Erectile Dysfunction: Is Your Penis Position Normal? - Urology

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Erectile dysfunction


It is normal for the penis to have a slight curvature to one side during an erection.
The sensation of tightness on the left side when pressing to the right could be related to the anatomy of the penile tissues or the surrounding structures.

As for the changes in erection angle and firmness, it is common for men to experience variations in erectile function as they age.
The need for more effort to achieve a parallel angle with the ground may indicate changes in erectile strength or vascular health.

Nocturnal erections are typically a sign of healthy erectile function, but the quick loss of erection during sexual activity without stimulation can be influenced by various factors, including psychological aspects, arousal levels, or underlying health conditions.
If these concerns persist or worsen, it may be beneficial to consult a healthcare professional for a thorough evaluation.

A-Wen, 20~29 year old female. Ask Date: 2020/07/07

Dr. Cai Zhuorong reply Urology


Pressing to the left feels easy.
However, when pressing to the right, there is a tight sensation at the base on the left side.
Is this normal? A: It's normal for everyone to have different angles.
I'm not sure if it's an age-related issue? A: Age can indeed have an impact.

Reply Date: 2020/07/07

More Info


Erectile dysfunction (ED) is a common condition that affects many men, and it can manifest in various ways, including changes in the angle of erection, firmness, and the ability to maintain an erection during sexual activity. Based on your description, it seems you are experiencing some concerns regarding the positioning of your penis during erection, as well as changes in firmness and duration of erections.

Firstly, it is not uncommon for the penis to have a slight curve or to lean to one side during an erection. Many men have a natural curvature, and this can vary from person to person. If your penis typically points to the left when erect and you feel tension on the left side when trying to point it to the right, this could be a normal anatomical variation. However, if you experience pain or discomfort, or if the curvature has changed suddenly, it may be worth consulting a healthcare professional to rule out conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis and can cause painful erections and curvature.

Regarding the changes in the angle of your erection, it is essential to consider that as men age, various factors can influence erectile function, including hormonal changes, blood flow, and overall health. The fact that you feel you need to exert more effort to achieve a similar angle as before could be related to these age-related changes. Additionally, lifestyle factors such as diet, exercise, smoking, and alcohol consumption can significantly impact erectile function.

The phenomenon of having a firm erection during sleep (nocturnal penile tumescence) is a good sign, as it indicates that the physiological mechanisms for achieving an erection are still functioning. However, if you find that during sexual activity, your erection diminishes quickly without stimulation, this could be indicative of psychological factors, such as anxiety or stress, or it could be related to physical factors, such as blood flow issues or nerve function.

If you are concerned about these changes, it is advisable to consult a healthcare provider, preferably a urologist. They can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly other tests to assess blood flow and nerve function. Based on the findings, they can recommend appropriate treatment options, which may include lifestyle modifications, medications, or other therapies.

In summary, while some degree of curvature and changes in erection angle can be normal, it is essential to monitor any accompanying symptoms such as pain, discomfort, or significant changes in erectile function. Age can play a role in these changes, but a healthcare professional can provide guidance tailored to your specific situation. Remember, open communication with your partner and seeking professional advice can help address concerns and improve your sexual health and overall well-being.

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