Dr. François Peinado, a renowned urologist specializing in male sexual medicine, warns about the importance of not underestimating painful nocturnal erections, which can be a sign of a pathology known as sleep-related painful erections syndrome (SRPE). This disorder, which is often confused with conditions such as stress or prostatitis, can drastically affect the quality of life of those who suffer from it. Peinado notes that the SRPE is underdiagnosed, since his knowledge is largely limited to the urological field, leaving many men without an adequate diagnosis for months or even years.
SRPE may be related to an imbalance in dopaminergic neurotransmission, pelvic floor muscle problems, or the use of certain medications. Your diagnosis is generally made through detailed clinical interviews and, on occasion, sleep studies. As for the treatment, the specialist assures that there are various options, ranging from muscle relaxants to specialized physical therapy, adapting to the specific needs of each patient. Peinado emphasizes the importance of raising awareness of this disorder, highlighting that a healthy sex life depends on a good rest, and that men should not normalize painful nocturnal erections without seeking medical help.
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