A. Using the term ED [erectile dysfunction] makes it clear that other problems which interfere with sexual intercourse and reproduction,and problem with ejaculation/orgasm are not involved. B. ED can be a total inability to achieve erection,an inconsistent ability to do so,or a tendency to sustain only brief erection, so one has to avoid psychological factors: such as stress,anxiety, guilt,depression,low self esteem, and fear of sexual failure C. Ask him to start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times. . take: milk and milk products, ghee, makhan, cheese, curd,black grapes, pears, raisins, dates, almonds, walnut, pomegranate, carrot, banana, apricots, musk melon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas,garlic, bottle gourd. . avoid: sour and cold substances, tobacco [in any form], brinjal, tandori roti, red chilies, heavy and food which require long hours to digest, jaggery and its items, deep fried food. PS. Before prescribing medication for ED, patient should be evaluated for any cardio vascular diseases, thus have an appointment with a Cardiologist for any potential risk of a drug drug interaction, so that Ayurveda medicines/herbs can be incorporated in your daily routine. . Indulge more in foreplay and and limit activity to caressing each other s bodies and strictly no attempt is made for intercourse and continue for 1-2 weeks. . Later you may indulge in genital pleasuring with hand but without orgasm and no attempt at intercourse. If there is erection, allow it to subside, then stimulate again- to remove the fear of losing erection. . When he has gained CONFIDENCE,intra vaginal ejaculation is allowed. D. Vigomax capsules [Charak]: 1 capsule daily with breakfast or at bed time PS. Recent studies indicate Vigomax was effective in restoring sexual function in men with ED of varied etiologies. ii. Tentex forte tablets [Himalaya]: 2 tablets twice daily for 3-4 weeks. treatment may be prolonged depending upon the response. PS. is a non hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, the antis tress, adaptogen action of tentex forte helps alleviate anxiety associated with sexual desire. iii. take tablet mentat [himalaya] 2 tab twice a day [since ED is a psychosomatic disorder] thus tranquility of mind is important.