Night fall without any reason and feeling of no erection even after masturbation - #10826

Hello Mr. Sonu. As for night falls, it is normal physiological event. In fact, presence of night falls is taken as a sign to tell that the person has healthy blood supply to the penis and that there is no physical issue in the genital organs. So, you don’t need to worry about it even though it’s occuring frequently these days. And as for the other issues you are going through, you might be having either adjustment disorder or mild depression, which needs further clarification and if required, you might need medications or therapy to help with sadness, overthinking, anxiety and sleep issues. Please seek psychiatric consultation for detailed evaluation and management. Regards, Dr. Charan Kumar Pottem, MD Psychiatry (NIMHANS).

Occasional nightfall is usually normal and can be influenced by stress, anxiety, or hormonal fluctuations, even without sexual thoughts. In your case, mental stress and emotional strain may be contributing factors, and medicines are generally not needed unless symptoms persist or are accompanied by other health issues. I recommend focusing on stress management, regular exercise, good sleep habits, and consulting a urologist or psychologist for reassurance and guidance.

Nightfall, or nocturnal emissions, are a normal physiological phenomenon for many men and can occur without any direct sexual stimulation or intent, especially in your age group. It’s quite normal to have such episodes even without viewing explicit content or engaging in sexual thought. It’s likely tied to your body’s natural cycle of dealing with built up semen. The smooth muscle contractions during REM sleep, which can happen without a full erection, are often sufficient to cause this. Given it’s not affecting your physical wellness and seems more connected with anxiety, stress might exacerbate your reaction to these events rather than being the direct cause. However, stress and mental health factors can impact your overall sexual health, sometimes leading to changes in libido and anxiety which might coincide with concerns about your body’s natural responses.

What you can do practically is focus on managing your stress levels through methods such as regular physical activity, which can help balance hormones and reduce anxiety. Cognitive behavioral techniques or simple relaxation exercises like deep breathing are also beneficial. Additionally, maintaining a balanced diet and regular sleep schedule supports overall health. If anxiety about nightfall persists or your mental distress increases, it may be helpful to discuss this with a healthcare provider or mental health professional who can offer more tailored guidance and possibly therapy to address your concerns and stressors. In terms of lifestyle, establishing a set of health-focused routines can often reduce susceptibility to stress-related symptoms. Currently, there doesn’t seem to be an immediate need for medication unless there’s a deeper issue being identified during professional evaluation. If this is bothering you significantly or affecting your mental peace, then seeing a counselor alongside your family doctor might be productive. Your symptoms don’t indicate any urgent or dangerous underlying physical condition based on what you’ve described, so self-care and mental health support is a sensible initial approach.