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When a male is aroused sexually, the blood vessels in the penis relax and open up, allowing blood to fill them. Blood trapped under high pressure creates an erection. Ejaculation is a reflex action controlled by the central nervous system.


National Kidney & Urological Diseases Information Clearinghouse. Erectile Dysfunction: How does an erection occur? (https://www.niddk.nih.gov/-/media/Files/Urologic-Diseases/sec2-How_does_an_erection_occur.pdf) Accessed 11/30/2020.
Alwaal A, Breyer BN, Lue TF. Normal male sexual function: emphasis on orgasm and ejaculation. Fertil Steril . 2015;104(5):1051-1060.
Planned Parenthood. What's the deal with erections, ejaculation and wet dreams? (https://www.plannedparenthood.org/learn/teens/puberty/whats-deal-erections-ejaculation-and-wet-dreams) Accessed 1/11/2021.


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The Glickman Urological & Kidney Institute offers innovative treatments in urology and kidney medicine, including minimally invasive, scarless options for urologic procedures and medical management of kidney disease.

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When the blood vessels of the corpora cavernosa relax and open up, blood rushes in through the cavernosus arteries to fill them. The blood then gets trapped under high pressure, creating an erection.
Sexual stimulation and friction provide the impulses that are delivered to the spinal cord and into the brain. Ejaculation is a reflex action controlled by the central nervous system . It is triggered when the sexual act reaches a critical level of excitement. It has two phases.
Last reviewed by a Cleveland Clinic medical professional on 11/27/2020.

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Medically Reviewed by Nazia Q Bandukwala, DO on January 30, 2022
The penis is the male sexual organ.
The shaft is the longest part of it. The head or glans is at the end of the shaft. The opening at the tip of the head, where urine and semen come out, is called the meatus.
Inside, two cylinder-shaped chambers called the corpora cavernosa run the length of the penis . They have a maze of blood vessels, tissue, and open pockets.
The urethra, the tube that urine and semen flow through, runs along the underside of them, in the spongy tissue of the corpus spongiosum.
Two main arteries (one in each of the corpora cavernosa) and several veins move blood in and out. Nerves relay messages to and from other parts of your body.
An erection starts in your brain . Something you saw, felt, smelled, heard, or thought makes your nerves send chemical messages to the blood vessels in your penis. The arteries relax and open up to let more blood flow in; at the same time, the veins close up. Once blood is in the penis, pressure traps it within the corpora cavernosa. Your penis expands and holds the erection.
When the inflow of blood stops and the veins open, your penis becomes soft.
When you're aroused, tubes called the vas deferens squeeze sperm from the testes toward the back of the urethra. The seminal vesicles also release fluid there.
The urethra senses the sperm and fluid mixture. Then, at the height of sexual excitement, it sends signals to your spinal cord, which in turn sends signals to the muscles at the base of your penis. These contract powerfully and quickly, every 0.8 seconds. This forces the semen out of the penis as you climax.
National Institute of Diabetes and Digestive and Kidney Diseases.
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