At a loss?
Hello Dr.
Lin! I have two questions I would like to ask you:
1.
I have a habit of taking a nap every day, but whenever I wake up, I experience an erection that lasts for about five minutes before gradually subsiding.
This often makes me feel embarrassed at work.
Is this normal? Are there any other methods to improve this situation?
2.
Occasionally, when I feel impulsive, I engage in masturbation until ejaculation.
Afterwards, I notice swelling in the scrotum, and when I touch it, I can feel two or three thick, soft tubes inside the scrotal sac.
I believe these might be the vas deferens.
Is this normal?
I would appreciate it if you could clarify these long-standing concerns for me.
Thank you!
Mr. Zhu, 20~29 year old female. Ask Date: 2003/06/27
Dr. Lin Hexing reply Urology
1.
It is normal to experience penile erections during the rapid eye movement (REM) phase of sleep; this is a physiological response and not an abnormal phenomenon, so there is no need for concern or treatment.
2.
Both normal sexual activity and masturbation leading to ejaculation can cause a sensation of swelling in the testicles, and the prostate may also experience temporary swelling.
This can result in difficulty urinating after ejaculation.
When you touch the skin of the scrotum, you may feel two or three thick, soft tubes, which include one vas deferens and the rest are the pampiniform plexus veins.
This is generally normal.
However, if the appearance resembles a mass of twisted worms, it may indicate a condition known as varicocele, and you should consult a urologist for evaluation.
Reply Date: 2003/06/27
More Info
Dear User,
Thank you for your questions regarding common urological concerns, particularly related to erections and changes in the scrotum. Let's address each of your concerns in detail.
1. Morning Erections After Naps
Experiencing erections upon waking, especially after a nap, is a common phenomenon known as "nocturnal penile tumescence." This is a normal physiological response that occurs during the REM (rapid eye movement) phase of sleep, which is when most dreaming occurs. During REM sleep, the body experiences increased blood flow to the penis, leading to erections. This can happen multiple times throughout the night and is not limited to just waking up in the morning.
The duration of these erections can vary from a few minutes to longer, and it is generally considered a sign of healthy erectile function. If you find this occurrence embarrassing, especially in a work setting, consider adjusting your sleep position or timing your naps to minimize the chances of waking up during REM sleep. However, it is important to remember that this is a natural bodily function and not something to be overly concerned about.
2. Scrotal Changes After Ejaculation
Regarding the swelling of the scrotum after ejaculation, this can also be a normal response. After ejaculation, it is common for the scrotum to temporarily swell due to increased blood flow and the contraction of the muscles around the testicles. The sensation of feeling "thick, soft tubes" in the scrotum is likely the vas deferens, which are the ducts that carry sperm from the testicles to the ejaculatory duct.
If the swelling persists for an extended period, is accompanied by pain, or if you notice any unusual changes such as lumps or significant discomfort, it would be advisable to consult a healthcare professional. Conditions such as epididymitis (inflammation of the epididymis), varicocele (enlargement of veins within the scrotum), or even hernias could cause similar symptoms and would require medical evaluation.
Additional Considerations
While both of these phenomena can be normal, it is essential to maintain awareness of your body and any changes that may occur. Here are some additional points to consider:
- Hydration and Diet: Staying well-hydrated and maintaining a balanced diet can contribute to overall sexual health. Certain foods can improve blood circulation, which is beneficial for erectile function.
- Stress Management: Stress and anxiety can impact sexual health and function. Engaging in relaxation techniques, such as meditation or deep-breathing exercises, may help reduce anxiety related to sexual performance.
- Regular Check-ups: Regular visits to a healthcare provider for urological health can help address any concerns early on and ensure that everything is functioning as it should.
- Education: Understanding your body and its responses can alleviate concerns. Many men experience similar situations, and discussing these topics with a trusted healthcare provider can provide reassurance and clarity.
In conclusion, both morning erections and temporary scrotal swelling after ejaculation are typically normal physiological responses. However, if you experience any concerning symptoms or changes, do not hesitate to seek medical advice. Your health and comfort are paramount, and a healthcare professional can provide personalized guidance based on your specific situation.
Best regards, and take care!
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Related FAQ
Erection
(Urology)
Erectile Dysfunction(Urology)
Testicles(Urology)
Epididymis(Urology)
Urethritis(Urology)
Genitals(Urology)
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Scrotal Edema(Urology)
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