Priapism and Its Impact on Erectile Tissue Health

Corpus cavernosum

I recently came across information suggesting that taking Viagra may lead to prolonged erections, potentially resulting in penile fibrosis.
Is it possible for this to occur during sleep, causing a lack of pain sensation and going unnoticed? If I've experienced morning erections regularly over the past six months, does that indicate that my corpora cavernosa or penile blood vessels have not sustained such damage? Thank you for clarifying this for me, doctor.

Danxin haipa yijiu de ren, 20~29 year old female. Ask Date: 2002/10/04

Dr. Liu Jianting reply Urology

It is normal for males to experience an erection during the night when they feel the need to urinate, so there is no need to worry.
At your age, you likely do not need to take the blue pill.
As for taking Viagra, prolonged erections that lead to penile fibrosis may depend on the individual’s specific conditions.
It is essential to have a medical evaluation and approval from a physician before taking it.

Reply Date: 2002/10/04

More Info

Priapism is a medical condition characterized by a prolonged and often painful erection that lasts for more than four hours without sexual stimulation. This condition can lead to serious complications, including erectile tissue damage, which may result in permanent erectile dysfunction if not treated promptly. The concern regarding medications like Viagra (sildenafil) and their potential to cause priapism is valid, as these medications increase blood flow to the penis, which can sometimes lead to prolonged erections.

To address your specific questions, it is indeed possible for priapism to occur during sleep, particularly in individuals who may not be aware of their body's sensations while asleep. This is especially true for those who may have underlying conditions that affect their nerve sensitivity or pain perception. However, priapism is typically associated with significant discomfort, and most individuals would wake up if they were experiencing a prolonged erection.

Regarding your observation of morning erections, known as nocturnal penile tumescence, this is a normal physiological response and indicates that the erectile tissues and blood vessels in the penis are functioning properly. The presence of morning erections suggests that there is adequate blood flow and that the erectile tissue has not sustained damage. This is a positive sign and generally indicates that your erectile health is intact.

However, if you have been experiencing prolonged erections or any discomfort, it is crucial to seek medical attention. Priapism can lead to fibrosis of the erectile tissue, which is a form of scarring that can impair the ability to achieve an erection in the future. The risk of this complication increases the longer the erection lasts without intervention.

In summary, while the occurrence of priapism during sleep is possible, the presence of regular morning erections is a reassuring sign of healthy erectile function. If you have concerns about the potential side effects of medications like Viagra or any symptoms you are experiencing, it is advisable to consult with a healthcare professional. They can provide personalized advice and, if necessary, adjust your treatment plan to ensure your sexual health is maintained without the risk of complications.

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