Hello dear Understand your concern Erectile dysfunction should be treated according to cause. First find the causes of erectile dysfunction. Two main causes: psychological cause: stress, performance anxiety, relationship issue, depression are the main cause. Medical causes: Obesity, diabetes, hypertension and its treatment, smoking, alcohol, enlarged prostate, low testosterone etc. You should consult the urologist/psychiatric for better evaluation and treatment. Get the following investigations: Health check up. lipid profile, blood sugar, PSA, color doppler of penile area, testosterone, cortisol, semen analysis etc. Take following advice: Cognitive behavioral therapy (4-5 sessions per week that identify the cognitive behavior), avoid stress, start relaxation exercise like yoga and brisk walking, avoid smoking and alcohol, engage more in fore play before sex, do sex in comfortable position like women in top position, use double condoms or condom with lignocaine jelly, talk to your partner that relieve the anxiety, kegel s exercise, hold urine before urination. Along with patanjali medicine you can take sildenafil plus paroxentine 30-40 minutes before sex after proper evaluation. Tablet co Q, Tablet gonadil F. Hope this may help you Best regards Dr. Sagar