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2. Nitric Oxide. Many men notice that when they begin to take one of the PDE5 Inhibitors (Viagra, Cialis or Levitra), their morning erections improve. I have also received letters from many men who have noticed the same thing after taking various Erectile Supplements - maybe even an Erectile Supplement Cocktail - or increasing their exercise. The reason, of course, is that all of these usually increase arterial nitric oxide levels, including those in the penis, and this will in turn help with morning erections.
In fact, improving nitric oxide can have dramatic effects on nocturnal erections as one Cialis study showed. Cialis has a long half life and its efficacy is considered to be about 36 hours in most men. One study showed that men who used 20 mg every other day had dramatically increased morning erections.  The authors commented that "chronic treatment also produces a dramatic increase in morning erections, which determines better oxygenation to the penis, thus providing a rationale for vascular rehabilitation." (The PDE5 Inhibitors like Cialis also have a log of side effects. See this link on Cialis, Tinnitus and Vision Problems for some more information.
A Viagra study using 100 mg nightly for three nights showed some impressive results as well on men with erectile dysfunction.  The primary change seen in the case of this PDE Inhibitor were prolonged morning (nocturnal) erections - in fact, about 60% longer.
Am I advocating taking PDE5 Inhibitors in order to get your morning erections back? That may be necessary in the short term, but every attempt should be made to take only the minimal dose necessary. Remember, one can also experience PDE5 Inhibitor Resistance and PDE5 Inhibitor Dependency, so you want to be careful with these medications. Finally, it is important to rely as much as possible on Exercise, Erectile Foods, gradual Weight Loss and Sleep to boost your nitric oxide and restore you endothelium..
3. Sleep. The importance of sleep to morning erections is often ignored. Nocturnal erections occur during REM sleep and some men with erectile struggles report that they seem to be able to achieve nocturnal erections if they sleep long and thus get that last all-important REM cycle.
4. Sitting. One reader has a novel approach, where he sat slightly erect, and found that his morning erections re-commenced. See this link on A Novel Approach to Morning Erections for an example.
5. Pycnogenol. Studies of Prelox, which is just Pycnogenol with a low dose of L-Arginine, show an increase in morning erections.  Of course, Pycnogenol is known for improving erectile dysfunction, increase nitric oxide and decreasing inflammation. See my links on Pycnogenol and Erectile Strength and The Pros and Cons of Arginine for more information.
6. Stress. Anecdotally, men have reported to me increased morning erections after taking any of the cortisol reducers (Vitamin C, S-PS, etc.) As you know, if you have been looking around the site, I frequently recommend regular (non-religious) medititation and/or Progressive Muscle Relaxation for the same reason.
CAUTION: If you have a medical condition or are on any medications, please discuss any changes with your doctor first. Certain supplements, foods and even juices can alter absorption rates of certain medications for example. Play it safe.
1) The Journal of Sexual Medicine, Nov 2005, 2(6):771–784, "Testosterone and Sleep-Related Erections: An Overview"
2) The Journal of Clinical Endocrinology & Metabolism, Apr 1 2002, 87(4):1467-1472, "The Effects of Transdermal Dihydrotestosterone in the Aging Male: A Prospective, Randomized, Double Blind Study"
3) Journal of Sex & Marital Therapy, 1983, 9(1), "Serum testosterone and prolactin levels in erectile dysfunction"
4) Journal of Sex & Marital Therapy, 1975, 1(4), "The assessment of nocturnal REM erection in the differential diagnosis of sexual impotence"
5) ARCHIVES OF SEXUAL BEHAVIOR, 1987, 16(2):125-137, "Use of sexual history to differentiate organic from psychogenic impotence"
6) International Journal of Impotence Research, 2007, 19:200–207, "Relationship between chronic tadalafil administration and improvement of endothelial function in men with erectile dysfunction: a pilot study"
7) Journal of Andrology, 18(5):522-527, "Relationship between sleep-related erections and testosterone levels in men"
8) Journal of Andrology, 13(4):297-304, "A long-term, prospective study of the physiologic and behavioral effects of hormone replacement in untreated hypogonadal men"
9) Phytotherapy Research, Mar 2009, 23(3):297-302, "Improvement of seminal parameters with Prelox®: a randomized, double-blind, placebo-controlled, cross-over trial"
9) The Journal of Clinical Endocrinology & Metabolism, Mar 1 1990, 70(3):792-797, "Testosterone Replacement Therapy and Sleep-Related Erections in Hypogonadal Men"
10) Urology, Dec 2000, 56(6):906-911, "Sildenafil taken at bedtime significantly increases nocturnal erections: results of a placebo-controlled study"
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