Hello dear I understand your concern Your symptoms could be due to psychological problem and medical problem like diabetes, hypertension, obesity, nerve problem, low testosterone. Anxiety about the performance failures in the bed in past (history of premature ejacualtion), anxiety about partner s satisfaction, Marital disharmony if any, ongoing stress at home and at work place(if any), Excessive fatigue predisposing to erectile dysfunction. I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum testosterone level, Ultrasound pelvis and scrotum. If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatrist Meanwhile , following advises will help you: Do regular exercise like walking, yoga, kegel exercise, breathing exercises. Free communication and mutual understanding with partner will help. During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also. Medications: Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months Drug like Cialis can be useful too. Hope I have answered your query Best regards Dr. Sagar