After tailored treatment—testosterone optimization, sleep therapy, and lifestyle adjustments—his morning erections returned. Morning erections indicate good blood flow, nerve function, and testosterone levels. Whether it’s morning wood, random boners during puberty, or anytime you got hard without being in a sexual context, involuntary erections are totally normal and pretty common. For the most part, random erections are considered a normal function and can be a sign of good health. This suggests that a person may experience random erections when testosterone levels are higher, though more research is necessary. Talking with a doctor about your treatment options is important in regaining your sexual function and enjoying a healthy sex life at any age. In hypogonadal men, these agents will produce an improvement in libido, sexual function, potency, energy level, and mood if these abnormalities are due to the androgen depletion.42 Increased sexual aggressiveness and overall aggressive behavior during peak levels of injectable testosterone have been reported,46 and careful counseling about these mood and behavioral changes in patients undergoing injectable testosterone therapy is essential. If you have low testosterone and ED, you may benefit from testosterone therapy as well as taking phosphodiesterase inhibitors. This medication is a phosphodiesterase inhibitor that works to improve your blood flow to help you achieve an erection. But those that take testosterone illicitly (such as in an attempt to boost bodybuilding) may experience ED and a host of other symptoms as well. But it’s not the only factor that goes into sexual activity. Testosterone plays a role in sexual desire and achieving and keeping an erection. The second level is to stimulate your spinal nerves to cause changes in the blood vessels that help you achieve and keep an erection. Read on to learn more about the possible causes of random erections, potential links with erectile dysfunction (ED), and how to manage random erections If you’re having difficulty achieving or keeping erections or you have other symptoms of low testosterone, talk with a doctor. While the scrotal patch (Testoderm) requires scrotal shaving weekly and increases DHT levels somewhat beyond the normal range, normal physiologic serum testosterone levels can be obtained. Speak with a doctor if you’re worried or experiencing abnormal symptoms. It’s natural to be concerned about lower testosterone levels. The best way to check for low testosterone is to visit a doctor for a physical exam and a blood test. Females typically have much lower testosterone levels than males. Testosterone is the main male hormone, but females also need it for healthy body functioning. With careful monitoring and adjustment, TRT helps the vast majority of men feel stronger, more focused, more energetic, and more sexually confident. At Maze Men’s Health, we encourage patients to commit to a full year of therapy. Long-term improvements build gradually, as your body adjusts and hormone levels stabilize. Stay on top of latest health news from Harvard Medical School. Sign up for HEALTHBeat and receive trusted health information delivered right to your inbox. They could measure your testosterone levels and help develop a treatment plan, if necessary. Treatment for abnormal testosterone levels will depend on several factors. A 2018 study in 60 children found that testosterone levels in the womb may also affect how your right and left brain function. Millions of American men use a prescription testosterone injection or gel as forms of testosterone replacement therapy (often referred to as TRT therapy) to restore normal levels of the manly hormone. Check your real growth potential in seconds — it’s free, quick and 100% private. And if you’re ready to maximize your performance, girth, and sexual confidence, explore the elite tools available at supremepenis.com. Sometimes it’s just nature doing its thing.