Which pathway addresses loss of morning erections?
Loss of morning erections is a meaningful signal. Provider review screens cardiovascular risk and confirms total/free testosterone. Low T → TRT. Vascular-pattern findings → Sexual Wellness pathway.
Full answer
Spontaneous morning erections reflect intact vascular and hormonal function during REM sleep. Their decline is a meaningful signal that warrants provider review of cardiovascular risk, total and free testosterone, prolactin, and medication history. Men with confirmed low testosterone are evaluated for Testosterone Optimization. Vascular-pattern findings are evaluated for the Sexual Wellness pathway. Cardiovascular workup beyond hormone optimization is referred when indicated. Every route is synchronous-video reviewed.
Educational. Not a substitute for individualized provider review.
- Testosterone Optimization pathway — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-05-29