What Should I Do If My Penis Is Constantly Erect?

For young and robust males, their physical energy and sexual desires tend to be particularly vigorous. At this stage, it is not uncommon for males to experience spontaneous penile erections without any external stimulation. Such occurrences are considered normal physiological responses and do not require special attention or treatment. By redirecting their energy and focus towards work and study, males can effectively alleviate this condition.

1. In general, the involuntary erection of the male penis is a natural reaction, often triggered by visual stimuli such as attractive women or sexually stimulating photos and images. From another perspective, frequent penile erections can actually be a sign of good physical health. Therefore, there is no need to be overly concerned. By shifting attention and focusing on other aspects of life, such as work and study, this condition can be effectively managed.

2. It is important to understand that frequent penile erections are not a disease. Most healthy young males experience this phenomenon to some degree. It is advisable to avoid dwelling on sexually stimulating thoughts and instead focus on more meaningful activities. Over time, this will help to alleviate the issue. However, if the penis remains erect for an extended period and fails to return to a flaccid state, it is advisable to seek medical attention from a qualified urologist.

1. Sickle cell anemia is a common cause of abnormal penile erection, primarily due to sickle-shaped red blood cells causing venous return obstruction in the penis.

2. Intra-corporal injection is currently the most frequent cause of abnormal penile erection. This is often caused by excessive medication or hypersensitivity to certain drugs, resulting in the inability of smooth muscle to recover contractile function, leading to abnormal erection.

3. Neurological factors such as spinal stenosis, spinal cord injury, and disc protrusion can also lead to abnormal penile erection. However, these conditions often have a self-limiting nature and do not require medical intervention.

4. Although tumor cell infiltration does not directly cause abnormal erection, venous return obstruction or invasion of the cavernous sinus can lead to stasis and thrombosis. Tumors that have been reported to metastasize to the penis and cause abnormal erection include leukemia, prostate cancer, renal cancer, and melanoma.

5. Certain medications, including antidepressants, antipsychotics, and antihypertensive drugs, can also cause abnormal penile erection. Antihypertensive drugs such as hydralazine, guanethidine, and phenothiazine antipsychotics, particularly chlorpromazine, as well as antidepressants like trazodone, have been associated with this condition.

6. Total parenteral nutrition (TPN) can also lead to abnormal penile erection, particularly when 20% fat emulsions are administered intravenously. This type of abnormal erection is characterized by low flow and is similar to that seen in patients with sickle cell disease.

7. Trauma to the perineum or genitalia can result in thrombosis or severe bleeding and tissue edema at the base of the penis, obstructing venous return and leading to abnormal erection (low-flow type).