When I'm sleeping at night, I'm already asleep, but why is my penis still hard?

Patient's question:

Male, 25 years old. If I have a good dinner, especially with meat, and eat until I'm full, I often dream at night. While dreaming, my penis is always hard and erect, which makes me feel tired the next day and very sleepy. What should I do? By the way, what if I do the same after exercising at night?

Doctor's answer:

Your symptoms are considered to be premature ejaculation. Premature ejaculation refers to the inability to effectively achieve an erection during intercourse, leading to dissatisfaction. While you can achieve an erection during sleep, morning erections, or when exposed to erotic stimuli, you are unable to maintain an erection during sexual arousal. Additionally, you may be able to achieve an erection during arousal but fail to complete normal intercourse, or you may lose your erection before ejaculation even after insertion.
Recommendation: It is advised that you seek professional urological examination and treatment at a reputable hospital. Avoid using aphrodisiacs indiscriminately. Wishing you a speedy recovery!

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