HI Well come to HCM I really appreciate your concern, without diagnosis is of actual erectile dysfunction it is not advisable to take Penefra this may cause harm, because in most the cases reason for erection dysfunction could be functional one and not pathologic, process for erection taking place in brain because of some stimuli like, visual, talking, touch, thinking, directly related with sex, any kind of mental stress greatly affect this process of erection impulses, ultimately cause the erection problem, try to com out the stress, try some exercise, yoga, meditation, relaxation therapy, hope this information helps, take care.