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Author Topic: Nocturnal Erections but no daytime spontaneous ones?  (Read 1281 times)

Nocturne

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Nocturnal Erections but no daytime spontaneous ones?
« on: January 10, 2017, 03:40:39 pm »
Is there any significance to having quite consistent nocturnal erections -- almost every time I wake up in the middle of the night there is a "fair to good" boner going on, not quite what I had even five years ago but sufficient for penetration, at least -- but NO daytime erections without some sort of stimulation?

About the only time I will get an erection without stimulation while I am awake is when I am nude next to my wife and pleasuring her with my fingers, knowing that we are about to have sex.  I feel erections slowly rising AS I AM DRIFTING OFF TO SLEEP but very, very rarely get even a partial swelling during the day with my pants on.

I do take Clomid and low dose daily Cialis.
43 years old
5'7", was 220 pounds when trouble started, now down to 165
Trouble began with abrupt ED Early May '15
Initial T level 130
Started Clomid in hopes of rebooting system June '15
Currently taking 25 mg eod and .25 mg Arimidex every 4 days
T level 480 or so at last reading
ED in check with 2.5 mg Cialis eod and supplements:
POM juice, L-Cit, Pycnogenol

Morning anxiety currently in check with GABA taken every night

Biggest current worry is heart health:
Aortic stenosis (very mild for now)
CAC score 156(!) at age 42
20 mg Crestor and baby aspirin every day
CoQ-10, Vitamin K2, and Kyolic Aged Garlic Extract every day too
Walking 10,000 steps a day

PeakT

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #1 on: January 10, 2017, 05:53:38 pm »
Is there any significance to having quite consistent nocturnal erections -- almost every time I wake up in the middle of the night there is a "fair to good" boner going on, not quite what I had even five years ago but sufficient for penetration, at least -- but NO daytime erections without some sort of stimulation?

About the only time I will get an erection without stimulation while I am awake is when I am nude next to my wife and pleasuring her with my fingers, knowing that we are about to have sex.  I feel erections slowly rising AS I AM DRIFTING OFF TO SLEEP but very, very rarely get even a partial swelling during the day with my pants on.

I do take Clomid and low dose daily Cialis.

The above is fairly common My guess is that it is stress hormone related.  For example, noradrenaline will hammer endothelial function and is how alpha blockers work.  But I am sure there are other pathways involved as way. 
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

Peak Testosterone Forum

Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #1 on: January 10, 2017, 05:53:38 pm »

Nocturne

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #2 on: January 10, 2017, 06:14:14 pm »
Any suggestions on how to combat it?  Would be nice to get back as much functionality as possible, while I can.
43 years old
5'7", was 220 pounds when trouble started, now down to 165
Trouble began with abrupt ED Early May '15
Initial T level 130
Started Clomid in hopes of rebooting system June '15
Currently taking 25 mg eod and .25 mg Arimidex every 4 days
T level 480 or so at last reading
ED in check with 2.5 mg Cialis eod and supplements:
POM juice, L-Cit, Pycnogenol

Morning anxiety currently in check with GABA taken every night

Biggest current worry is heart health:
Aortic stenosis (very mild for now)
CAC score 156(!) at age 42
20 mg Crestor and baby aspirin every day
CoQ-10, Vitamin K2, and Kyolic Aged Garlic Extract every day too
Walking 10,000 steps a day

Smokdu

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #3 on: January 10, 2017, 07:33:04 pm »
@Nocturne-  We're in the same boat. I'll be interested to see if you find any solutions. I'm going to be discussing this very thing with my doctor on the 30th. I'll let you know what she says...
43 y/o
5'8", 173lbs
Around 13% BF and goin⤵
Started TRT 10/10/16 with a baseline of 338,
Last labs at 989. Still working out the bugs

Boxcar

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #4 on: January 10, 2017, 10:29:18 pm »
Yes, I have noticed something simillar.  The change seemed to start when I put on a bunch of weight (I used to be pretty thin).  I assumed it was hormonal, but it's the same with TRT and the anti-estrogen supplements make no difference either.  Granted, I am glad to not feel like I am 15 anymore...

