Changes in Erection Angle: Causes and Solutions - Urology

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The erection is firm enough, but the angle is tilted downward?


Hello Dr.
Sun: I have sufficient erection hardness, but the angle of my penis is about 90 degrees, and I have recently noticed it has dropped to around 45 degrees.
I usually do not have an exercise routine outside of work, and during masturbation, the angle only approaches 90 degrees when I need to ejaculate quickly.
Could this be related to testosterone levels, the relaxation of the corpora cavernosa, or the penile ligaments? I am quite concerned and would like to know if there are any tests available to determine the cause.
Is it related to wearing tight underwear? By the way, if I visit your clinic in Taichung, will the accompanying nurse avoid me? Thank you again.

Oscar, 20~29 year old female. Ask Date: 2016/10/20

Dr. Sun Hongshun reply Urology


Hello: Due to insufficient angle in two days, there is no need to worry excessively.
It is still recommended to follow up with an outpatient examination.
If you have any requests, the nursing staff will accommodate them.
Wishing you good health.

Reply Date: 2016/10/20

More Info


Understanding changes in the angle of erection can be concerning, especially when there is a noticeable shift from the usual angle. In your case, you mentioned that your erection angle has decreased from approximately 90 degrees to around 45 degrees. This change can be attributed to several factors, including hormonal levels, physical health, psychological factors, and even lifestyle choices.

Firstly, testosterone plays a crucial role in sexual function, including the quality of erections. Low testosterone levels can lead to diminished libido and erectile dysfunction. If you suspect that hormonal changes might be affecting your erections, it would be wise to consult a healthcare professional who can perform blood tests to measure your testosterone levels and other relevant hormones.

The condition of the erectile tissue, known as the corpora cavernosa, is also vital. If there is any issue with blood flow or if the tissue is not functioning optimally, it can affect the angle and rigidity of the erection. Conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can lead to curvature and changes in erection angle. If you notice any lumps or painful areas, it would be advisable to seek medical attention.

Regarding the role of the suspensory ligament of the penis, it helps maintain the angle of the erection. If this ligament becomes lax or if there are changes in the connective tissue, it could potentially lead to a decrease in the erection angle. However, this is less common and usually associated with more significant physical changes or trauma.

Lifestyle factors can also play a significant role in erectile function. Lack of physical activity, poor diet, smoking, and excessive alcohol consumption can all contribute to erectile dysfunction. Regular exercise can improve blood circulation, enhance mood, and boost testosterone levels, all of which are beneficial for sexual health. If you have not been active, incorporating a regular exercise routine could help improve your overall health and potentially your erectile function.

As for the concern about tight underwear, while it is unlikely to be the primary cause of a significant change in erection angle, wearing very tight clothing can affect blood flow and comfort. It is generally recommended to wear comfortable, well-fitting underwear to avoid any unnecessary constriction.

If you are considering visiting a hospital for a consultation, rest assured that medical professionals, including nurses, are trained to maintain patient confidentiality and professionalism. They will focus on providing you with the care you need without judgment.

In summary, changes in erection angle can be multifactorial. It is essential to consider hormonal levels, physical health, psychological factors, and lifestyle choices. If you are concerned about these changes, it is advisable to consult a healthcare professional who can provide a thorough evaluation and appropriate testing to determine the underlying causes. Regular check-ups and open communication with your healthcare provider are crucial for maintaining sexual health and addressing any concerns you may have.

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