Another side effect of HRT can be fewer erections and lowered sex drive. Some transgender people who are assigned male at birth may wish to pursue hormone therapy as part of their medical transition. But taking testosterone replacement therapy alone isn’t likely to treat ED, according to the American Urological Association. They will assess your symptoms and test your testosterone levels to help provide a diagnosis and develop a treatment plan, if necessary. The designation of "healthy range" for testosterone levels depends on age and laboratory assay. However, there’s no official consensus on healthy testosterone levels. Learn more about testosterone levels by age, as well as symptoms and management tips for abnormal testosterone levels. Sit or cross legs however you normally do. In that regard, a counsel from a medical practitioner is wise and progressive. This is also sometimes caused by blood disorders. Such episodes may indicate priapism, an uncommon, but serious medical condition requiring immediate attention. Numerous occur in REM sleep or are provoked by emotional stimuli. That difference enables doctors to find effective treatment for erection problems. On the other hand, men suffering from ED of the physical nature usually are without spontaneous erections. A man may also experience full erections in the sleep but fail during sex. Teens tend to experience them more frequently because of changes in hormones as well as the rising activity of testosterone. Actually, their presence tends to indicate the good state of the erectile. Sometimes the body’s nervous system sends blood through to the penis against our will. They may happen during the course of normal activities which present men unawares. Most importantly, they are not a medical problem in most instances. Only a qualified physician in your state can determine if you qualify for and should undertake treatment. Discuss this information with your own physician or healthcare provider to determine what is right for you.