At this point, I assume it is lifestyle -- my recent cholesterol scores were awful, so I really do need to clean things up.

Age: 35
178 lbs 5'8''

Current Treatment: 50 mg testosterone cypionate IM, twice a week
Low T Symptoms: Chronic pelvic pain, and other neuropathic pain.  Mild anxiety, low energy and low motivation
Meds: Amitriptyline (for pain, not depression), Clonidine (for sleep, not blood pressure)

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #4 on: January 10, 2017, 10:29:18 pm »

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PeakT

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #5 on: January 11, 2017, 01:50:30 pm »
Yes, I have noticed something simillar.  The change seemed to start when I put on a bunch of weight (I used to be pretty thin).  I assumed it was hormonal, but it's the same with TRT and the anti-estrogen supplements make no difference either.  Granted, I am glad to not feel like I am 15 anymore...

At this point, I assume it is lifestyle -- my recent cholesterol scores were awful, so I really do need to clean things up.

The weight increase inflammation - that's the probably the root cause although it's poorly understood.
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

ghce

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #6 on: January 11, 2017, 05:11:00 pm »
Yes, I have noticed something simillar.  The change seemed to start when I put on a bunch of weight (I used to be pretty thin).  I assumed it was hormonal, but it's the same with TRT and the anti-estrogen supplements make no difference either.  Granted, I am glad to not feel like I am 15 anymore...

At this point, I assume it is lifestyle -- my recent cholesterol scores were awful, so I really do need to clean things up.



I have similar issues that I also put down to inescapable weight gain due to T or Thyroid.

But hey I would like to feel like I was 15 again!! and I am working on that but havent found the silver bullet that allows it. Topical T application to the scrotal areas helps but still not enough.
Age:55, Height 6' 3" weight 95KG
2014 Androderm Patches (stopped as became allergic to the glue in the patches. )
2014-2016 Andriol 160mg (stopped as fears for fertillity and also ED and Libedo not as high as hoped for)
June 2016 Clomid/Serophene 12.5mg EOD
September 2016 no TRT all natural and supplements for the time being
February 2017 Testosterone cream 100mg daily

Sept 2016
Testosterone   8.2 nmol/l   9-38
Free Testosterone   239 pmol/l   L   250-800
Sex hormone binding globulin   14    nmol/L   9-60
Free Androgen index   586   >400
Oestradiol    112   pmol/L    <190
LH    2.6 IU/L Adult male   2 - 9 IU/L
FSH  1.4 IU/L Adult male L2 - 12 IU/L

22 November
T 6.8  nmol/L ( 9-38 ) L

March 2017
Testosterone:   45.0  nmol/L ( 9-38 ) H
Free Testosterone:   1512  pmol/L ( 250-800 ) H
Sex hormone binding globulin:   17  nmol/L ( 9-60 )
Plasma IGF-1:   227 ug/L ( 55-198 ) H
Plasma cortisol:   434 nmol/L ( 0600-1000 hrs 170-500 nmol/L )
HbA1c:   36 mmol/mol ( 20-40 )
LH:   <0.1 IU/L
FSH:   0.1 IU/L

Kierkegaard

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #7 on: January 12, 2017, 01:32:23 am »
Dr Mariano puts this down to norepinephrine, like Peak said (he called it noradrenaline, same thing).  It's basically low enough in the middle of the night to allow for erections, but when you wake up (and NE is largely responsible for waking you up) it's too high.  NE is actually very important for erections and especially ejaculation, when NE shoots up and dopamine goes down momentarily.

FWIW, the single biggest influence on my getting better erections has been starting levothyroxine.  But getting E2 levels out of line can undo this, as E2 influences thyroid through increasing thyroid binding globulin, thereby reducing free thyroid hormones (T3 and T4).  E2 also increases norepinephrine in its own way, as well as ACTH and cortisol (assuming your cortisol is functioning well, of course).  So with E2 being too high you get the "double whammy" of lowering free thyroid hormone as well as causing some degree of sympathetic nervous system activation with the increase in norepinephrine, ACTH, and cortisol. 

