Painfull Erections

[sleeplesserection]

Hello, I have not been able to sleep properly for a LONG while now.  This is because every night I have erections that hurt so much that I'm unable to sleep.  Even if I manage to get it down and return to sleep, it eventually always comes back and that's the pattern I have EVERY night. I hope you see the dilema with that. I should mention that I also have Sickle Cell Anemia and think it may be somewhat related. Anyways, how can I keep from getting nightly/morning wood. I've spoken with my SCD specialist who recommended taking sudaphed before sleeping - doesn't work anymore.  Spoke with my Urologist who prescribed phenlyephiprine to self inject - works, but erection returns after returning to sleep.  He also put me on Lupron which stopped my testosterone production - worked best, but hate the side effects on no testosterone. Is there anything I can do for this w/o being on Lupron? Is there a way to perhaps lower my testosterone w/o stopping production? HELP PLS I WANT TO SLEEP SOOOOOO BAD.

[will596]

I have the same thing... Baclofen might help have your tried it?  How are you doing now?  Your not alone

[Bhupinder Kaur, MD]

Hello,
One important possibility in your case is priapism. Priapism is a prolonged painful erection, lasting more than four hours, that does not result from sexual desire and does not subside despite orgasm. It is very common in sickle cell disease and is common due to obstruction to the blood flow.

I suggest you to get an evaluation done from a urologist and get this possibility evaluated. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.