Brief Answer:
None of these medications will be helpful to you

Detailed Answer:
Hi, thanks for writing through HCM.

I have read your query and understood your concerns.

Reason behind erectile dysfunction are so many but at your age, It is mainly psychological that includes stress from work, family issues, conflict between partners, financial issues. Apart from this, the anxiety about failure in bed and partner's satisfaction are the main reasons. Depression can also result into ED.

Erection is maintained by both visual/erotic stimuli as well as tactile stimulus to penis. If a person has associated stress or anxiety then it will distract the mind even during the sex and the erection is lost.

For maintaining proper erection throughout the sex, foreplay is very important. Foreplay maintains erection as well as causes enough lubrication in vagina. It allows partners to identify and know the sensitive parts of each other. So before going for penetration enough foreplay is necessary and it should continue even during the penetration also.

You can identify your problems related to stress and anxiety by your own and try to address it. If you are able to deal with it then take help of psychiatrist.

You have already visited to sexologist, what did he say?
There is a behavioral therapy which involves both the partners like dual sex therapy, which is very effective in solving issues related to sex between partners. You can go for meditation and yoga for relaxing yourself and do not worry about your past failures in the bed.

Anxiolytic drugs may help you like clonazepam but they are not available easily. Viagra is not the drug for you. Please do not use viagra. Your problems will be resolved without its use. Healthy diet will help in which eggs are very helpful. Eggs are full of selenium which is very important for sperms.

So finally, the current drugs you are taking is of no use to you. I am not sure about the side effects of nanoleo, but other two do not have any significant side effects. Reason behind erectile dysfunction is mostly psychological. Identify your stress and deal with it. Follow my advice related to foreplay.

Hope I have answered your query. If you have further query then I will be happy to help. Wish you good health.

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Brief Answer:
Blood tests and penile doppler

Detailed Answer:
Hi, thanks for writing again.

You can go for the semen analysis.

You have to check your blood pressure and sugar level.
The causes for erectile dysfunction can be uncontrolled hypertension and Diabetes mellitus. Neurological illness, injury over the lower back which involves the nerves supplying the penis can also lead to erectile dysfunction. You can also go for penile doppler. I suggest you visit an Urologist and get clinical examination and test done.

If you are drinking alcohol heavily or smoking then it can be the problem. Following drugs can cause erectile dysfunction: antipsychotics, anticonvulsants, diuretics, ACE inhibitors, corticosteroids.

Apart from these, there is nothing that can be ruled out. Go for the above tests.

Hope I have answered your query. If you do not have further clarifications then close the discussion and rate the answer.
Wish you good health.

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