
Luke Coutinho says morning erections are a ‘green flag' for health', andrologist agrees: ‘Not always linked to sexual thoughts or desire'
Here's what it says about your health
*Your heart's working fine: Erections depend on healthy blood vessels. If blood can flow well to your penis, it likely flows well to your heart, too.
*Your testosterone is in check: Testosterone surges in the early morning. If you wake up erect, your hormones are probably balanced.
*Your nervous system is relaxed: These erections happen during REM sleep, showing your parasympathetic (rest-and-digest) system is active — the same system that helps your body recover, digest, and heal.
However, if you're not waking up with morning wood regularly, Coutinho said it could be a sign that your body is waving a red flag.
Possible reasons include poor sleep quality, stress or anxiety, medications (like antidepressants), low testosterone, vascular or cardiac issues, and nerve damage (e.g., from diabetes).
Coutinho advised that every male should do:
*30 mins of daily movement (cardio + strength)
*7–8 hrs of quality deep sleep
*Cutting down smoking/alcohol
*Eating heart-smart, anti-inflammatory foods
*Daily stress management (breathwork or mindfulness)
Dr Sanjay Prakash J, consultant,icrosurgical andrologist and urologist, Asian Institute of Nephrology and Urology Chennai, reflected on the same and gave us a deeper insight.
Dr Sanjay stressed that morning erections indicate 'healthy blood flow, hormone levels, and nerve function'. 'They are a normal part of the male sleep cycle, often occurring during REM (rapid eye movement) sleep. There is no need to panic or fret about this. The presence of regular morning erections usually indicates that the vascular and nervous systems are functioning properly, and testosterone levels are within a healthy range,' said Dr Sanjay.
He also affirmed that morning erections are not always linked to sexual thoughts or desire; they're more of a 'natural body response during deep sleep stages'. 'Their absence over time, especially in younger men, could signal issues such as low testosterone, stress, sleep disorders, or circulatory problems,' said Dr Sanjay.
According to Dr Sanjay, if morning erections become noticeably less frequent or stop altogether, it might be worth consulting a doctor to check for underlying health concerns. 'In most cases, however, they're a reassuring sign of good male reproductive health,' said Dr Sanjay.
What to note?
*Variability in morning erection could be an early indicator of endothelial dysfunction (endothelium is the innermost lining of blood vessels, indicating early circulatory dysfunction)
*Erectile dysfunction is considered a premonitory sign of a future heart attack. Hence, it is better to seek early medical attention, said Dr Sanjay.
*A gradual decline in morning erections with increasing age is a normal physiological phenomenon
*When to be concerned is if erectile dysfunction occurs in men less than 45 years and if associated with low libido, fatigue, and difficulty in maintaining erections.
*Meet a qualified andrologist for these issues, suggested Dr Sanjay.
DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.
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Indian Express
24-07-2025
- Indian Express
Luke Coutinho says morning erections are a ‘green flag' for health', andrologist agrees: ‘Not always linked to sexual thoughts or desire'
Integrative and lifestyle medicine expert Luke Coutinho recently opened up about morning erections, emphasising that they are a 'simple sign of good health and heart function.' 'What you casually call morning wood is scientifically known as Nocturnal Penile Tumescence (NPT) — and it's not just a fluke. It's a silent indicator of how well your heart, hormones, and nervous system are functioning. Yes, that morning stiffness is a sign of internal balance and vitality,' Coutinho noted in a detailed post on Instagram. Here's what it says about your health *Your heart's working fine: Erections depend on healthy blood vessels. If blood can flow well to your penis, it likely flows well to your heart, too. *Your testosterone is in check: Testosterone surges in the early morning. If you wake up erect, your hormones are probably balanced. *Your nervous system is relaxed: These erections happen during REM sleep, showing your parasympathetic (rest-and-digest) system is active — the same system that helps your body recover, digest, and heal. However, if you're not waking up with morning wood regularly, Coutinho said it could be a sign that your body is waving a red flag. Possible reasons include poor sleep quality, stress or anxiety, medications (like antidepressants), low testosterone, vascular or cardiac issues, and nerve damage (e.g., from diabetes). Coutinho advised that every male should do: *30 mins of daily movement (cardio + strength) *7–8 hrs of quality deep sleep *Cutting down smoking/alcohol *Eating heart-smart, anti-inflammatory foods *Daily stress management (breathwork or mindfulness) Dr Sanjay Prakash J, consultant,icrosurgical andrologist and urologist, Asian Institute of Nephrology and Urology Chennai, reflected on the same and gave us a deeper insight. Dr Sanjay stressed that morning erections indicate 'healthy blood flow, hormone levels, and nerve function'. 