Brief Answer:
You can be treated with medicines and/or sex counselling/behavior therapy

Detailed Answer:
Hello,

Thanks for writing to us.

I can understand your concern.You seem to have erectile dysfunction.

Considering your age your problem is likely more psychological.

If I were your treating doctor I would apply following approach.And need some more information.

First of all detail history of your problem is needed.
What was exact problem before and when? How was it cured? How it started again since 2 months and progress?

Is there any problem with your wife either emotional or social?If some problem is there, it requires treatment/solution.

Is there any stress in life like economical, occupational,social? If it is there , it is to be treated.


Your blood pressure should be checked.
If your BP is normal(which is likely chances) one physical cause is ruled out.

If everything is ok as described above, I would like to go for serum testosterone level.
If it is low it should be prescribed informs of tablets or injection.
If normal then either medicines and/or sex behavior therapy needed.

In medicines,
5-PDE inhibitors: Sildenafil(viagra), tadalafil, udenafil. It should be taken 2 hours before sex. Headache may occur on second day as side effect.Better to take these medicines after consulting psychiatrist/qualified sexologist as they are prescription drugs.

You can take one molecule containing vitamins. It may be available over the counter or you can get it with doctor's prescription. It is Tetrafol Plus.
It contains Methylfolate, Mecobalamin and pyridoxal phosphate.
It should be taken twice daily after meal. Response will be seen after 15 days. If you feel response, continue for 2 months.
If no response at all in 15 days, it would not be useful. No significant side effects are there as it contains vitamins preparations.

In Sex counselling,

It may be just a routine counselling in which you can discuss your problem and some solution came out if it is related to foreplay, posture or surrounding.

And in behavior therapy,Master and Johsnosn technique is useful.It is couple therapy and your wife should accompany you for the same.It is a systematic approach in which wife and husband has to follow some rules to proceed for sex.

With these information you can consult psychiatrist/sexologist and get solution of your problem.

Hope I have answered your query, I will be happy to help further for more queries.

regards,
Dr.Chintan Solanki.

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Brief Answer:
Medicines are mentioned already

Detailed Answer:
Dear thanks for information.

It is good that there is no major disturbance in your life.

I have already mentioned medicines in previous answer. You can take tetrafol plus if you can get over the counter.
For other medicines I am sorry that online prescription is not valid and not acceptable as per law.And it is better to take medicines after consulting doctor. If any serious side effects occur , treating local doctor can help immediately in that case.

You can do one more thing. You just go to your family doctor/GP and discuss what I have suggested. He can prescribe medicines and guide you if he is used to with these type of medicines.

All the best & regards,
Dr.Chintan Solanki.

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