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Is The Lack Of Morning Erections A Concern?

Is The Lack Of Morning Erections A Concern?

Usually, men have multiple erections while sleeping. The process is called nocturnal penile tumescence (TPN) (or “morning erection” in popular terminology), and occurs in men of all ages, including young children. These erections are not caused by sexual stimulation, but they appear to be associated with REM sleep (rapid eye movement).

If a man wakes up during or shortly after a period of REM sleep, he may have a morning erection.

The lack of a morning erection is not necessarily a concern. Sometimes, men wake up at different points in the sleep cycle when an erection does not occur.

Still, morning erections can provide some clues about erectile dysfunction (ED). The ED may have physical and psychological causes. Sometimes physical and psychological factors are involved at the same time.

When a man suspects that he has ED, sexologist doctor in Delhi may ask about morning erections. If he is still suffering from NPT, his erection problems are likely to have a psychological origin, since his physical “plumbing” is still in operation. If he does not have TPN, physical problems can be the root of the problem.

However, morning erections are not the only criteria used to assess erectile dysfunction. Sexologists in Delhi will also consider a man’s medical history, testosterone levels and any medications he takes.

Men who think they do not have morning erections as they used to should mention the situation to the best sexologist in Delhi.

Male Sexual Health

3 Things About Male Sexual Health You Need To Know

Having sexual problems is something that can happen to any man. However, if a man often finds it difficult to have an erection and repeatedly has premature ejaculation, he needs to see a sexologist doctor in Delhi.

The theme is complex and in India a real taboo for many men, but with the proper treatment it is possible to resume a pleasurable sex life. Check out some important information!

1: Anxiety does not help in bed

Anxiety can directly affect your performance in bed. When there is an excess of nervousness and a great expectation or fear before the sexual act, there is a great release of stress hormones. The body thus receives an adrenaline rush, which makes it difficult for the penile muscle to relax and the blood to enter which causes an erection, causing the dreaded erectile dysfunction.

The more stressed the man is, the greater the chances of failure in the sexual act. Only 10% of cases of erectile dysfunction have organic causes, related to the penis, testicles or imbalances of hormones such as testosterone. The other 90% are caused by stress. So let go of your nervousness to enjoy the moment even more.

2: Premature ejaculation is curable

When a man has no control over ejaculation, occurring before what he would like (before or at the time of penetration, for example) it can be said that he has premature ejaculation. This condition affects about 30% of the male population.

However, the cause is usually psychological and the patient has a good chance of resolving the problem quickly. There are more complex cases, where unusual hormone levels, thyroid disorders, infections, and genetic factors are the cause. Fortunately, these cases are in the minority.

3: Erection problems happen at any stage of life

Contrary to what many believe, it is young people who have more erection problems. However, from the age of 40 the chances of mature men increase. The reasons can be psychogenic or organic factors.

Diabetes, high blood pressure, high cholesterol, smoking, and other causes can affect the body’s peripheral nerves, which compromises the brain’s ability to send commands to the penile region. For this reason, one way of taking care of sexual health is to maintain a balanced diet and avoid excessive alcohol consumption, in addition to regular physical activity.

In case of doubts or need for advice regarding your sexual health, make an appointment at Dr. P K Gupta Sexologist Clinic in Delhi. Our clinical staff is specialized and ready to help you. The matter is complex and will not be resolved automatically.

best sexologist in Janakpuri

Sexual Impotence and Prejudice

Sexual impotence is still seen as taboo by many men, who refuse to take the problem and run the matter and experts. But erectile dysfunction is a more common problem than you think and, not always, has its causes related to physical problems. Marital crises, work stress, emotional difficulties, and even the collection itself can hinder male sexual performance, warns the best sexologist in Janakpuri.

The annoyance is even greater when considering the prejudice surrounding the disease. Because of him, many men suffer in silence and fail to ask for help from a friend, someone in the family, and even dismiss doctors. According to a survey, 70% of patients with the problem do not even think about seeking a sexologist in Janakpuri. “Prejudice is our biggest enemy, because the disease, when diagnosed early, is easier to be treated”, says sexologist in Delhi Dr. P K Gupta.

In addition to the difficulty of erection itself, the sexologist doctor in Janakpuri recommends an appointment when there are changes in duration and frequency. The lack of information also makes many men get used to the disease and think that the drugs that cause the erection are enough to solve the problem (when, many times, they just mask the problem). Psychological treatment is often sufficient to resolve cases without the need for medication since men are more confident.

“Only when deciding to deal with the dysfunction, the quality of life of man already improves”, says the best sexologist in Janakpuri. It helps to lessen your doubts by clarifying the main issues surrounding impotence.

