Penis Morning
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Brandon Peters, MD, is a board-certified neurologist and sleep medicine specialist.
Medically reviewed by Jamin Brahmbhatt, MD on August 27, 2020
Jamin Brahmbhatt, MD, is board-certified in urology. He is an assistant professor at UCF College of Medicine and chief of surgery at Orlando Health South Lake Hospital.
Men often wake up with an erection first thing in the morning, but what causes morning wood or morning erections? Learn about this phenomenon, why it is associated with REM sleep, and what it might mean if it doesn't occur.
Morning erections might actually relate to the timing of rapid eye movement (REM) sleep. As part of normal sleep patterns, called sleep architecture, transitions occur throughout the night between the various sleep stages. As morning approaches, you'll stay in REM stage sleep for longer. When you first wake up, you are often coming out of REM sleep.
In addition to the vivid movie-like dreams that are characteristic of REM sleep, the penis also becomes erect and engorged with blood during these periods. This is due to the activity of the parasympathetic nervous system affecting the sacral nerve. When this occurs in the morning, the stiffened penis may be referred to in slang terms as "morning wood" or "morning glory."
Therefore, morning erections are secondary to the timing of REM sleep and the natural physiological processes that are associated with this sleep state in men. It seems that the body is testing systems during sleep, and this is a normal and healthy phenomenon in men. It may even be noted in young children. It is also possible for the clitoris of a woman to become engorged with blood and erect during REM sleep.
These erections typically go away within a few minutes after awakening. A persistent erection, where the blood fails to drain from an erect penis, may occur in a condition called priapism.1 A lack of morning erections may suggest a problem with the blood vessels, nerves, or erectile dysfunction.
REM sleep periods occur starting 80 to 110 minutes into sleep and may occur at this interval periodically three to four times throughout the sleep period.2 As noted, REM sleep becomes more prolonged towards morning. Therefore, more REM sleep and more erections occur towards morning.
The precise timing of these erections may be difficult to predict as there is quite a bit of variability. The length of time from the onset of the erection, with a 2 mm change in the circumference of the penis, to a full erection is usually 10 minutes. The erection may last up to 25 minutes.
Though not routinely performed, the erectile function of the penis can be tested as part of a diagnostic sleep study called a polysomnogram.
If you do not wake with an erection, it is not necessarily abnormal. It may be that you did not wake from REM sleep. It is also possible that the erection began to fade prior to waking completely.
For those who frequently wake with a morning erection, rest assured that this is a normal part of sleep.
In general, sleep-related erections decrease with age. This may correlate with impotence that occurs during the daytime. In contrast, the presence of erections in sleep when daytime impotence occurs may suggest non-physiological causes of the difficulty maintaining an erection (such as stress or performance anxiety). Interestingly, untreated obstructive sleep apnea may also decrease erections.
No matter the cause, if you have problems maintaining an erection, speak with your doctor about treatment options.
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Anele UA, Morrison BF, Burnett AL. Molecular pathophysiology of priapism: emerging targets. Curr Drug Targets. 2015;16(5):474-83. doi:10.2174/1389450115666141111111842
Peever J, Fuller PM. The Biology of REM Sleep. Curr Biol. 2017;27(22):R1237-R1248. doi:10.1016/j.cub.2017.10.026
Why Do Men Get Morning Erections? 5 Answers to Your Questions. Cleveland Clinic. https://health.clevelandclinic.org/2016/06/men-get-morning-erections-5-answers-questions/ .
Kryger MH, Roth T, Dement WC. Principles and Practice of Sleep Medicine. Philadelphia, PA: Elsevier; 2017.
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Why overnight erections are important for your health, and what to do if you're not getting them.
Fernando Trabanco FotografíaGetty Images
Though it's liable to turn your morning trip to the toilet into a contortionist act, morning wood – also known as nocturnal penile tumescence, or the boner you roll out of bed with – is very much a good thing. In fact, if you aren’t occasionally waking up with an erection, it could mean you need to head to a doctor’s office to get your plumbing checked out. Waking up with morning wood, believe it or not, is one of the clearest signs of a healthy penis.
So vital is morning wood that urologists once diagnosed erectile problems by asking men to put a roll of stamps over their flaccid penises before they went to bed. If the roll was broken in the morning, it meant the man in question was getting erections overnight, and thus had a healthy penis. Urologists no longer use the stamp test, but the presence of nighttime erections remains an important indicator of how your body is functioning, particularly downstairs.
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Erections are cause by the stimulation of the parasympathetic nervous system. When you see, feel, hear – and maybe even smell or taste – something that is sexually attractive, it triggers the release of neurotransmitters. This leads to the dilation of arteries in the penis, which means more blood flows into the penis, which means the penis becomes erect. The parasympathetic system is more active when you’re sleeping, which in addition to producing erections also causes your muscles to relax and your heart rate to slow.
Another reason you may wake up with morning wood is testosterone, which is likely to be at its highest level in the morning.
According to Adam Ramin, M.D., urologist and medical director of Urology Cancer Specialists in Los Angeles, California, a healthy man should expect to get hard three to five times per night. If this isn’t happening, it could be a sign of nerve malfunction, arterial disease, hypertension, diabetes, low testosterone, or depression and anxiety.
Morning wood is also a sign that the pesky erectile dysfunction you may be experiencing is psychological, not physiological. If you can’t get it up in the bedroom but find yourself waking up with morning wood, you may want to see a therapist. If you’re not getting erections in either instance, it could be a sign of some of the aforementioned health conditions.
“There is no true purpose to the development of nocturnal erections,” says Ramin. “They are merely a byproduct of a natural stimulation of the parasympathetic nervous system at night.”
Though morning wood serves no specific function, it might be the best indication that your penis is functioning properly. The erection reps you’re getting at night also act as a kind of unconscious exercise regimen for your penis, helping keep its tissue soft, stretchy and ready to go whenever your social agenda requires a little increased blood flow.
According to Tobias Köhler, M.D., M.P.H., the absence of morning wood could even cause the muscles in your penis to become too contracted, which over time could cause the length of your penis to shorten.
According to Ramin, if you’re not waking up with morning wood at least occasionally, you may need to go see a doctor. It’s possible you're still getting erections during the night, but if a month or two goes by without anything happening in the AM, it could be time to get checked out. Treating the underlying issues – with, say, statins to clear out cholesterol-clogged veins, or testosterone replacement therapy if your levels are low – can improve your erections and your overall health, says Köhler.
If you’re worried about your morning wood, it doesn’t hurt to keep tabs on how often you’re waking up with an erection. As is the case with just about everything these days, there’s an app for that. Morning Glory was designed by men’s health and wellness startup Roman to help guys track their erections. Just open up the app, record when you do and do not wake up with morning wood, and the app will tell you when you may need to go see a physician.
“We hope that this app will help guys form the habit of paying more attention to their bodies and talking to a doctor at the earliest sign that something could be wrong,” a company representative told Men’s Health.
Yes, the app is pretty gimmicky, but it underscores the importance of morning wood. “It’s very important for a man to understand the basis for their erection, Roman’s medical advisor, NYU’s Dr. Steven Lamm, says in a video promoting the app. “When a man is having erections they’re generally in very good healthy. When they’re not having erections, it’s time to visit your doctor.”
Reporting by Michelle Malia, Elizabeth Millard, and Reegen Von Wildenradt
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Penis Morning
