Unusual Erections: Causes and Concerns in Urology

Q: Unusual Erections: Causes and Concerns in Urology

Hello Sir： Thank you for your inquiry. <br>I would like to address your question and provide the following advice： This is likely due to excessive water intake, which causes bladder distension at night. <br>When the bladder is full, it can stimulate the parasympathetic nervous sy

Penile issues

Hello Dr.
Lin, I previously experienced this once, and it happened again last night.
I drank more water before bed, and suddenly during the night, I felt a sensation of ejaculation.
At first, I thought it was a wet dream, but upon checking, there was no ejaculation.
After that, my penis remained in an erect state, and it felt as if semen was at the glans and about to be ejaculated! Later, when I tried to urinate, my penis was still erect and uncomfortable, and it lasted for nearly an hour before gradually subsiding.
After the erection diminished, the sensation of ejaculation also slowly disappeared.
Could this be a reason for not having a wet dream? However, I also did not ejaculate during masturbation.
(Both times before bed, I had masturbated but did not reach ejaculation; could this be related?) Thank you, Dr.
Lin.

A De, 20~29 year old female. Ask Date: 2011/12/11

Dr. Lin Hexing reply Urology

Hello Sir: Thank you for your inquiry.
I would like to address your question and provide the following advice: This is likely due to excessive water intake, which causes bladder distension at night.
When the bladder is full, it can stimulate the parasympathetic nervous system, leading to an erection.
This is not related to nocturnal emissions.
Additionally, masturbation is not the only condition for ejaculation.
There is no literature to support a direct correlation between not achieving ejaculation through masturbation before sleep and your issue.
Lastly, I wish you peace and happiness.

Reply Date: 2011/12/11

More Info

Understanding unusual erections, particularly those that occur during sleep, can be a complex issue that involves various physiological and psychological factors. The phenomenon you described, where you experienced a sensation similar to ejaculation without actual ejaculation, followed by a prolonged erection, can be attributed to several potential causes.

Firstly, it's important to clarify that the sensation of ejaculation without the actual release of semen can sometimes be linked to a condition known as "dry orgasm." This can occur for various reasons, including certain medical conditions, medications, or previous surgeries that may have affected the reproductive system. However, in your case, it seems more likely to be related to the physiological responses of your body during sleep.

During sleep, particularly in the REM (rapid eye movement) phase, the body experiences various physiological changes, including increased blood flow to the genital area, which can lead to erections. This is a normal occurrence and is often referred to as nocturnal penile tumescence. The sensation of impending ejaculation you experienced could be a result of heightened arousal or stimulation during this phase, even if you did not achieve ejaculation.

The relationship between your recent experiences of unusual erections and your prior instances of masturbation is also worth considering. Engaging in sexual activity, including masturbation, can lead to increased sensitivity and arousal, which may contribute to the sensations you are experiencing. It is not uncommon for individuals to have heightened sexual responses after periods of abstinence or following sexual activity, which can lead to unusual or unexpected erections.

Another factor to consider is the psychological aspect of sexual arousal. Anxiety, stress, or even excitement about sexual experiences can lead to heightened sensations and responses. If you are feeling anxious about your sexual health or experiences, this could exacerbate the sensations you are experiencing.

In terms of medical concerns, if these episodes of unusual erections and sensations continue or if they are accompanied by pain, discomfort, or other concerning symptoms, it would be advisable to consult a urologist. They can conduct a thorough evaluation to rule out any underlying medical conditions, such as hormonal imbalances, nerve issues, or other urological disorders.

In summary, while the sensations you are experiencing may be disconcerting, they can often be attributed to normal physiological responses during sleep, particularly in the context of recent sexual activity. However, if you have ongoing concerns or if these episodes become more frequent or bothersome, seeking medical advice would be a prudent step to ensure your sexual health and well-being. Remember, open communication with a healthcare provider can help alleviate concerns and provide clarity on any issues you may be facing.

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