Dear Colleagues,
that's an interesting one .... same for me!
During my recovery, the nocturnal erections came back first and were much stronger than what I could get during sex - at least w/o pumps, pills and rings (PPR).
Next thing I noticed was that I went fully errect, but only very close to orgasm (again w/o PPR).
Psychological matters are quite unlikely in my case (but of course not fully impossible). I'm convinced that the difference between nocturnal and "action" events is physical in my case, so I asked my urologist:
Two-fold answer:
1) No, there should be no physical difference for the two events, at least we as doctors don't know about it
2) Yes, very many men tell us this story after an RPx ...
So, the old difference between theory and practice: In theory there is no, but in pratice there is.
Anyway, I took the difference in stiffness as a good sign that a decent recovery is possible, that there are different mechanisms in erections nocturnal and during action, and that those two mechanisms simply have different time scales in recovery and I simply have to wait.
What happend: Nocturnal errection did not recover any further during the last 6 months, but during sex things still improve, although slowly.
So, if this is the case for you as well: Be patient!
.... "w/o PPR" does include daily Tadalafil, but no extra Sildenafil before sex. I take Tadalafil stricly every day .....
Very best, Henrik
Edited by member 20 Apr 2026 at 07:03
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