When you wake up in the morning and see that your bottom is “hard”, some men will be happy that this is a sign of strong sexual performance. On the contrary, if you do not have an erection in the morning, or not obvious, you may worry that you “can not” and ask yourself if you are impotent (ED) it? Many unmarried men, especially those who are about to get married, often feel this way: they feel that their penis will naturally get erect and hard when they wake up in the morning, when they are visually stimulated or indulge in some kind of sexual fantasy, but this response seems to be slowly weakening. Many people tend to see this as ED and are afraid of being laughed at by their partners after marriage, and some are even afraid to talk about friends and get married. The above cases related to morning erection and ED are often encountered in the clinic, so it is necessary to pay scientific attention to morning erection and objective understanding of ED. Morning erection refers to the natural erection of the penis in the early morning from 4 to 7 a.m. in the unconscious state of men, without the control of scenario, action or thinking, as long as the nerves, blood vessels and the structure and function of the cavernous body of the penis are normal. Morning erections mostly begin in adolescence and are most frequent in the 20s and 30s, and gradually decrease after middle age. Some studies have found that early morning penile erections disappear during illness in men; when the body recovers, early morning erections reappear. Morning erection is important for men as one of the reference standards of health. It is worth noting that because men’s bodies are in different states every day, morning erections are not always the same. You cannot judge a man’s sexual function based on whether he has a morning erection alone, so we need a scientific and objective understanding of morning erections. Why do morning erections occur? What are the factors that affect morning erections? The relationship between morning erections and ED is something we need to understand. The mechanism of the morning erection is still unclear, but it is generally believed that there are several reasons: 1. Morning erection and male hormone levels are related: men need androgens as a driving force, affecting the male libido requirements, the onset of sexual excitement and the ability to get an erection. Male androgen levels change rhythmically within 24 hours, with the highest in the morning and the lowest at night, so there is a morning erection phenomenon. 2. The reflex action of the internal organs can also lead to penile erection, perhaps due to the increased pressure in the urine-filled bladder early in the morning, thus stimulating the internal organs and leading to a subconscious reflex erection of the penis, and pressing the nearby seminal vesicles, which can also lead to the phenomenon of imminent ejaculatory response once the stimulation is transmitted by the nerves. The following are some of the factors that affect morning erections: 1. Age: Under normal circumstances age is a determining factor for morning erections. After sexual maturity, with age, the number of morning erections will gradually become more frequent and their duration will gradually grow. after 30 years old, with age, morning erections will gradually weaken or decline. However, some older people do not have morning erections, but can still have a satisfactory sex life. 2. Sleep: Sleep experts at the Albert Einstein College of Medicine monitored the sleep and nocturnal erections of volunteers. It was found that nighttime sleep patterns were divided into two types, one for deep sleep, lasting about 1.5 hours, and one for light sleep, lasting about 30 minutes, with the two patterns combined being a sleep cycle lasting 2 hours. During light sleep, men will have an erection. If you stay up late at night or sleep irregularly, it will affect this sleep pattern, resulting in no erection at night and early morning, which may also cause ED in the long run. 3, diseases and drugs: many diseases can affect sexual function and morning erection. Such as hypertension, cardiovascular disease, diabetes, lumbar disc protrusion, etc.. Take anti-tumor, anti-hypertension, hypoglycemic, sedative and other drugs, can reduce the number of morning erections. 4, bad habits and emotions: excessive smoking, alcohol consumption, irregular rest and rest time, excessive grief and depression, etc., can also affect the morning erection, can make the morning erection significantly reduced. 5, other factors: such as endocrine factors, hypopituitarism, environmental pollution, etc., can also reduce the morning erection, or even disappear. Morning erection on the judgment of ED: Clinical research shows that more than 70% of patients reported having had a morning erection in the pre-ED with the disappearance of the symptom. Therefore, the presence or absence of morning erection is often the easiest way to initially distinguish between psychogenic ED (erectile dysfunction) and organic ED at the time of consultation. For ED patients, if they still have an erection when they wake up early in the morning, then it may be caused by psychological factors. Conversely, organic factors are considered and further special tests are needed. The actual fact is that it is a disease that affects the healthy life and the relationship between husband and wife, in line with the concept of “prevention is better than cure”, male friends can pay more attention to their morning erection phenomenon. When you find that your morning erection disappears, it may be a sign that you are not well rested recently, or that some disease is coming, so you should pay attention to it. The possibility of ED occurrence, but also do not overstress, this time do not own reckless medication, should be timely to the hospital.