Morning Erection Issues: Causes and Concerns Explained - Urology

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Since early January, I have been waking up in the morning..?


I have noticed that for the past few days, my penis does not get erect in the morning; it feels soft.
I am now very anxious and keep checking for erections, but there are none.
Could this be related to the Chinese medicine I am taking? Is it a sign of erectile dysfunction, or could it be something else? Please help me understand this.
Thank you.

A-Sun, 10~19 year old female. Ask Date: 2007/06/19

Dr. Xu Weikai reply Urology


Ah-Sun: Hello, it seems that you are too nervous.
No one can wake up every morning with a full erection.
Typically, an erection occurs only when the bladder is full; in other words, the chances of experiencing morning erections are higher in winter and lower in summer.
Note: The presence of morning erections is not highly correlated with sexual function.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/06/19

More Info


Morning erections, also known as nocturnal penile tumescence, are a normal physiological phenomenon that occurs during sleep, particularly during the REM (rapid eye movement) phase. The presence or absence of morning erections can be influenced by various factors, including psychological, hormonal, and physical health conditions.
In your case, the recent absence of morning erections could be attributed to several potential causes. First, it's important to consider psychological factors. Anxiety and stress can significantly impact sexual function. If you are feeling particularly anxious about the situation, this could create a cycle of worry that exacerbates the problem. Psychological factors are often reversible, and addressing anxiety through relaxation techniques, counseling, or therapy can help restore normal function.

Hormonal imbalances, particularly low testosterone levels, can also lead to erectile dysfunction (ED). Testosterone plays a crucial role in sexual arousal and the ability to achieve an erection. If you suspect that hormonal issues may be at play, it would be wise to consult with a healthcare provider who can perform blood tests to evaluate your hormone levels.

Additionally, certain medications, including herbal remedies or traditional Chinese medicine, can have side effects that impact sexual function. If you have recently started taking any new medications or supplements, it would be beneficial to review these with your doctor to determine if they could be contributing to the issue.

Physical health conditions, such as cardiovascular disease, diabetes, or neurological disorders, can also affect erectile function. If you have any underlying health issues, it is essential to manage these conditions effectively, as they can have a direct impact on sexual health.

It's also worth noting that the frequency of morning erections can vary from person to person and can change over time due to various life circumstances, including stress, fatigue, or changes in lifestyle. If you have been experiencing increased stress or changes in your routine, this could also be a contributing factor.

If the absence of morning erections persists or if you experience other symptoms such as difficulty achieving or maintaining an erection during sexual activity, it would be advisable to seek a thorough evaluation from a healthcare professional. They can provide a comprehensive assessment, including a physical examination and any necessary tests, to determine the underlying cause and recommend appropriate treatment options.

In summary, while the absence of morning erections can be concerning, it is essential to consider the broader context of your physical and mental health. Addressing psychological factors, evaluating hormonal levels, reviewing medications, and managing any underlying health conditions are all crucial steps in understanding and potentially resolving the issue. Remember, open communication with a healthcare provider is key to addressing any concerns regarding sexual health.

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