Hello dear
Understand your concern
First find out the course of
erectile dysfunction. Two main cause: psychological and medical problem
Psychological: excessive stress, anxiety and relationship problem
Medical cause:
diabetes,
hypertension and its treatment, smoking, alcohol and tobacco consumption, obesity, prostate pathology, low
testosterone etc.
You have to consult urologist/psychiatric and go for following investigations: Blood sugar, PSA, EXR, CBC, Blood pressor check up, color doppler of penile area, nocturnal penile erection test,
semen analysis, testosterone test.
Doctor may give following advice:
If you have psychiatric problem , you need cognitive
behavioral therapy ( active therapy, 4-5 days per week , find out thought problem). talk to your partner about problem that give relaxation, try women in top position, avoid alcohol and smoking, start regular exercise like walking and yoga daily in the morning for 30-45 minutes, avoid excessive fatty food, kegel's exercise, hold urine before urination, squeeze technique, use condoms during sex, be relax while having sex, do not rush out, avoid stress and thinking about problem.
You can use
sildenafil plus paroxentine 30 minutes before sex after proper check up if above advice will not work.
Take healthy diet , fresh fruits and tablet co Q and gonadil F.
If any cause will found, take the proper treatment of it.
Hope this may help you
Best regardsDr. Sagar