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Is It A Cause For Concern When One Doesn't Get The Morning Erection?

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Posted on Fri, 4 Oct 2019
Question: Hi doctor

As I'm not getting early morning erection (I don't know that is physical or psychological problem) during day time my penis will fluctuate and try to erect.

So I did my total testosterone test today and got report with the below values

My total testosterone count is 306.54 ng/dl and the reference range is 241.0 to 827.0

Could you please let me know the result which I got is good one or any further test needed to my eye it fall with in a reference range
doctor
Answered by Dr. Dr. P. T. Patil (5 hours later)
Brief Answer:
Your Testosterone levels are within normal range

Detailed Answer:
Hello
Thanks for query
Getting morning erection is not the rule . If you are getting good erection on audio or visual stimulation or sexual thoughts during day time it should be considered to be normal

Do not worry about not getting morning election. It is more of a psychological in nature than pathological .

Thanks and Regards
Dr. Patil
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. P. T. Patil (2 hours later)
Thanks Doctor

I have few questions

1. I am not happy with my penis and testis size and I used to masturbate daily till last month,once I got my erection problem I stopped and now I am doing twice or thrice in a week. Is masturbation cause shrink my penis and testis ?
2. My penis size comes around 5 to 6 inches when it erect strongly. But 2 inches in flaccid ?
3. I feel my tests size also small. When my tests are hanging I used to touch in an circular way during that time my testis size will get double is that the normal behaviour?
4. I am getting lower back pain in the early morning daily (I am bit worried that masturbation cause back pain) also due to this pain I'm not getting morning erection. Back pain will come normal 10 minutes after wake up
5. Some time I noticed NPT but not always. Is that mandatory to get NPT daily
doctor
Answered by Dr. Dr. P. T. Patil (8 hours later)
Brief Answer:
Read answers to your queries as detailed below

Detailed Answer:
Hello
Thanks for follow up .I would like to answer your queries point to point as detailed below

1)Masturbation does not have any negative effect on size of the either penis or Testis . To confirm whether size of your penis or Testis is normal or otherwise you need to consult qualified Urologist or sexologist and get Ultrasound Scanning of scrotum done .

2)Size of the penis in flaccid state has no significance at all .It is the hardness of penis on erection that is important for sexual satisfaction of both the partners .The length of penis of 5-6 inches on erection is normal for average XXXXXXX population .As such female vagina on arousal can accommodate hard erected penis of 4 inches without pain and have enjoyable sex .

3 ) To confirm about whether your Testicles are small or normal you have to consult qualified Urologist for clinical examination in person and getting Ultrasound Scanning of scrotum done .

4) During masturbation there is increase blood flow to testicles and the congestion of the testicles cause transient pain in left testicle as on left side the Testicular vein drains in left renal vein on left does and give rise to pain in left side of back .This can be confirmed on color Doppler Scrotal Scan and ultrasound scan of abdomen .

5) As regards your query about NPT I don know long form of NPT .Hence unable to make any comment .

Thanks and Regards.
Dr.Patil.

.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (30 hours later)
Thanks doctor.

NPT means noctoral penial erection.

I have few queries

1. Is male pattern baldness is due to shortage of testosterone harmones is it?? My scalp is getting thin but my testorone total fall under normal range how can I correlate?

2. For hair fall I took treatment during that time I have been precribed with finpecia tablet. I took that tablet and faced ED problem and I discontinued that day only after that I got my erection back. Now I am facing with weak erection I don't know why??

3. Is their any study saying that penis erection function depletes during summer season?

4. Regarding my back pain, I am not getting pain in right or left side back but I am getting pain in the middle that too early morning. I am getting pain every day even without masturbation. Previously I used to masturbate daily now from 2 months I reduced to 3 times a week but still facing back pain issue

5. Nowadays I am feeling very weak and I am exercising daily do 1hours , shall I take multivitamin supplement, if yes tell me how long I should take tablet or let me know way to overcome with this weaknesses

6. I always have fruits, fruits juice, pumpkin seeds, watermelon seeds, chai seeds, sunflower seeds and some almond but still feeling weak. Is this weakness is due to over masturbation or due to gyming

7. Give me some tips to increase my testosterone level and sperm count naturally... I am not married yet and preparing to my marriage so I want perform well with my partner
doctor
Answered by Dr. Dr. P. T. Patil (5 hours later)
Brief Answer:
Read answers to your queries as detailed under

Detailed Answer:
Hello
Thanks for follow up

The answers to your queries are detailed point to point as under
1) I am a Urologist hence unable to address your query on baldness .Consult qualified Endocrinologist for details over this issue

2) Fenesteride is known to cause side effect of loss of sexual libido .Getting weak erection is the sequele of frequent habitual masturbation which take long time to get recovered to normal provided one restricts it to once or twice a week .

3) I have not come across about scientific study regarding erection in relation to summer

4) Back can be due to muscle spasm .Needs to consult qualified Orthopedic surgeon .

5) In absence of any major health issue in a healthy person doing regular exercise and having high protein diet and supplements weakness is a status of mind .Meditation for 30 minutes daily in the morning will help to boost up your confidence and reduce weakness.

6) Continue having fruits and juice etc that you consume everyday

7)Your testosterone levels are within normal range .Do not take any exogenous Testosterone supplements

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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Is It A Cause For Concern When One Doesn't Get The Morning Erection?

Brief Answer: Your Testosterone levels are within normal range Detailed Answer: Hello Thanks for query Getting morning erection is not the rule . If you are getting good erection on audio or visual stimulation or sexual thoughts during day time it should be considered to be normal Do not worry about not getting morning election. It is more of a psychological in nature than pathological . Thanks and Regards Dr. Patil