Morning Erections: What's Normal and When to Seek Help? - Urology

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Is it normal to have an erection every morning upon waking up? How hard should an erection be to be considered normal? Is it normal to have a curvature during an erection? Will this affect future fertility and sexual function? Is surgery necessary? Thank you.

L, 10~19 year old female. Ask Date: 2001/06/07

Dr. Pan Zhenqin reply Urology


The hardness of an erection is primarily assessed by its ability to facilitate sexual activity, and it does not necessarily need to be as hard as iron.
A 17-year-old typically has good erectile hardness.
However, if there is a curvature of the penis during an erection, it is considered an abnormal phenomenon.
The severity of this curvature and its potential impact on erection and sexual activity should be evaluated by a urologist.
After a thorough assessment, further recommendations such as surgery or observation can be made.

Reply Date: 2001/06/07

More Info


Morning erections, commonly referred to as "nocturnal penile tumescence," are a normal physiological phenomenon experienced by many men. These erections typically occur during the REM (rapid eye movement) phase of sleep and can happen multiple times throughout the night. It is a sign of healthy blood flow and nerve function in the penis, and it is generally considered a positive indicator of sexual health.


What's Normal?
1. Frequency: It is normal for men to experience morning erections several times a week, though the frequency can vary widely among individuals. Some may experience them daily, while others may have them less frequently. The absence of morning erections does not necessarily indicate a problem, especially if there are no other symptoms of erectile dysfunction.

2. Hardness: The hardness of an erection can vary. A fully rigid erection is typically considered normal, but variations in hardness can occur due to factors such as fatigue, stress, or hormonal fluctuations. If you consistently notice a significant decrease in hardness, it may be worth discussing with a healthcare provider.

3. Curvature: A slight curvature of the penis during an erection is common and usually not a cause for concern. However, if the curvature is pronounced or causes pain during erections or sexual activity, it may be indicative of a condition known as Peyronie's disease, which can require medical evaluation.


When to Seek Help?
You should consider seeking medical advice if you experience any of the following:
- Persistent Erectile Dysfunction: If you find it difficult to achieve or maintain an erection consistently, it may be a sign of an underlying health issue, such as cardiovascular disease, diabetes, or hormonal imbalances.

- Pain or Discomfort: If you experience pain during erections or sexual activity, or if the curvature of your penis is accompanied by discomfort, it is advisable to consult a healthcare professional.

- Changes in Sexual Function: Any significant changes in your ability to achieve erections, libido, or overall sexual function should be evaluated by a doctor.

- Concerns About Fertility: If you have concerns about your fertility or sexual performance, it is important to discuss these with a healthcare provider. They can perform tests to assess hormone levels, blood flow, and other factors that may affect fertility.


Conclusion
In summary, morning erections are a normal part of male physiology and can vary in frequency and hardness. A slight curvature is also common and usually not a concern unless it causes pain or is severe. If you have any worries about your sexual health, fertility, or experience any concerning symptoms, it is always best to consult with a healthcare professional. They can provide personalized advice and treatment options based on your specific situation. Remember, open communication with your doctor is key to maintaining sexual health and addressing any potential issues early on.

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