Hello thanks for asking from HCM
The history of
hypertension and diabetes increases the risk of
erectile dysfunction. The problem of
premature ejaculation occurs usually because of anxiety of poor performance. You have tried Sildenafil 100, Wellaman and other natural methods but no relief is there.
First of all I would like you to get your HbA1c levels checked. The levels tell about long term control of sugar levels. High sugar levels in a diabetic are main reason for erectile dysfunction.
Also get periodic blood pressure monitoring done. Chronically raised BP also aggravates the problem of erectile dysfunction.
Now coming to management-
As sildenafil is not effective other drugs like Tadalafil can be tried. You have to
consult a Psychiatrist for prescription.
Herbal medicines especially Tantax Forte have good results in erectile dysfunction. The medicine is a herbal preparation and there is no need to take prescription.
Apart from this a lot of antidepressants have good results in erectile dysfunction like Trazodon,
Mirtazepine etc. Underlying depression can be the cause of poor erection. Consult a Psychiatrist for treatment
Thanks, hope this helps you.