I am 27 male I am facing sexual problem from 6 years libido or ed I get erection in night many times in a month during sleep I am unmarried I get my penis tight when I masturbate but suddenly fell my penis is getting soft after 2-3 minute one more thing I notice my penis get erection when I am laying or sitting if I stand it will loose erection I met a doctor last year he get some blood test which were normal 1. Urine culture normal 2. Total tsh serum 1.044 range 0.35-4.94uiu/ml 3. Testosterone total serum 566. 82ng/dl range 241-827ng/dl 4. Hydroxyvitamin d it was very low only 3.90ng/ml range 30-100ng/ml I am taking d3 syrup 60000iu weekly and now it is almost 23ng/ml but not too much improvement in my sexual conditions so I do not know what to do my marriage is next year. I feel tension stress and fog on my mind.Please tell.
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Thanks for giving a very nice and detailed history. It helps us in advising you the correct treatment. As investigation suggest there is no hormone deficit in your body. You need to understand that male sexuality has three parts. First is desire, then errection which is caused by increased blood flow in your penis. After that if stimulated discharge happens. At night when you are relaxed during sleep, your blood vessels also relax and that causes more blood to flow to pebis. So what you are experiencing at night is absolutely normal.After errection, when discharge happens, blood will go away from penis and it will become soft, till you get another stimulation. The same reason explains why you get errection in one position. To summerise it is absolutely normal to have occasional errection and softening depending on relaxation of blood vessels. The most important thing is to stay relaxed as that can give you sustained errection.
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