Brief Answer:
May be due to performance anxiety. Require further evaluation.

Detailed Answer:
Hello,

I have gone through your query and reviewed attached reports. Here is my advice.

There can be several causes for erection problems. But as per your history and age, I think it may be due to performance anxiety. Still kindly follow up with a bit more information.

Please let me do you have history of injury to spinal cord or genital region?
Are you taking any medications?

For further assessment, I would suggest you to do complete hemogram, nocturnal penile tumescence test, hormonal levels, blood sugar level after detailed medical examination and sexologist's consultation.

Till then you can use tab. Sildenafil (viagra) one hour before sexual activity after consultation. Foreplay will also help.

Along with that take balanced diet, proper 6 to 7 hours of sleep. Keep your self hydrated. Avoid smoking and alcohol if you have it. Avoid stress and over exertion. Do regular exercise and meditation. Try to reduce weight if you are overweight.

Let me know I can assist you further.... Thank you.

Regards,
Dr Shyam Kale

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Brief Answer:
Please see detailed answer.

Detailed Answer:
Hello,

Thank you for your reply.

Please check whether tablet sildenafil is available over the counter.

Sorry to say, As through this site, doctors can not prescibe the prescription medications. For that you have to consult with your physician.

Apologise again...

Let me know I can assist you further.... Thank you.

Regards,
Dr Shyam Kale

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