Rena Malik, MD Podcast cover image

Rena Malik, MD Podcast

Weak Erections at Night?! UTI after SEX?! | AMA

Jan 3, 2025
Explore the mysterious world of nighttime erectile function and its connection to testosterone levels. Discover how prostate surgery can impact urinary health and sexual performance. Delve into strategies for preventing recurrent UTIs in women after sex, while debunking common hygiene myths. Gain insights into nerve-sparing techniques that help maintain erectile function post-surgery, and learn about the importance of personalized treatment in managing prostate health.
19:17

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Quick takeaways

  • Erectile dysfunction can fluctuate daily due to hormonal changes, particularly testosterone levels, affecting nighttime erections in men.
  • Prostatectomy can improve urinary function but may lead to complications like erectile dysfunction and incontinence, depending on surgical techniques.

Deep dives

Understanding Nighttime Erectile Dysfunction

Erectile dysfunction can vary throughout the day due to hormonal fluctuations, particularly testosterone levels. Testosterone is highest in the morning, contributing to stronger morning erections, and decreases throughout the day, which may make it harder for some men to achieve erections at night. While hormonal causes are a factor, other common causes include vascular dysfunction, nerve issues, certain medications, and psychological factors like stress and anxiety. These varied influences can result in difficulties with erections at night, highlighting the importance of understanding the underlying factors impacting sexual health.

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