Can Sleep Meds Affect Male Erections During Sleep? - Urology

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Hello, doctor?


Is it okay to ask a question? Due to my work schedule, my sleep patterns are inverted.
Yesterday, after taking a sleeping pill, I seemed to have a dream where my girlfriend was teasing me, but because I had taken the sleeping medication, I ignored her and continued to sleep.
The next day, my girlfriend told me that I was useless, so I am very curious.
Doctor, can men experience an erection or even ejaculation due to external stimuli while asleep after taking sleeping pills? Or will it be like me, feeling useless? Thank you.

Huang, 30~39 year old female. Ask Date: 2002/11/12

Dr. Liu Jianting reply Urology


Sigh! This swollen girlfriend of mine!!! What else can be done when the person is already stabilized? It's not a matter of being useful or not; of course, the quality is poor when the physical condition is not good...!!! Can't blame anyone!!

Reply Date: 2002/11/12

More Info


The question of whether sleep medications can affect male erections during sleep is a nuanced one. Sleep medications, particularly those that are sedative-hypnotics, can influence various aspects of sleep, including the physiological processes that govern erections.
Firstly, it's important to understand that erections during sleep, known as nocturnal penile tumescence (NPT), are a normal physiological response. They typically occur during the rapid eye movement (REM) stage of sleep, which is when dreaming occurs. This process is largely governed by the autonomic nervous system and is not directly under conscious control.
When it comes to sleep medications, their effects can vary depending on the specific drug and its mechanism of action. For instance, benzodiazepines, such as alprazolam (commonly known as Xanax), can have sedative effects that may alter the sleep architecture. While they can help induce sleep, they may also reduce the amount of REM sleep, which could potentially impact the occurrence of NPT.
In your case, if you took a sleep medication and experienced a lack of responsiveness to external stimuli, it could be attributed to the sedative effects of the medication. This does not necessarily mean that you are incapable of achieving an erection; rather, the medication may have dampened your awareness and responsiveness during that particular sleep cycle.
Moreover, factors such as stress, anxiety, and overall mental health can also play significant roles in sexual function. If you are experiencing stress related to your work schedule or personal relationships, this could further complicate your sexual responsiveness, regardless of the medication.
It's also worth noting that while some individuals may experience a decrease in sexual function when using certain sleep medications, others may not notice any significant changes. The response can be highly individualistic, influenced by personal health, psychological state, and the specific medication used.

If you are concerned about the effects of sleep medications on your sexual health, it would be advisable to discuss this with your healthcare provider. They can provide personalized advice and may suggest alternative treatments or adjustments to your current medication regimen.
In summary, while sleep medications can influence the physiological processes related to erections, the extent of this effect can vary widely among individuals. Factors such as the specific medication, dosage, individual health status, and psychological factors all play a role. If you have ongoing concerns about sexual function or the effects of medications, seeking professional guidance is the best course of action.

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