Prolonged Erections: Health Implications and Advice - Urology

Share to:

excuse me?


Hello, Dr.
Pan.
I often experience erections before going to sleep, but I don't want to masturbate (or I'm too shy to do so), so I end up staying erect for a long time (about 30 to 40 minutes until I fall asleep).
I would like to ask you, how long can an erection last (without ejaculation) before it affects the body? Does this situation indicate that my body is signaling me to masturbate and ejaculate? Thank you for your response.

Shēntǐ jiànkāng, 20~29 year old female. Ask Date: 2005/01/08

Dr. Pan Zhenqin reply Urology


It is normal for a 20-year-old to experience nocturnal erections, which indicates that your sexual function is healthy and ready for action—congratulations! However, if you are consistently experiencing erections before falling asleep, it suggests that you may have been thinking about, watching, or listening to sexually stimulating content.
If you do not wish to relieve yourself through masturbation, just let it happen naturally; it is harmless to your body.
However, try to minimize these stimuli to avoid going to sleep with an erection, as it can be uncomfortable.
The Urology Department of Tainan Hospital wishes you health and safety!

Reply Date: 2005/01/08

More Info


Prolonged erections, medically known as priapism, can have significant health implications. It's important to understand the physiological mechanisms behind erections and the potential risks associated with prolonged states of arousal without ejaculation.

An erection occurs when blood fills the erectile tissues of the penis, leading to increased rigidity and size. This process is primarily regulated by the nervous system and involves the release of nitric oxide, which relaxes the blood vessels and allows for increased blood flow. Under normal circumstances, erections are transient and resolve after ejaculation or the cessation of sexual arousal.

In your case, experiencing an erection lasting 30 to 40 minutes without ejaculation is generally not considered abnormal, especially if it occurs during sleep or as a result of sexual arousal. However, if an erection lasts for more than four hours, it can lead to priapism, which is a medical emergency. Priapism can cause permanent damage to the penile tissue due to the lack of oxygenated blood flow, potentially leading to erectile dysfunction.

Regarding your question about whether your body is signaling a need for ejaculation, it's important to note that while sexual arousal can lead to prolonged erections, it does not necessarily mean that ejaculation is required for health. The body does not have a built-in mechanism that mandates ejaculation after a certain duration of an erection. However, if you find that your erections are consistently prolonged and uncomfortable, it may be beneficial to explore ways to relieve the tension, whether through ejaculation or other means.

If you are experiencing discomfort, pain, or if the erections become frequent and prolonged without resolution, it is advisable to consult a healthcare professional. They can assess your situation, rule out any underlying conditions, and provide guidance tailored to your specific needs.

In summary, while occasional prolonged erections are typically not a cause for concern, it is crucial to monitor the duration and any associated symptoms. If you experience erections lasting longer than four hours or if you have any discomfort, seeking medical advice is essential. Understanding your body's signals and maintaining open communication with a healthcare provider can help ensure your sexual health and overall well-being.

Similar Q&A

Understanding Erectile Dysfunction: Stress, Lifestyle, and Solutions

Hello, Doctor Hsu: I would like to ask a question. I have been having sexual intercourse with my girlfriend every day, but I changed jobs two months ago and have been experiencing some stress that persists to this day. I've noticed that I can achieve an erection, but if I ge...


Dr. Xu Weikai reply Urology
Hello, exercise can quickly improve your condition with moderate intensity workouts. Aim for at least three times a week, with each session lasting over 30 minutes. Maintain your heart rate around 140 beats per minute for at least 3-5 minutes. If you have any further questions, f...

[Read More] Understanding Erectile Dysfunction: Stress, Lifestyle, and Solutions


Understanding Persistent Erection Issues: Causes and Solutions

The family has a history of cardiovascular disease. Recently, I started exercising and my control has been good. Aside from having visceral fat at 13 and body fat at 21 (last year's data, which should be lower now), all other test results are normal. At the beginning of last...


Dr. Xu Weikai reply Urology
Men: You can undergo further relevant examinations. 1. Penile erection test: This can be conducted using medication or other specialized instruments. 2. Penile ultrasound. 3. Penile angiography: To determine if there is venous leakage. If there are any unclear points, feel free t...

[Read More] Understanding Persistent Erection Issues: Causes and Solutions


Addressing Erectile Dysfunction: Causes, Treatments, and Concerns

Hello Doctor, since last August, I have been experiencing issues with insufficient rigidity during sexual intercourse, and the sensitivity during erection has become quite dull. I can still complete the act as long as there is continuous stimulation, but if I get distracted, I lo...


Dr. Xu Wencang reply Urology
The test results are acceptable. You can follow the physician's recommendations for treatment for a period of time, and you should gradually recover.

[Read More] Addressing Erectile Dysfunction: Causes, Treatments, and Concerns


Understanding and Overcoming Erectile Dysfunction in Young Men

Hello doctor, I am 26 years old. My grandmother has cardiovascular disease, and I have been measuring my blood pressure at the hospital, which is consistently high, around 130-140. Currently, I am taking traditional Chinese medicine and fish oil to manage it. I do not smoke, drin...


Dr. Sun Hongshun reply Urology
Hello, Song: May I ask if you have any other chronic conditions besides high blood pressure? For example, do you have elevated blood lipids or cholesterol levels? If everything is normal, there is no need to worry. Excessive psychological stress can also lead to poor performance,...

[Read More] Understanding and Overcoming Erectile Dysfunction in Young Men


Related FAQ

Erection

(Urology)

Erectile Dysfunction

(Urology)

Morning Erection

(Urology)

Sildenafil

(Urology)

Erection

(Pharmacology)

Sexual Activity

(Urology)

Urethritis

(Urology)

Sexual Climax

(Urology)

Glans Penis

(Urology)

Epididymis

(Urology)