Additionally, if I go directly to a urologist to request tests for erectile hardness and nocturnal penile tumescence, how should I communicate this to the doctor? Thank you.

VINCENT, 20~29 year old female. Ask Date: 2016/04/23

Dr. Lin Wenxu reply Urology


Please undergo a detailed medical interview and physical examination at the hospital to arrange for appropriate tests and treatment.

Reply Date: 2016/04/23

More Info


Understanding the timing between erection and congestion is crucial for assessing erectile function. In a healthy male, the process of achieving an erection typically involves several physiological steps, including sexual arousal, increased blood flow to the penis, and the engorgement of erectile tissues, leading to rigidity. The time it takes from initial arousal to full erection can vary widely among individuals and can be influenced by numerous factors, including psychological state, physical health, and hormonal levels.

If you notice a significant change in the time it takes for you to achieve full erection or if you experience difficulty in maintaining an erection, it may indicate an underlying issue that warrants further investigation. Factors such as stress, anxiety, hormonal imbalances, or vascular health can all contribute to changes in erectile function. It is important to note that occasional difficulties are common and may not necessarily indicate a serious problem. However, if the change is persistent or accompanied by other symptoms, it is advisable to seek help from a urologist.

When approaching a urologist, it is beneficial to be open and direct about your concerns. You can start the conversation by stating something like, "I've noticed a change in my erectile function; it takes longer for me to achieve full erection and congestion than it used to. I would like to discuss this issue and explore potential tests, such as the erection hardness score and nocturnal penile tumescence test, to better understand my condition." This approach allows the physician to understand your concerns clearly and facilitates a more productive discussion about your symptoms and potential diagnostic tests.

In terms of the tests you mentioned, the erection hardness score (EHS) is a simple and effective way to assess the quality of erections. It involves rating the hardness of the penis on a scale from 0 (no erection) to 4 (full erection). The nocturnal penile tumescence test measures the number and quality of erections that occur during sleep, which can help differentiate between psychological and physiological causes of erectile dysfunction.

If you are experiencing changes in erectile function, it is also essential to consider lifestyle factors that may contribute to the issue. Regular exercise, a balanced diet, adequate sleep, and stress management can all play significant roles in maintaining sexual health. Additionally, avoiding smoking and limiting alcohol consumption can also be beneficial.

In summary, if you notice a delay in achieving full erection or any other changes in erectile function, it is wise to consult a urologist. Be prepared to discuss your symptoms openly and inquire about specific tests that can help diagnose any underlying issues. Remember that sexual health is an important aspect of overall well-being, and seeking help is a proactive step towards maintaining it.

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