Erection Angles: Causes and Treatment Options - Urology

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Angle of erection


Hello Doctor: I have noticed that my penis often cannot stand upright during an erection, and even when I try hard to make it stand, it only rises about 30 degrees from the ground.
What could be the issue, as this has always been the case? Do I need surgery or some kind of treatment?

Daxuesheng, 20~29 year old female. Ask Date: 2007/10/23

Dr. Xu Weikai reply Urology


University Student: Hello, sometimes in such situations, it is necessary to conduct a physical examination or further tests, as factors like angle and hardness require specialized instruments for assessment.
Regarding whether surgery or other corrective methods are needed, a thorough examination with precision instruments should be performed, followed by a decision made based on the physician's judgment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Director Hsu Wei-Kai.

Reply Date: 2007/10/23

More Info


Understanding the angle of erection and its implications can be quite complex, as it involves various anatomical, physiological, and psychological factors. The angle at which the penis can achieve an erection can vary significantly among individuals, and a range of factors can influence this.

Firstly, it is essential to understand that a normal erection typically occurs when blood flows into the penis, causing it to become rigid and elevated. The angle of erection can be affected by several factors, including the anatomy of the penis, the presence of any underlying medical conditions, and psychological factors such as anxiety or stress.

In your case, you mentioned that your penis only achieves an angle of about 30 degrees from the ground during an erection, even with effort. This could indicate a few potential issues:
1. Anatomical Variations: Some individuals naturally have a lower angle of erection due to the anatomical structure of their penis. This is not necessarily a medical issue unless it causes discomfort or functional problems.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause curvature and may affect the angle of erection. If you notice any curvature or if the angle has changed over time, it might be worth discussing this with a healthcare provider.

3. Erectile Dysfunction: If you are experiencing difficulty achieving or maintaining an erection, this could be a sign of erectile dysfunction (ED). ED can be caused by various factors, including vascular issues, hormonal imbalances, or psychological factors. If the angle of erection is consistently low and accompanied by other symptoms of ED, it would be advisable to seek medical evaluation.

4. Hormonal Factors: Testosterone levels play a significant role in sexual function. Low testosterone can lead to reduced libido and erectile difficulties. A healthcare provider can evaluate your hormone levels if this is a concern.

5. Psychological Factors: Anxiety, stress, and other psychological factors can significantly impact sexual performance and the ability to achieve a satisfactory erection. If you feel anxious about your performance, this could contribute to the issue.

Regarding treatment options, it is essential to consult with a healthcare professional who specializes in sexual health or urology. They can perform a thorough evaluation, which may include:
- A physical examination to assess any anatomical issues.

- Blood tests to check hormone levels and other health markers.

- A discussion about your medical history and any psychological factors that may be at play.

If a specific condition is diagnosed, treatment options may vary. For example, if Peyronie's disease is diagnosed, treatments may include medications, injections, or surgery in severe cases. If erectile dysfunction is the issue, options may include lifestyle changes, medications (such as PDE5 inhibitors), or therapy for psychological factors.

In conclusion, while a 30-degree angle of erection may be within the range of normal for some individuals, if it is a concern for you, especially if accompanied by other symptoms, it is crucial to seek professional medical advice. A healthcare provider can help determine the underlying cause and recommend appropriate treatment options tailored to your specific situation. Remember, sexual health is an essential aspect of overall well-being, and addressing any concerns is a positive step towards maintaining that health.

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