'They are a normal part of the male sleep cycle, often occurring during REM (rapid eye movement) sleep. There is no need to panic or fret about this. The presence of regular morning erections usually indicates that the vascular and nervous systems are functioning properly, and testosterone levels are within a healthy range,' said Dr Sanjay. He also affirmed that morning erections are not always linked to sexual thoughts or desire; they're more of a 'natural body response during deep sleep stages'. 'Their absence over time, especially in younger men, could signal issues such as low testosterone, stress, sleep disorders, or circulatory problems,' said Dr Sanjay. According to Dr Sanjay, if morning erections become noticeably less frequent or stop altogether, it might be worth consulting a doctor to check for underlying health concerns. 'In most cases, however, they're a reassuring sign of good male reproductive health,' said Dr Sanjay. What to note? *Variability in morning erection could be an early indicator of endothelial dysfunction (endothelium is the innermost lining of blood vessels, indicating early circulatory dysfunction) *Erectile dysfunction is considered a premonitory sign of a future heart attack. Hence, it is better to seek early medical attention, said Dr Sanjay. *A gradual decline in morning erections with increasing age is a normal physiological phenomenon *When to be concerned is if erectile dysfunction occurs in men less than 45 years and if associated with low libido, fatigue, and difficulty in maintaining erections. *Meet a qualified andrologist for these issues, suggested Dr Sanjay. DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.


India Today
15-07-2025
- India Today
How to raise healthier children: A roadmap from an Indian kitchen
India's rising economy is often seen as a symbol of progress, but when it comes to children's health, the picture is far from ideal. Behind the glossy surface lies a growing crisis: obesity, type 2 diabetes, early heart disease, poor gut health, hormonal imbalance and even insulin resistance are increasingly being seen in young Indians. And one key reason ties them all together -- FOOD IS MISSING FROM OUR CHILDREN'S PLATESIntegrative lifestyle expert Luke Coutinho believes the root of many childhood health issues lies in what's (not) on their plate. "We've spent years working with adults who are healing from what went unresolved in childhood—nutritionally, emotionally, physically. That's why I believe that the most impactful health interventions don't begin in hospitals or clinics alone. They begin in the kitchen. In school tiffins. On the family dining table," Coutinho tells India's rich supply of fruits, vegetables, grains, and spices, many children are growing up malnourished, overweight, or suffering from hidden metabolic issues. The gap between access and application is widening, and it's costing their health. India currently faces a triple burden of malnutrition, including undernutrition, micronutrient deficiencies, and overnutrition. () India currently faces a triple burden of malnutrition, including undernutrition, micronutrient deficiencies, and overnutrition.'FOOD IS A WEAPON'Nutritionist and chronic disease specialist Deepta Nagpal highlights the power of food in fighting disease, when used correctly."Food is a weapon, if we use it wisely, it can create wonders," she tells 'It's not just an apple which can keep a doctor away, I believe a well-balanced meal served with love, cooked from scratch using seasonal grains and planned wisely, little with common sense and little bit with wisdom, can help to improve immunity, helps in many diseases and prevent."Her clinical observations reflect a disturbing trend:'It's not just obesity. If we look deeper—in my practice, I see high blood glucose levels in kids as young as 9. Youngsters with fatty liver due to junk food. Girls hitting puberty too early, developing thyroid issues—all linked to hormonal disruptors in processed foods. Sadly, though India has natural fruits, vegetables, and grains, it's leading in disorders affecting kids. Almost ranking second globally among children with prediabetes, high cholesterol, or fatty liver.' Nutritionist and chronic disease specialist Deepta Nagpal highlights the power of food in fighting disease, when used correctly. () Coutinho points out how different regions of India already have time-tested, nutrient-rich traditional diets that are perfectly suited to local climates and children's needs. "From bajra khichdi in the North to rasam and idli in the South, and jowar bhakri in the West to kodo millet in Central India, every region has its own nutrient-rich, seasonal foods perfectly suited to local climates and growing children," he says.A BALANCED PLATE IS A POWERFUL TOOLNagpal breaks down how a simple home-cooked Indian thali can support immunity and development.'A plate of dal chawal, curd, pickle, and salad is a completely balanced meal. Dal chawal gives complete protein. Curd and pickle are