Morning Erections: Common Questions and Concerns - Urology

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Morning erection issues?


Hello Doctor, I would like to ask a few questions:
1.
What time is considered to be morning erection?
2.
Sometimes I wake up in the middle of the night feeling erect, but it doesn't fully rise until I adjust my penis; could this be due to my underwear pressing against it? Is this normal?
3.
If I usually experience nocturnal erections or masturbate normally, does that mean I do not have physiological erectile dysfunction?
4.
Can a 20-year-old young man experience physiological erectile dysfunction?
5.
Sometimes when I am about to ejaculate during masturbation, I slow down to reduce sensitivity and then continue; is this okay?
6.
Are there any methods to prolong the duration of masturbation?

Niming, 20~29 year old female. Ask Date: 2019/03/14

Dr. Du Shixi reply Urology


Hello: 1) Waking up during sleep 2) Normal 3) About the same 4) Possible, but much less likely 5) Not recommended 6) There may not be a method that can definitely prolong the duration of masturbation.
Wishing you good health.

Reply Date: 2019/03/14

More Info


Understanding morning erections, also known as nocturnal penile tumescence, is an important aspect of male sexual health. Let’s address your questions one by one, providing clarity and context based on medical knowledge.

1. What time qualifies as morning erections?
Morning erections typically occur during the REM (Rapid Eye Movement) sleep phase, which can happen multiple times throughout the night. Most men experience these erections upon waking, which is why they are referred to as "morning" erections. There is no specific time frame, but they are most commonly noted in the early morning hours.

2. Is it normal to wake up with an erection that doesn't seem prominent?
Yes, it is normal to experience varying degrees of erection during the night. If you wake up and feel an erection but it isn't fully erect, it could be due to various factors, including the position you are sleeping in or the pressure from clothing. Adjusting your position or clothing can sometimes help facilitate a more pronounced erection.

3. Does having nocturnal erections or masturbating indicate that one does not have erectile dysfunction?
Generally, if you are experiencing regular nocturnal erections and can achieve an erection through masturbation, it suggests that your physiological mechanisms for erections are functioning well. Erectile dysfunction (ED) is often characterized by the inability to achieve or maintain an erection during sexual activity, despite having normal erections during sleep or masturbation.

4. Can a 20-year-old experience physiological erectile dysfunction?
While it is less common for young men to experience physiological erectile dysfunction, it is not impossible. Factors such as stress, anxiety, depression, lifestyle choices (like smoking or excessive alcohol consumption), and medical conditions can contribute to ED even in younger individuals. If there are concerns about erectile function, it is advisable to consult a healthcare provider.

5. Is it okay to slow down during masturbation to delay ejaculation?
Yes, many individuals practice techniques to delay ejaculation, including slowing down or changing stimulation methods. This can help increase stamina and enhance sexual experience. Techniques such as the "stop-start" method or the "squeeze" technique are commonly recommended for those looking to prolong the experience.

6. What methods can help extend masturbation duration?
There are several strategies to help prolong the duration of masturbation:
- Mindfulness and Focus: Concentrating on sensations rather than rushing can help prolong the experience.

- Changing Techniques: Alternating between different strokes or grips can help manage arousal levels.

- Kegel Exercises: Strengthening pelvic floor muscles can improve control over ejaculation.

- Desensitizing Products: Some individuals find that using desensitizing creams or sprays can help delay ejaculation, but these should be used cautiously and according to instructions.

In conclusion, morning erections are a normal physiological occurrence and can be indicative of overall sexual health. If you have concerns about erectile function or sexual health, it is always best to consult with a healthcare professional who can provide personalized advice and support. Remember, sexual health is an important aspect of overall well-being, and seeking information and guidance is a positive step towards maintaining it.

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