The biggest contributor to norepinephrine problems, again citing Mariano, is hypothyroidism.  But low cortisol is also a less likely possibility, seeing how cortisol helps balance norepinephrine such that too-low cortisol (in view of stress) means higher NE.
"The same thing that makes you live can kill you in the end." -- Neil Young

March 2014: Dx low T (158ng/dl)
September 2015: Dx hypothyroidism, other adrenal hypofunction/low cortisol
Treatment: 30-35 mg cypionate subq E3D, 50 mcg levothyroxine QD; adaptogens
Supplements: fish oil, vitamin D3, magnesium, copper (low in serum), DIM, coq10, B vitamins (including hydroxyb12), probiotic, astaxanthin, iodine
Depression and anxiety guide: http://www.peaktestosterone.com/Help_Anxiety_Depression.aspx

Peak Testosterone Forum

Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #7 on: January 12, 2017, 01:32:23 am »


Nocturne

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #8 on: January 12, 2017, 04:44:34 pm »
(Maybe) separate but related note:

I tend to take a fair amount of time to get hard, and I can lose it fairly quickly.  I know this is more pronounced than it used to be but I also know things were starting to drift South that was as early as 12 years ago, though it was a very gradual thing -- so much so that I always just attributed it to getting a little older and never seriously worried about it because everything worked fine when it came to the actual act.

Generally everything is OK today so long as I don't freak out about how much time it takes (and it doesn't take a crazy long time, maybe a couple minutes of active stimulation).  It seems to take me a while to seriously get into wanting vigorous thrusting as well.  It's just that compared to the past, it takes longer.  Can T therapy help with that?

Also, sex is definitely easier for me pretty much any time other than the morning, when I wake up with anxiety fairly often.  I can never tease out if this is due to the anxiety, hormonal levels, atherosclerosis, or what.

This morning I woke up and had sex with my wife -- I initiated mostly because I thought she wanted it, I wasn't even looking to orgasm, although I ended up wanting to and finished (this is fairly typical).  Erection came up OK but got a little soft a few times during.  It's annoying and disturbing even if it doesn't completely put the brakes on intercourse.
43 years old
5'7", was 220 pounds when trouble started, now down to 165
Trouble began with abrupt ED Early May '15
Initial T level 130
Started Clomid in hopes of rebooting system June '15
Currently taking 25 mg eod and .25 mg Arimidex every 4 days
T level 480 or so at last reading
ED in check with 2.5 mg Cialis eod and supplements:
POM juice, L-Cit, Pycnogenol

Morning anxiety currently in check with GABA taken every night

Biggest current worry is heart health:
Aortic stenosis (very mild for now)
CAC score 156(!) at age 42
20 mg Crestor and baby aspirin every day
CoQ-10, Vitamin K2, and Kyolic Aged Garlic Extract every day too
Walking 10,000 steps a day

Kierkegaard

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #9 on: January 12, 2017, 05:32:13 pm »
(Maybe) separate but related note:

I tend to take a fair amount of time to get hard, and I can lose it fairly quickly.  I know this is more pronounced than it used to be but I also know things were starting to drift South that was as early as 12 years ago, though it was a very gradual thing -- so much so that I always just attributed it to getting a little older and never seriously worried about it because everything worked fine when it came to the actual act.

Generally everything is OK today so long as I don't freak out about how much time it takes (and it doesn't take a crazy long time, maybe a couple minutes of active stimulation).  It seems to take me a while to seriously get into wanting vigorous thrusting as well.  It's just that compared to the past, it takes longer.  Can T therapy help with that?

Also, sex is definitely easier for me pretty much any time other than the morning, when I wake up with anxiety fairly often.  I can never tease out if this is due to the anxiety, hormonal levels, atherosclerosis, or what.

This morning I woke up and had sex with my wife -- I initiated mostly because I thought she wanted it, I wasn't even looking to orgasm, although I ended up wanting to and finished (this is fairly typical).  Erection came up OK but got a little soft a few times during.  It's annoying and disturbing even if it doesn't completely put the brakes on intercourse.