probiotics that help digestion and gut health. Salad provides minerals and vitamins. And ghee offers butyric acid, which supports immunity," she adds, 'Local and seasonal foods aren't just tasty, they are biologically aligned with our bodies. Food is information to our genes. They grow in the same soil we live on, face the same climate we do, and carry the microbial and nutritional intelligence of the land we belong to.'advertisementWhen children eat local, seasonal foods, they build stronger internal systems that support digestion, energy, mood, and immunity. A plate of dal chawal, curd, pickle, and salad is a completely balanced meal. (Photo: Pexels) Millets like ragi and jowar regulate blood sugar. Local greens support iron levels. Cold-pressed oils and fermented foods support hormonal health.'By regularly including such foods, we are not just improving energy, digestion, and growth—but also future-proofing our children against lifestyle disorders,' says THAT DESERVE A SPOT ON YOUR CHILD'S PLATENagpal suggests easy, everyday foods that pack a powerful punch for vegetarian or non-meat-eating children:advertisementKhus khus (poppy seeds): High in calcium, can be added to soups, stews, or An excellent source of protein, if no religious restrictions Supports gut health and seeds: Great plant-based iron Boosts blood flow, helps kids stay Affordable and rich in magaz: A mix of melon, pumpkin, cucumber, and watermelon seeds, often combined with saffron and added to NUTRITIOUS MEALS PRACTICAL IN BUSY HOUSEHOLDSIn the digital world, how can parents balance convenience with quality? Nagpal offers hacks that even the busiest families can follow:Involve kids in meal planning so they understand where food comes from and why it kids how to read labels and identify real simple meals by adding an egg or paneer cube to khichdi or dal Add fruits, seeds, coconut for an easy morning one-pot meals like veggie stews with paneer or meals like masala khichdi with sprouts, sesame seeds, yogurt, and veggies can be made fun and filling. Traditional meals like masala khichdi with sprouts, sesame seeds, yogurt, and veggies can be made fun and filling. () Nagpal warns against the long-term damage from processed snacks and packaged meals, saying, 'Packaged foods lower mood, reduce focus, impact immunity, and hinder growth. They contribute to ADHD and contain chemicals that disrupt hormones and gut microbiomes.'In contrast, real food helps build serotonin, the feel-good chemical, and supports brain, immune, and physical DAY IN THE LIFE OF A HEALTHY CHILD'S MEAL PLANHere's a simple, balanced sample meal plan Deepta Nagpal recommends to support gut, brain, and immune health:BreakfastEggs and nutsDal cheela with dahiPaneer or egg sandwichMid-MorningCurd or buttermilkNuts or milkLunchParatha with egg or paneer bhurjiVegetable rice with curdPaneer or chicken riceEvening SnackNut ladoosSesame seed toastHummus with veggiesBeetroot-carrot-mosambi juiceEggsDinnerSoups or stewsDal with rice or rotiPaneer, tofu, milk, or chicken- Ends

Mint
11-06-2025
- Mint
The 10-minute service will mess with people's health, says Luke Coutinho
When American millionaire and longevity advocate Bryan Johnson called out India's air pollution problem on social media in early February, it was received by typical wringing of hands accompanied with breathless headlines. For Mumbai-based integrative lifestyle expert Luke Coutinho, it was just the wake up call the country needed. In an open letter addressed to the Brihanmumbai Municipal Corporation (BMC), chief minister Devendra Fadnavis and prime minister Narendra Modi, he'd written, 'The air we breathe is no longer just air—it is harming our lungs, our hearts, and our future. We cannot ignore this any longer." In the letter, he exhorted everyone from parents and educators to fitness trainers and influencers on the need for collective action to demand 'clean air, clean water, and clean food." Also read: Shane Watson's techniques to bouncing back: Music, meditation, and mindset 'Whether it's about obesity or demand for clean air, it's always going to be about collective action. Which is why even when I put out my initial message to the prime minister, the chief minister, it was a request. The letter was about stating that we can't solve problems in our country with anger and hatred. It has to be through the unity of everyone," says Coutinho on a video call with Lounge. The demand for 'clean air, clean water, and honest food," he says, was also part of the talk he gave at the inaugural NXT Conclave 2025 in the Capital on 28 February-1 March, that was attended by global leaders. Coutinho also presented the Bharat Dish and Lifestyle tips booklet at the conclave. 'A lot of us have superfoods in the kitchen – be it makhana, desi ghee, moringa or amla, but we're looking for fancy blueberries and raspberries that have travelled on a ship for months to reach us. With the booklet available to all, the hope is it will drive conversations back to our roots are and what real health is," Coutinho says. While well-intended health and wellness initiatives are being launched in the country, the problem at present, as Coutinho sees it, is that everyone wants to complain about things that are not going great without doing anything about it themselves. 