#3 Sleep Apnea - 6 Surprising Reasons Why You Are Not Performing Well
11 Nov 2025 · 10 min
Podcast episode by Dr. Anne Truong (Sexual Health for Men podcast) explaining how obstructive sleep apnea can contribute to erectile dysfunction. Key mechanisms discussed: intermittent hypoxia (reduced oxygen) impairing penile blood flow, disrupted sleep reducing nocturnal testosterone production (noted window ~10pm–3–4am), and loss of nocturnal erections that normally 'exercise' penile tissue (typically ~3–6 nocturnal erections lasting ~10–30 minutes). Episode also covers diagnosis (sleep study), common treatment (CPAP), lifestyle measures (weight loss, Mediterranean-style diet, oral hygiene), and promotes a paid community (Modern Man Club: $57/month billed annually with two months free) plus free resources (book/lead magnet and website).
Questions this episode answers
From about 10pm to 3–4am.
About 3–6 nocturnal erections per night, each lasting roughly 10–30 minutes (may be partial).
Over 7,000 men.
Diagnosis: overnight sleep study measuring oxygen and sleep (polysomnography). Treatment: CPAP (continuous positive airway pressure) machine.
$57 per month, with an annual signup receiving two months free.
Chapters
In today's episode, I'm going to talk about why sleep apnea is related to ED and how it affect your erection.
So stay tuned.
This podcast is for you. The modern man. I'm Dr. Anne Truong, your host. I'm an intimate health medical doctor and best selling author of the book Erectile Dysfunction Fix. I'll do a deep dive into sexual health and performance and how it affects men of all ages and backgrounds. So let's get started and be sure to visit my website at Sexual health for men podcast.com for more information and resources from the show.
See you on the inside. Hello there modern Man. We're going to talk about sleep apnea today, which is something that more common than not and how it affect ed. So sleep apnea is a symptom where when you go to sleep you snores a lot. And then when you're sleeping you go.
And then you wake yourself up.
So what happened is that the, your trachea or the tube where you get oxygen go to your lung. When you have sleep apnea, you're not getting enough oxygen to your brain and you get a little bit of what called hypoxia, low oxygen and you wake yourself up. All right, so that, that's the sleep apnea. So you wake yourself up. So what happens when you have sleep apnea that is not treated, you're not getting enough oxygen and then you're not getting enough thorough night's sleep. So you get two negative factors that affect erection when you're not getting enough oxygen. Well, what happened when I get enough oxygen? The penis muscle is affected because the penis muscle when it's erect has 40 times blood flow in it than is not erect. So when you're not getting enough oxygen, it's going to affect how it gets an erection. So that's one thing. And when you're not getting a third night's sleep, you're not making enough testosterone at night because testosterone is being produced from 10pm to 3 to 4am so that's why you have the morning erection, right? Because you're a testosterone level is the highest in the morning. Well, if you're not getting a thorough night's sleep because of sleep apnea, then you're, you're not going to able to get nighttime erection. When you don't get nighttime erection, your penis is not getting exercise. Now remember, an average man get erection at nighttime about three to six times and lasting about 10 minutes to about 30 minutes. And it may not be a full erection. It could be a partial Erection. But when you're actually getting the nighttime erection, you exercise, exercising your penis. When you're sleeping, you have good, thorough night's sleep. You're exercising your penis. It gets erect and then it goes down. It gets erect and it goes down. It's like doing a biceps curl, right? You're flexing the muscle. You're relaxing the muscle. When you're doing that, you're actually bringing good oxygen to the penis. But when you're not getting the nighttime erection like you normally do because you have sleep apnea, you get interrupted sleep. Well, you're not getting the exercises to the muscle and, and then you got a double whammy because you're also getting less oxygen. All right? So that's how sleep apnea affect erection, because you get less oxygen and you also because of interrupted sleep, you're not making enough testosterone and you're not making enough testosterone. It's going to affect your nighttime erection and you're not getting exercises to your penis.
Men, are you frustrated in dealing with erectile dysfunction? Your relationship is suffering and your medication is not working anymore. Well, what if I told you that ED is treatable and reversible? You are not alone and it is not your fault. Over the past 20 years, I have treated over 7,000 men suffering from E.D. so that way they can regain their.
Their confidence and be able to function.
Again and have satisfying sex. And now it's time for you to join them to have the same result. I am now having a modern man club, a discreet community free from judgment for men with ED looking to restore their vitality and their sex life. When you sign up, you will get time with me one hour twice a month where you can ask me anything about sexual dysfunction or how to stop ed, anything you want to ask. And then I give you access to a library full of content on male sexuality, on things that work, things doesn't work. And I do all the vetting, all the work so you don't have to spend time on Google or do research and get frustrated and wasting time, money and anguish. I will do all the research for you. And then on top of that, we will have guest expert joining us to share their wisdom. And don't forget, you have access to a community of men supporting one another.
And learning for one another.
This is all for $57 a month. And you sign for a whole year. You get two months free. So don't wait. It is time to get result. If you keep doing the same things now, you're going to get the same result all you have to do is try something different. Give yourself an opportunity to have a better sex life and stop ed in its tracks. So I want you to look at the link below and or go to my show notes or go to mensexualityclub.com sales page. Again, mensexualityclub.com Sales Page. S A L E S P A G E. I'll put the link below. Come join me in the modern man club.
So, men, when you're not getting the usual morning erection or nighttime erection that you normally have, it's a sign that you know you're not exercising your penis, you might probably have to look at the root cause. Maybe your testosterone level is low, maybe you're not sleeping enough. Maybe you should get checked out for sleep apnea. And maybe you should get checked out your cholesterol level, your high blood pressure or maybe even diabetes, other causes of decreasing blood flow. And the point I'm trying to take today is that sleep apnea is actually common, especially when you're overweight or especially if you don't exercise and get evaluated for you go to the doctor and the doctor order a sleep study test and then you go there, you stay overnight, they take a look, look like they have a camera and they also you measure your oxygen level and they see how you sleep. And depending on, on the numbers that they see the diagnosis, sleep apnea, you get a diagnosed sleep apnea or not. And most sleep apnea, you know, you get a machine called CPAP or continuous positive airway pressure machine that pushes oxygen into your nose. And so that way you get adequate oxygenation because you don't have adequate oxygenation. You know, your brain, your heart, all that will be affected. And you're not getting thorough night's sleep when you're not having good memory as well. So getting good oxygen is very important. But also consider exercising to lose some weight, because when you lose some weight, there's less weight in the throat here that will compress your trachea or your breathing tube. And always try to eat a Mediterranean diet and decrease the red meat and decrease the fatty meal and the simple carbohydrate fried food and pastry, all that goes a long way. In my last episode, I talk about even just good oral hygiene can actually decrease your chances of getting ED as well, because bad oral hygiene causes inflammation and food can cause inflammation as well too. So bottom line, if you're not getting a thorough night's sleep and you're tired the next day, get evaluated for sleep apnea because that will contribute to how you're performing and definitely contribute to your erection and decreasing your ability to exercise your penis at nighttime. So having said that, I hope this was useful for you. I would really appreciate if you leave me a review on whatever platform you're listening on this podcast for. And I'd love to hear your comment if you're watching this on YouTube to see what your thoughts are as well. Or have you been diagnosed of sleep apnea? Or if not, maybe you should get evaluated and I love to hear from you and hope to see you next time.
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You can have sexual vitality for life. I appreciate you. Until next time.