Do you think you could be (unintentionally) contributing to your ED by having anxiety about it?  This is a totally conceivable deal that's happened to many guys: they notice they aren't responding sexually the way they want --> think "oh shit!", "what's wrong with me?" or something like this --> anxiety --> more difficulty responding sexually, given that anxiety turns off the sex response.  I don't think that's all of the story in your case, though, but it could be a good chunk of it.  Simply focusing on the wrong things during sex can be enough to cause just enough anxiety in guys to make it harder to remain erect or reach orgasm -- such as thinking you need to reach orgasm, which will only cause anxiety and/or frustration because you can't intend an orgasm, which comes naturally through focusing on pleasing your partner.  What Lenin said about life can also be said about successful sex: it happens when we're busy making other plans (e.g., with sex "planning" on providing pleasure to your partner).

Do you have anything that's on your mind bothering you in the morning that could be causing anxiety?  Because if not, it could be the case that you're having a diurnal rhythm-related dysregulation regarding stress hormones -- or maybe your stress hormones are higher in general during waking life but become more "bearable" as the day goes on.  Stress hormones/neurotransmitters like norepinephrine, ACTH, and cortisol shoot way up in the early morning (which is what helps us wake up), then take a pretty smooth steep drop until after noon, then a less steep drop until night when they're very low.  This dysregulation or overall increase could be due to hypothyroidism (which involves elevated norepinephrine) or cortisol problems (e.g., adrenal fatigue), cortisol being the antistress stress hormone that puts the brakes on the rest of the stress system, so if you have too-low cortisol at any point of the day, you're going to be more sensitive to stress and it'll probably last longer.  There are other causes, of course (infection, insulin resistance, etc., all things that cause physical stress on our bodies, which involve the same stress hormones being released as with psychological stress), but those are the ones you might want to look into.
« Last Edit: January 12, 2017, 05:34:31 pm by Kierkegaard »
"The same thing that makes you live can kill you in the end." -- Neil Young

March 2014: Dx low T (158ng/dl)
September 2015: Dx hypothyroidism, other adrenal hypofunction/low cortisol
Treatment: 30-35 mg cypionate subq E3D, 50 mcg levothyroxine QD; adaptogens
Supplements: fish oil, vitamin D3, magnesium, copper (low in serum), DIM, coq10, B vitamins (including hydroxyb12), probiotic, astaxanthin, iodine
Depression and anxiety guide: http://www.peaktestosterone.com/Help_Anxiety_Depression.aspx

PeakT

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #10 on: January 12, 2017, 08:10:17 pm »
(Maybe) separate but related note:

I tend to take a fair amount of time to get hard, and I can lose it fairly quickly.  I know this is more pronounced than it used to be but I also know things were starting to drift South that was as early as 12 years ago, though it was a very gradual thing -- so much so that I always just attributed it to getting a little older and never seriously worried about it because everything worked fine when it came to the actual act.

Generally everything is OK today so long as I don't freak out about how much time it takes (and it doesn't take a crazy long time, maybe a couple minutes of active stimulation).  It seems to take me a while to seriously get into wanting vigorous thrusting as well.  It's just that compared to the past, it takes longer.  Can T therapy help with that?

Also, sex is definitely easier for me pretty much any time other than the morning, when I wake up with anxiety fairly often.  I can never tease out if this is due to the anxiety, hormonal levels, atherosclerosis, or what.

This morning I woke up and had sex with my wife -- I initiated mostly because I thought she wanted it, I wasn't even looking to orgasm, although I ended up wanting to and finished (this is fairly typical).  Erection came up OK but got a little soft a few times during.  It's annoying and disturbing even if it doesn't completely put the brakes on intercourse.

It is tough to know sometimes - such is the state of our testing.  But I think in guys over 40, the issues is generally nitric oxide related.  I say that simply because the PDE5 inhibitors help such a high percentage of guys.  Anyway, where I was headed, is this:  why not focus on all the key players?  Go after them with a vengeance!
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

Nocturne

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #11 on: January 15, 2017, 03:41:57 pm »
Kierkegaard, Peak -- thanks.

K, I typically have a brief period of semi-consciousness in the morning before full sentience hits me with these jolts:

* You have heart disease!
* You are likely to die ten or more years earlier than you had expected!
* Also, you have ED!