'What's the point of us being hypocrites talking about nutrition and exercise when the air is wrong? Any doctor will tell you that without the right air, everything else is practically useless. But now we live in that country, so we can't give up. We people need to come together because that's when the government is going to listen," rues Coutinho who's penned a new book, The Calm Prescription. In this freewheeling interview, he gets talking about why the convenience of quick commerce is not good for us, how our lifestyles are the root cause for most ailments, and a current wellness subject that's got all his attention. Edited excerpts: We're living in a time of 10-minute deliveries. What are your concerns about how this 'instant delivery' lifestyle could affect us? I think 10-minute deliveries are great for many things: you want a toothpaste tube or some masalas, that's great. But I think the promotion of junk food through the 10-minute service is going to really mess up –no, it's already messing up –people's health to the extent that we have doctors telling patients to delete these apps from their phones. I think 10 minutes has just become a way of giving into people's convenience, and it's going to become a very bad habit that people will find difficult to break away from. Further, I strongly believe that the easy availability of junk food on these apps needs to be heavily regulated. Also read: 'To heal, disconnect from work, connect with nature': Soukya's Dr Issac Mathai On Instagram, you regularly post success stories of patients who've healed from severe ailments. What stands out in a lot of these cases is that the root of these issues lies in the lifestyles we lead. Does the fact that the causes are mostly elementary leave you amused or perplexed? Absolutely. And no, it doesn't amuse me anymore as much as it scares me. That's because barring about five or six per cent of the total diseases which are genetic, the balance are medically categorized as lifestyle diseases, i.e, poor lifestyle is causing most of the diseases. When we put up the cases on social media, these are real patients we are talking about. Reading them, people wonder, 'But Luke, how?" Today, we are used to telling clients that when they change their lifestyle, this is the magic that can happen. Otherwise, you'll just have people going from country to country looking for the next treatment, the next nutraceutical, the next yoga pose… with none of it working. Ultimately, to heal, people have to change their lifestyles. What you are saying is that if one wants to be healthy, it's more effective to take a close look at daily routine instead of looking at only supplements or exercise as the solutions? Yes. No one's supplements in their cupboards are ever going to solve their problems. A supplement, like the word says, is the supplement of a deficiency. If I have a deficiency of vitamin D3, I may be prescribed a supplement. But people think 'I'll take these supplements and I'll become stronger", 'get a six pack", 'I'll get a size zero". No. They still have to do the work with their nutrition, in the gym, with their sleep, and with their recovery. There is always something new emerging in the world of wellness. What's a subject that you are currently interested in? I'm very interested in circadian medicine. That's become huge. What is circadian medicine? It's about aligning ourselves with the cycles of nature, be it our sleep time and wake up time, understanding the importance of sunlight, the importance of eating your meals at the same time or doing your exercise at a time that suits your body. This new science of circadian medicine and quantum healing intrigues me because it comes back to common sense— that we as human beings have moved too far away from nature and that is why we have more disharmony and disease. We need to start aligning with the laws of nature, that is when things are going to start getting better. What are some simple habits that one should practice every day? Meditate. Even if it's five minutes a day, do your pranayama, your deep breathing, because it settles you down, it reduces stress in your body. If you don't have time for a workout, do some yoga asanas, even Surya Namaskar – do five or six of them. That ensures you've moved your body and breath together. These are simple habits that we can all do, even if we have just five minutes to spare. How do you unwind? Do you have a cheat day? No, I don't have a cheat day. The word 'cheat" comes guilt and that's not a great emotion to have. I have a reward day instead. I reward myself whenever I want, but I get back on track. It's as simple as that. I think everything is about prioritizing, managing and knowing where you want to put most of your effort, and that's how I manage my day. I unwind with exercise. Or a walk in nature. It can also be a recorded voice note where I'll scream, I'll shout, I'll abuse and then delete it (laughs). Yes, that's how it is. Also read: What's causing low AMH levels in Indian women?