I experience constant erections during my sleep with dreams. Please help.

Hi doctor,

I am a 56-year-old male, and I have diabetes and high blood pressure. I take Insulin, Metformin, Atorvastatin, Amlodipine. For the last four years, when I go to bed as soon as I fall asleep, I experience constant erections with dreams like I touch my penis. It was only happening during the night sleep, but now it occurs even during a nap. And this has become a problem because, during the day, I have difficulty in erection. My desire to have intercourse has diminished. When I do have an erection, I cannot keep it for a long time. I tried Viagra and Cialis, but the side effects are harmful. I spoke with one of those psychiatrists, and he gave me Mirtazapine 15 mg at bedtime. Still, this medicine was not helpful; it makes me angry, anxious, and aggressive. The next day I feel exhausted, tired, and impatient. My girlfriend complains that I was having dreams when I have those erections, and recently I was talking in my sleep. Please, I need a male urologist to resolve the constant erections. I need those erections when I am awake.

Thanks.

Thank you, doctor, for your reply.

I take Viagra and Cialis 10 mg 30 minutes before sex. My concern is not to stop erections but is to prevent it only during sleep. During my sleep time, I have erections all night long. It has become a problem with my wife. She is agitated because I start having an erection, and I touch myself during sleep. She wakes me up frequently so I can stop the touches and erection. Once I wake up, the erection goes down, and again I will go back to sleep and start all over, which goes on all night long. I am tired, stressed, and wake up exhausted, and my relationship is at a point of ruin. I tried Mirtazapine but did not help at all. I did an ultrasound, and everything is normal. I urinate a lot, but it is due to the medicines I take daily. I also chew tobacco.

I hope you can help me.