Morning Erections: What Lack of Nocturnal Erections Means at 18 - Urology

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Morning erection issues?


The absence of morning erections does not necessarily mean that there are no nocturnal erections during sleep.
I am 18 years old and have not experienced morning erections for several years, but all other functions are normal.

Niming, 10~19 year old female. Ask Date: 2022/06/13

Dr. Sun Hongshun reply Urology


Hello: The absence of morning erections does not mean that there are no occurrences of nocturnal erections during sleep.
If you are concerned, you can undergo a nocturnal erection test.
At 18 years old, you are still quite young, and theoretically, you should experience morning erections occasionally.
If you haven't had any for several years, it does seem somewhat illogical.
Of course, the presence or absence of morning erections does not affect your overall health or sexual function, but if you have any questions, feel free to seek medical advice at any time.

Reply Date: 2022/06/13

More Info


Morning erections, or "morning wood," are a common physiological phenomenon that many men experience during sleep, particularly during the REM (rapid eye movement) stage. These erections are a normal part of male physiology and are often an indicator of healthy erectile function. They typically occur several times throughout the night, even if the individual is not aware of them.
At the age of 18, the absence of morning erections can raise some questions, but it is important to understand that various factors can influence this occurrence. The lack of morning erections does not necessarily mean that you are not experiencing nocturnal erections at all. Nocturnal erections can occur without being noticeable, and some men may not remember them upon waking.
Several factors could contribute to the absence of morning erections:
1. Hormonal Levels: Testosterone plays a significant role in sexual function, including the occurrence of erections. If testosterone levels are lower than normal, it may affect the frequency of morning erections.
2. Psychological Factors: Stress, anxiety, and depression can impact sexual function. Psychological well-being is crucial for maintaining healthy erectile function, and any underlying mental health issues could potentially lead to a decrease in the frequency of morning erections.

3. Sleep Quality: Poor sleep quality or sleep disorders, such as sleep apnea, can affect the occurrence of REM sleep, which is when most nocturnal erections occur. If your sleep is frequently disrupted, it may lead to fewer or less noticeable erections.

4. Lifestyle Factors: Diet, exercise, and overall health can influence erectile function. A sedentary lifestyle, poor diet, or substance use (like smoking or excessive alcohol consumption) can negatively impact sexual health.

5. Medical Conditions: Certain medical conditions, such as diabetes, cardiovascular diseases, or neurological disorders, can affect blood flow and nerve function, leading to erectile issues.
If you are experiencing a lack of morning erections but have no other symptoms or concerns regarding sexual function, it may not be a cause for alarm. However, if you notice other changes in your sexual health, such as difficulty achieving or maintaining an erection during sexual activity, it would be wise to consult a healthcare professional. They can perform a thorough evaluation, including hormone level tests and a review of your medical history, to determine if there is an underlying issue that needs to be addressed.

In conclusion, while the absence of morning erections can be concerning, it is essential to consider the broader context of your health and lifestyle. If everything else is functioning normally and you feel healthy, it may simply be a variation of normal for you. However, staying informed and proactive about your sexual health is always a good practice. If you have any concerns, do not hesitate to reach out to a healthcare provider for personalized advice and support.

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