Are sexual impotence and erectile dysfunction the same thing?

Erectile dysfunction (ED) is the inability to maintain an erection that is sufficiently rigid and that lasts as long as necessary to allow sexual intercourse. Impotence is a popular term no longer used by sexologist in Janakpuri.

Does the dysfunction only affect men in old age?

No, although the problem is not common in younger men, it starts to grow in men from the age of 40. It is estimated that up to 30% of men between 40 and 70 years of age suffer from some form of erectile dysfunction. It is worth remembering that all men, at some time in their lives, have difficulty in achieving erections, especially in situations of stress and tiredness, under the influence of alcohol or when diagnosed with a serious illness.

How does the diagnosis of erectile dysfunction happen?

The diagnosis is made from the patient’s clinical history and physical examination. Tests can be ordered, especially for younger patients or those with specific problems. The first visit to the sexologist doctor in Janakpuri is usually the most difficult step. The best sexologist in Janakpuri needs to understand the problem, so it is important that the patient feel comfortable and not hide any information that may affect the treatment.

Is the man who smokes and drinks alcohol frequently in the risk group?

Yes, the use of drugs (both legal and illegal) can lead to erectile dysfunction, because they attack the central nervous system and the circulatory system, responsible for erection.

They also cause a lack of libido and rapid or delayed ejaculation. In the case of cigarettes, chronic use decreases the caliber of blood vessels (size of vessels that constrict or dilate) throughout the body, including the penis, which can lead to the problem.

Is the man who suffers from premature ejaculation more likely to have this dysfunction?

Yes, those who suffer from premature ejaculation (also known as premature or rapid ejaculation) may develop erectile dysfunction in the future, as dissatisfaction with not having adequate sexual intercourse can lead to psychogenic ED. This occurs when no organic problem is identified that could be the cause of erectile dysfunction.

What are the main causes of the disease?

We can mention three aspects that help in the development of the disease, they are: health problems (such as depression, high cholesterol, diabetes, and high blood pressure); medicines (some formulas have dysfunction as one of the side effects) and harmful habits, such as drinking and smoking.

Can the problem be cured?

Yes. The drugs available to treat erectile dysfunction, such as vardenafil (active ingredient in Levitra®), have revolutionized the history of treating the disease. There are also intracavernous injections and penile prostheses. Many men who suffer from erectile dysfunction are affected psychologically, even if the cause is of physical origin. Therefore, psychotherapeutic counseling can help you overcome the problem.

sexual changes

Sexual And Physical Changes Occurring As We Age

Gender and sexuality involve many aspects: affection, love, respect, warmth, sharing, and addiction (obligations). These gifts are the right of the youngest as well as of the older adults.

Two aspects of sexuality are touched upon in this blog: the changes that occur with age and suggestions of adaptability to these changes.

For most healthy adults, pleasure and interest in sex should not diminish with age. Age is not a plausible reason to give up the sexual practices that people enjoy throughout their lives. However, some minor adjustments may be necessary to accommodate any physical limitations or the consequences of different diseases or medications.

Physical changes commonly encountered in men

  • the male sexual appetite begins to change after the age of 50 years. However, a man’s sexual behavior is most likely affected by his or her health status or attitude towards sex and intimacy that changes with age.
  • it may take a longer period of time until the erection is installed and a longer interval between erections is required
  • the erection will be less firm. However, a man who has good blood flow to the penis will be able to achieve a firm enough erection for subsequent sexual intercourse.
  • older men may delay ejaculation for a long period of time.

Physical changes commonly encountered in women

Most of the physical changes occur after menopause and are the result of decreased estrogen levels. These changes can be influenced if the woman is using hormone replacement therapy

  • the woman needs a longer period of time to get excited
  • the skin of the woman can become more sensitive and irritable, causing the handling and the intimate contact to be less pleasant
  • the walls of the vagina become thinner and dry and irritable during sexual intercourse
  • the orgasm can be shortened and the contractions experienced during the orgasm can be uncomfortable.

Not all women face such problems. What you can do is to experiment and find ways for a pleasant active sex life despite physical changes.

Cultural and psychological factors

In addition to physical changes, there are psychological and cultural factors that affect sexuality at older ages. For example, in some cultures, sexuality is associated with a youthful aspect and vigor. Too many people think that if they are older they are less desirable and less sexually active. Older adults can accept these prejudices and adopt the idea that they are not allowed or are not allowed to be sexually active.

