Erection in the morning, or morning wood, is one of the natural mechanisms of the male body that usually arises during the cycle of sleep. If this used to arise regularly and then begins to decrease or disappear clearly, many people may wonder whether this is merely a general change, or a health signal to which importance should be given

In medical terms, erection in the morning that has decreased is not only a matter of mood or of sexual behaviour, but may be an important signal reflecting the working of the vascular system and the mechanism of erection. This article will take you to understand the possible causes, the meaning for health, and the time at which receiving an assessment from a doctor should be considered.

What is Morning Wood in physiological terms

Erection while asleep or in the period of waking up is an erection that arises without being connected to sexual stimulation. During the REM stage of sleep, the autonomic nervous system stimulates the blood vessels that nourish the genital organ to dilate in a rhythm, resulting in a natural erection

This is therefore like a “nightly test” of the vascular system and the nervous system that nourish the genital organ. When an erection of this kind decreases or disappears, it usually does not reflect a matter of mood or of sexual interest, but may be information indicating a change in the vascular system at a level that may be examined and assessed

Why is not having morning wood important

The loss of erection in the morning is considered one of the “earliest warning signals of the degeneration of the vascular system” in men who do not yet have clear ED symptoms

Because the vascular system that nourishes the genital organ consists of small blood vessels that are sensitive to changes in the wall of the blood vessels (Endothelial Function), when there is chronic inflammation, the accumulation of fat, or a state of diabetes that affects the capillaries, these small blood vessels are usually affected before the larger blood vessels

That is therefore the reason why not having morning wood may appear several months or years before ED symptoms in their full form, and is a signal that should be considered for assessment at an early stage rather than waiting until the symptoms are clear

The causes met often

In medical terms, the factors that may be related to the decrease of morning wood are

  • The state of the wall of the blood vessels degenerating (Endothelial Dysfunction), which is the starting point of change in the vascular system
  • An underlying disease concerning the blood vessels and metabolism, such as diabetes, high blood pressure, high blood lipids
  • Smoking over the long term, which directly affects the health of the capillaries
  • A state of deficiency of the male hormone in men aged 30–40 years and over, in whom the level of the hormone begins to decrease by an average of 1–2% per year

This is therefore not only a matter of “increasing age”, but may be a signal reflecting a change in the systems of the body

Other signals that should be assessed together with it

Not having morning wood by itself alone may not mean that there is any particular disease, but if it arises together with other signals, assessment will help make the picture clearer

  • Erection taking longer, or not being as full as before
  • Going soft during sexual intercourse
  • Having an underlying disease related to the blood vessels, such as diabetes or blood pressure
  • The response to PDE5 inhibitors decreasing

If there are two or more of these symptoms, seeing a physician expert in the health of men for a systematic examination and assessment is usually a suitable choice

The assessment at PYONG MEN

The approach to assessment at PYONG MEN for those who observe a decrease in erection in the morning usually consists of

  • Penile Color Doppler Ultrasonography (PCDU), in order to examine the circulation of blood and assess the health of the blood vessels that nourish the genital organ directly
  • Comprehensive Endocrine & Metabolic Panel, the examination of the level of the male hormone, the sugar, and the lipids, which are linked to the health of the blood vessels
  • Assessment of the vascular and metabolic risk factors, in order to look at the overall picture of the health of the circulatory system

Assessment from the early stage usually opens up wider choices in care than waiting until the symptoms are clear

The approaches that may be considered after the assessment

If the result of the examination points to a change in the vascular system at an early stage, the approaches that may be considered are, for example

  • Focused Shockwave Therapy (f-ESWT), in order to support the process of creating new capillaries and restore the lining of the wall of the blood vessels
  • Advanced Pelvic Neuro-Vascular Protocol (PMS), in order to support the working of the muscles of the pelvic floor
  • The rebalancing of the hormonal system, if an in-depth hormone examination finds an accompanying abnormality

All the approaches above will be considered according to the result of the assessment specific to the individual

In brief

  • Not having morning wood may be one of the initial signals of the degeneration of the vascular system
  • This usually appears before ED symptoms in their full form
  • The factors involved usually include diabetes, blood pressure, high blood lipids, and smoking
  • Assessment with a Penile Doppler Ultrasound and hormone examination helps make the overall picture clear
  • Assessment from the early stage usually opens up wider choices in care

FAQ

Q: Does not having morning wood mean that it is certainly ED A: It does not mean that there is certainly a disease, but it is clinical information that should be considered in context together with other signals. Assessment helps make the picture clearer

Q: If it is there on some days and not on others, is that considered normal A: Slight variation is considered normal, but if the frequency decreases clearly and continuously for months, it may be advisable to receive an assessment

Q: Is it related to the male hormone A: It may be related in some cases, particularly in men aged 30–40 years and over, in whom the level of the hormone begins to decrease. An in-depth hormone examination helps assess this part

Q: How can one tell whether this is important enough to receive an assessment A: If the loss of morning wood arises continuously and other signals are observed together with it, such as not becoming fully erect, or having an underlying disease of the blood vessels, assessment is usually a suitable choiceQ: After being examined, will the exact cause be known A: A systematic examination helps identify the factors involved more clearly, although the results may differ in each individual

If you observe that erection in the morning has decreased or disappeared, assessment from the early stage may help you understand the health of your blood vessels more clearly. An appointment for a consultation with the expert physicians of PYONG MEN is available in a private atmosphere.