Morning Erections and Urinary Issues: the Connection - Urology

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Morning erections and urinary incontinence issues?


Hello doctor, I am a second-year junior high school student.
Recently, I have noticed that I do not experience morning erections, and I often feel a lack of strength in my bladder when urinating (I used to be able to empty my bladder in one go) and have a sensation of incomplete urination.
At night, if I don't urinate before going to bed, I have trouble falling asleep.
I am wondering if these issues could be related to my frequent masturbation (almost daily).
I have tried to reduce the frequency of masturbation, but it hasn't been very effective.
Is there any way to improve this situation? (I am hesitant to seek medical help because I don't want my parents to know about my masturbation habits.)

Niming, 10~19 year old female. Ask Date: 2022/02/28

Dr. Chen Jiansheng reply Urology


Why is the effectiveness poor?

Reply Date: 2022/02/28

More Info


Morning erections and urinary issues can be interconnected, and understanding the underlying causes is essential for addressing these concerns. In your case, the absence of morning erections (often referred to as "morning wood") and the difficulty in fully emptying your bladder can be influenced by several factors, including psychological, physiological, and lifestyle elements.

Firstly, it's important to note that morning erections are a normal physiological response that occurs during the REM (rapid eye movement) phase of sleep. They are a sign of healthy blood flow and nerve function in the penis. The absence of morning erections can sometimes be attributed to stress, anxiety, hormonal imbalances, or even lifestyle factors such as diet and exercise. In your case, if you are experiencing increased stress or anxiety about your sexual health or habits, this could potentially impact your ability to achieve morning erections.

Regarding your urinary issues, such as feeling like you cannot fully empty your bladder, this could be related to several factors. One possibility is that frequent masturbation may lead to temporary changes in your pelvic floor muscles and bladder function. Over time, excessive or compulsive masturbation can sometimes lead to pelvic floor tension, which may affect urinary function. Additionally, if you are experiencing anxiety or stress related to your sexual habits, this could also manifest in urinary symptoms.

It's also worth considering that lifestyle factors, such as hydration levels, diet, and physical activity, play a significant role in urinary health. Dehydration can lead to concentrated urine, which may cause discomfort during urination. On the other hand, excessive fluid intake can lead to more frequent urination. Maintaining a balanced diet and staying hydrated can help improve your urinary function.

If you are concerned about your habits and their impact on your health, it may be beneficial to gradually reduce the frequency of masturbation. This can help your body reset and may improve both your erectile function and urinary symptoms. Engaging in alternative activities, such as exercise or hobbies, can also help redirect your focus and reduce the urge to masturbate frequently.

Lastly, while it's understandable that you may feel hesitant to discuss these issues with your parents, seeking professional medical advice is crucial for your health. A healthcare provider can offer guidance tailored to your specific situation and help address any underlying concerns. Many clinics offer confidential services, and you can seek help without disclosing your habits to your parents.

In summary, the connection between morning erections and urinary issues can be multifaceted, involving psychological, physiological, and lifestyle factors. Addressing these concerns through lifestyle changes, stress management, and professional guidance can lead to improvements in both erectile function and urinary health. Remember, taking care of your sexual health is an important aspect of overall well-being, and seeking help is a positive step forward.

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