Nocturnal Erections & Viagra in Hypogonadal Men

[Guest guest]

Hello men,

A 2006 article from the Journal of Andrology offers information that

may be helpful for men with erectile dysfunction who may also have low

testosterone levels (below 300 ng/dL [normal range: 300 - 1000

ng/dL]). The study notes that men who had less than 200 ng/dL total

testosterone showed increased frequency of nocturnal erections when

given 50 mg of sildenafil 1 hour before bedtime. (From what I've

read, nocturnal erections seem to be vital for getting good erections

during the day.) The study noted that both testosterone replacement &

sildenafil individually improved nocturnal erection frequency, but

that the greatest improvement occurred by combining both treatments.

This study is especially relevant to me as I wondered whether or not

Viagra (sildenafil) helps with nocturnal erections. I asked

specifically if it was safe (i.e. if viagra might cause priapism

during sleep), to which I received some of your responses. There may

be more variation in therapeutic success than this study would

suggest, meriting further studies. However, I think it helps add a

specific strategy for men with ED- for both those who have low

testosterone levels, & those who have " normal " levels. Furthermore,

as mentioned by the author, since nocturnal erections are largely

unaffected by daytime constraints (like social embarrassment), they

may be a better indication of physiological " success " .

I've posted the article & corrections to it in our " files " section.