Then I hear my heart pounding away.  And there ain't no getting back to sleep THEN.
43 years old
5'7", was 220 pounds when trouble started, now down to 165
Trouble began with abrupt ED Early May '15
Initial T level 130
Started Clomid in hopes of rebooting system June '15
Currently taking 25 mg eod and .25 mg Arimidex every 4 days
T level 480 or so at last reading
ED in check with 2.5 mg Cialis eod and supplements:
POM juice, L-Cit, Pycnogenol

Morning anxiety currently in check with GABA taken every night

Biggest current worry is heart health:
Aortic stenosis (very mild for now)
CAC score 156(!) at age 42
20 mg Crestor and baby aspirin every day
CoQ-10, Vitamin K2, and Kyolic Aged Garlic Extract every day too
Walking 10,000 steps a day

PeakT

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #12 on: January 15, 2017, 06:45:59 pm »
Kierkegaard, Peak -- thanks.

K, I typically have a brief period of semi-consciousness in the morning before full sentience hits me with these jolts:

* You have heart disease!
* You are likely to die ten or more years earlier than you had expected!
* Also, you have ED!

Then I hear my heart pounding away.  And there ain't no getting back to sleep THEN.

Try to look at it more like:  you need your injectors cleaned out. 
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

Kierkegaard

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #13 on: January 15, 2017, 09:07:59 pm »
Kierkegaard, Peak -- thanks.

K, I typically have a brief period of semi-consciousness in the morning before full sentience hits me with these jolts:

* You have heart disease!
* You are likely to die ten or more years earlier than you had expected!
* Also, you have ED!

Then I hear my heart pounding away.  And there ain't no getting back to sleep THEN.

Yeah, that could definitely mean psychological stuff.  Do you have any of these (what we call) "catastrophizing" thoughts when you're having sex?
"The same thing that makes you live can kill you in the end." -- Neil Young

March 2014: Dx low T (158ng/dl)
September 2015: Dx hypothyroidism, other adrenal hypofunction/low cortisol
Treatment: 30-35 mg cypionate subq E3D, 50 mcg levothyroxine QD; adaptogens
Supplements: fish oil, vitamin D3, magnesium, copper (low in serum), DIM, coq10, B vitamins (including hydroxyb12), probiotic, astaxanthin, iodine
Depression and anxiety guide: http://www.peaktestosterone.com/Help_Anxiety_Depression.aspx

Nocturne

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Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #14 on: January 16, 2017, 05:52:58 am »
Kierkegaard, Peak -- thanks.

K, I typically have a brief period of semi-consciousness in the morning before full sentience hits me with these jolts:

* You have heart disease!
* You are likely to die ten or more years earlier than you had expected!
* Also, you have ED!

Then I hear my heart pounding away.  And there ain't no getting back to sleep THEN.

Try to look at it more like:  you need your injectors cleaned out.

Even Esselstyn admits that his plan won't reverse aortic stenosis.  Although Davis, I think, has claimed at least a temporary reversal in some patients who take AGE along with his plan.

And the injector cleansing diet would leave me very envious of the dietary freedoms of diabetics with Celiac disease.  You do what you gotta, but depression over loss happens either way.  My more modest goal is to keep CAC progression down to 7% -- we'll see if I'm doing that in a year or so.
43 years old
5'7", was 220 pounds when trouble started, now down to 165
Trouble began with abrupt ED Early May '15
Initial T level 130
Started Clomid in hopes of rebooting system June '15
Currently taking 25 mg eod and .25 mg Arimidex every 4 days
T level 480 or so at last reading
ED in check with 2.5 mg Cialis eod and supplements:
POM juice, L-Cit, Pycnogenol

Morning anxiety currently in check with GABA taken every night

Biggest current worry is heart health:
Aortic stenosis (very mild for now)
CAC score 156(!) at age 42
20 mg Crestor and baby aspirin every day
CoQ-10, Vitamin K2, and Kyolic Aged Garlic Extract every day too
Walking 10,000 steps a day

Peak Testosterone Forum

Re: Nocturnal Erections but no daytime spontaneous ones?
« Reply #14 on: January 16, 2017, 05:52:58 am »