What's the matter with not having morning neck for a long time?

The long-term absence of morning erections may be caused by psychological stress, poor sleep quality, abnormal hormone levels, vascular dysfunction, chronic diseases and other factors. The reduction of morning erections can be improved by adjusting lifestyle, psychological counseling, drug treatment, etc.

1. Psychological pressure:

Long-term anxiety, depression or excessive work pressure will inhibit the excitability of parasympathetic nerves and affect the congestion function of the corpus cavernosum of the penis. The reduction of morning erections caused by psychological factors requires psychological counseling and mindfulness training to relieve tension. Partner support and regular sex can also help restore physiological responses.

2. Poor sleep quality:

REM sleep is a critical stage for morning erections, and sleep apnea syndrome or staying up late can interfere with the sleep cycle. Improving the sleep environment, fixing work and rest time, and avoiding the use of electronic devices before going to bed can improve sleep quality. If necessary, polysomnography should be performed to rule out pathological factors.

3. Abnormal hormone levels:

Insufficient testosterone secretion will reduce sexual desire and erection frequency, and is common in middle-aged and elderly men or those with pituitary gland dysfunction. The diagnosis can be confirmed through serum hormone testing, and the doctor may recommend hormone replacement therapy such as testosterone undecanoate, but prostate-specific antigen levels need to be strictly monitored.

4. Vascular dysfunction:

Chronic diseases such as high blood pressure and diabetes can cause damage to the vascular endothelium and affect the blood supply to the penis. Such patients are often accompanied by symptoms such as numbness of the lower limbs and intermittent claudication. Underlying diseases need to be controlled. Microcirculation-improving drugs such as sildenafil may be included in the treatment plan.

5. Chronic diseases:

Diseases such as chronic prostatitis and hypothyroidism can indirectly affect erectile function. In this case, the underlying disease needs to be treated, along with pelvic floor muscle training, warm-water sitz baths and other physical therapies to avoid long-term cycling and other behaviors that compress the perineum.

It is recommended to maintain moderate aerobic exercise, such as swimming and brisk walking, 3-5 times a week to promote blood circulation； Pay attention to supplementing your diet with zinc, oysters, pumpkin seeds, vitamin E, nuts, and deep-sea fish. ； Avoid excessive alcohol consumption and high-fat diet. If the morning erection disappears for more than 3 months or is accompanied by symptoms such as abnormal urination and persistent fatigue, you should promptly go to the men's department or endocrinology department for special examinations such as nighttime penile erection monitoring and penile blood flow ultrasound. Erectile function status can be initially assessed daily through early morning observation, stamp test, etc.