Brief Answer:
medicines are mentioned below

Detailed Answer:
Hello,

Thanks for writing to us.

You are suffering from erectile dysfunction(ED).
Causes of erectile dysfunctions in general are hypertension, diabetes, testosterone deficiency, thyroid problem and psychological.If any of the physical causes found out, it should be treated otherwise treatment of ED is done as mentioned below.

5- PDE inhibitor group of medicines like sildenafil or tadalafil are used. One of them should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
Tadalafil is preferred in patients with blood pressure.

You can use another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED.You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 1 month. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.


As you are form XXXXXXX I would like to also mention ayurvedic medicine option.Tentax forte is the medicine which is used for ED.No side effects has been reported. I use it infrequently and no specific studies are there of its efficacy. Two tablets daily at night with a cup of milk should be taken.

If you do not want to consult doctor right now, in my opinion start tetrafol plus fist. Check for effectiveness for 20 days. If some improvement is there go without tentax for 2 months. If no significant improvement with tetrafol plus in 1 month add tentax forte than. By this we can determine which one is effective.

And if no improvement consult psychiatrist/sexologist personally for other medicines.

Hope this answers your query.I would like to help you further.

Regards,
Dr.Chintan Solanki.

---