Sexual pleasure and love have no age limits. Almost everyone has the capacity to discover throughout their life the pleasure of sexual intercourse. The belief in the myth that older people no longer have an interest in sex is actually the loss of wonderful opportunities. Loneliness caused by one’s choice, divorce or widowhood can also be a problem. As you get older, there is the possibility that the number of people in the same age group from which you could choose a potential partner to reduce. Women or men alone may not know how to express their sexual impulses. Generally speaking, it is preferable to express sexual desires rather than suppress them until they almost no longer exist.

Physical and emotional needs change over time and depending on different circumstances. Intimacy and sexuality may or may not be important for each individual. The problem here is an option. If it is deliberately decided that sex is no longer appropriate, then that is the right decision. A life full of sex-free life is possible. However, if the option to continue an active sex life is chosen, support and encouragement may be required. You may still discover unexploited erogenous areas to be explored.

Maintaining sexual activity

Only exercise is the key to maintaining physical condition, periodic sexual acts constitute the best way to maintain sexual capacity.

It is never too late to start an exercise program and start new sexual relationships. Many older people who have been single for several years discover new satisfying sexual practices with new love relationships. For others, self-stimulation ( masturbation ) is common and does not involve health risks or adverse effects.

There are some additional considerations:

  • to amplify the sexual response, it is recommended by sexologist in Delhi to insist more on the prelude and the direct contact with the genital organs
  • to focus on erogenous areas. Fantasy and imagination help to challenge certain people. To try to induce the mood by using candles and slow music or anything else that could trigger a sexual mood
  • Many drugs, especially antihypertensive drugs, tranquilizers and some drugs used for heart disease, inhibit sexual appetite. It is recommended to consult the doctor regarding these adverse effects. Your doctor may reduce your dose or prescribe other medicines. Do not recommend stopping the medication before consulting your GP
  • If the sexual act becomes uncomfortable due to the vaginal mucus dryness, it is recommended to use vaginal lubricants to reduce irritation. The use of oil-based ointments is not recommended. The sexologist in Delhi may indicate the use of estrogen-containing vaginal creams, which will help improve vaginal tissue changes.
  • Colostomy, mastectomies and other interventions that produce changes in the physical appearance should not be the end of the sexual life. Open communication about fears and expectations related to this aspect can bring partners closer and help them overcome these barriers. If necessary, counseling both partners can help to better adapt to the new situation
  • people with heart disease can enjoy active, satisfying sex life. Most doctors recommend sexual abstinence for a short time after acute myocardial infarction. In the case of angina, consult your sexologist doctor in Delhi if nitroglycerin administration is indicated before intercourse.

Do not take concomitantly with nitroglycerin sildenafil citrate (Viagra)!

  • if arthritis prevents the normal course of sexual intercourse, to experience different positions. Try to place pillows under the thighs. To use the outpatient antiallergic treatment of arthritis
  • moderate alcohol consumption is recommended – small amounts of alcohol can intensify the sexual response by annihilating inhibitions. Consumption of increased amounts of alcohol can diminish sexual performance
  • Prescription drugs that amplify sexual response like sildenafil citrate ( Viagra ) for men and testosterone for women are available. Some people find that herbal products like ginkgo biloba and ginseng enhance their sexual appetite. Both the prescribed and herbal remedies have no adverse effects.

Other aspects of sexuality

Sexuality derives from the actual physical act itself and is a part of every individual. It involves the needs of touch, affection, and intimacy.


Touching is a wonderful and necessary sensation. Newborns who are not touched do not grow well. Children who are untouched develop affective disorders. Touching is equally important for adults. Touching helps us in contact with others and can amplify sexuality

  • massage – professional massage is great, but the simple rubbing of the shoulders and neck can also be very enjoyable. It is recommended to perform a massage by a friend to perform shoulder massage
  • hugs are recommended – everyone needs hugs. Some people are lazy to use hugs, but it is normal to ask, “Would you like a hug?”
  • it is recommended to buy a pet. Caring for a pet can help in discovering the needs of touch. Some studies have shown that people who care for pets live longer.


Giving and receiving affection is a wonderful feeling. If a person has feelings of affection for another, make sure he or she is communicated. If someone expresses their feelings of affection to appreciate. It is never too late to make new friends and to forge long-lasting relationships.


Intimacy is the quality of close physical and emotional contact with another person. Intimacy plays a great protective role against depression. Conversations with a confidant can ease your life problems. It may happen that a loved one who has died cannot be completely replaced, but the intimacy can be reconstructed by the following procedures:

  • focusing attention on children, relatives or old or new friends
  • to look for a person who is in a similar situation. One of the most important benefits of support and counseling groups is that members often become intimate with one another.
  • display an attitude of availability – because people need each other.