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You've probably noticed that your penis often does its own thing.

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Try out PMC Labs and tell us what you think. Learn More. The molecular and clinical understanding of erectile function continues to gain ground at a particularly fast rate. Intensive research has yielded many advances. The understanding of the nitric oxide pathway has aided not only in the molecular understanding of the tumescence but also aided greatly in the therapy of erectile dysfunction. As a man ages or undergoes surgery, preventative therapies to preserve erectile dysfunction have begun.

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Have you ever wondered what to expect from your erections as you age? Dr Andrew Siegel, a urologist and avid blogger, has the answers.

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Dr Ferdi Marais, a urologist from Busamed Private Hospital in Somerset West, says that it is common for boys who haven't yet reached puberty to get erections. He says this is because an erection is a neuro-vascular phenomenon which can be psychogenic, reflexive or nocturnal in origin. After 25 years of experience as an urologist and almost 60 years of experience as a man, Dr Siegel writes about the subtle changes in sexual function men may experience as they age. Here is how he defines erections during the different stages of a man's life:.

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Your libido is prodigious and therefore very little stimulation is required to achieve an erection. However, the downside of this is the possibility of premature-ejaculation. Your sex drive remains vigorous, but it is not quite as all-consuming as in your twenties.

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You can still get quality erections, but they may not occur as spontaneously. After the age of 40, changes in sexual function become more obvious. You can usually get a pretty good quality erection, but it now often requires physical stimulation.

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Sex is still important, but the desire is typically diminished. Nighttime and morning erections become few and far between.

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Your testosterone level has plummeted over the decades, leading to a diminished sex drive. Erections are still obtainable with some coaxing and coercion. Although erectile dysfunction ED is not inevitable, it does become more prevalent with each passing decade.

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Luckily, Dr Ravi Kacker, a urologist and fellow in male sexual medicine at Harvard-affiliated Beth Israel Deaconess Medical Center, says that it is a common misconception that erections are necessary for male orgasm. Even a limp penis can be stimulated to orgasm, so it is still possible for you to experience sexual intimacy.

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What stimulates an erection? Failing erections may indicate heart problems. When erections go wrong. We live in a world where facts and fiction get blurred.

Neuroanatomy and neurophysiology of penile erection

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