Morning Erections: Is It Normal to Experience Urge and Discharge? - Urology

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Morning erections and nocturnal emissions?


Hello, Dr.
Du.
I would like to ask you about something that happened to me this morning.
I suddenly experienced an erection along with a feeling of needing to urinate or possibly ejaculation.
After I went to the bathroom, the erection subsided, but I noticed that my underwear had some urine and a little bit of a clear, sticky substance.
I didn't have any specific dreams, but my shorts were a bit tight, which might have caused some sensation during the erection.
Additionally, I drank quite a bit of water last night.

I have three questions for you: First, since this is the first time this has happened, is it normal for nocturnal emissions to be accompanied by some urine? Second, I'm a bit worried that if I hold it in and get up, it might lead to ejaculation or some kind of danger, but I'm not sure if it's just the feeling of needing to urinate.
Lastly, I wonder if there are any ways to improve this situation, or if this is just a normal physiological phenomenon that I shouldn't worry about.
It has become a bit of a hassle for me to wash my underwear first thing in the morning, and I'm concerned about waking up my family.
Thank you for your thoughtful response!

Ha, 10~19 year old female. Ask Date: 2020/05/23

Dr. Du Shixi reply Urology


Hello: 1) Nocturnal emissions accompanied by a small amount of urine is normal.
2) If I hold my urine and then get up, will it cause ejaculation difficulties or pose any danger? → There is no danger.
3) There are no specific improvement methods; it usually resolves on its own after some time.
Wishing you good health.

Reply Date: 2020/05/23

More Info


Morning erections, often referred to as "nocturnal penile tumescence," are a common physiological phenomenon in males. They typically occur during the REM (rapid eye movement) stage of sleep and can happen multiple times throughout the night. This is a normal part of male physiology and is not necessarily indicative of sexual arousal or desire. Instead, it is primarily a result of the body's natural processes, including hormonal fluctuations and the relaxation of the smooth muscles in the penis.

In your case, experiencing a morning erection accompanied by a sensation of needing to urinate is quite typical. The bladder's fullness can stimulate the nerves that also trigger an erection, leading to this combined sensation. It is important to note that the presence of some urine or a clear, sticky fluid upon waking is generally not a cause for concern. The clear fluid you mentioned could be pre-ejaculatory fluid, which is produced by the Cowper's glands and can be released during sexual arousal or even in response to a full bladder.

Regarding your concerns about whether this is normal, it is indeed a common occurrence. Many men experience a mix of sensations upon waking, including the urge to urinate and the feeling of an erection. This does not typically pose any health risks. However, if you find that you are frequently experiencing discomfort or if the sensations are accompanied by pain or other unusual symptoms, it may be worth consulting a healthcare professional for further evaluation.

As for your worry about "holding it in" and whether that could lead to complications, it is generally safe to get up and relieve yourself when you feel the urge. The body is designed to handle these sensations, and while it is important to listen to your body's signals, there is no inherent danger in the scenario you described. If you are concerned about the possibility of not being able to ejaculate due to holding in urine, rest assured that these two functions are separate. The body can typically manage both processes without issue.

If you find that the need to wash your underwear due to these occurrences is bothersome, consider adjusting your evening fluid intake. Reducing the amount of liquid you consume before bed may help minimize the likelihood of waking up with a full bladder. Additionally, wearing looser-fitting underwear at night might provide more comfort and reduce any potential pressure that could contribute to the sensations you are experiencing.

In summary, what you are experiencing is a normal physiological response. Morning erections, combined with the urge to urinate, are common and typically not a cause for concern. If you continue to have questions or if your symptoms change, seeking advice from a healthcare provider would be a prudent step. They can provide personalized guidance and reassurance based on your specific situation.

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