Hello dear I understand your concern Your erectile dysfunction could be due to psychiatric issue like stress, anxiety, failure in past, any marital disharmony, satisfaction of partner. I would suggest to undergo complete health check up by consulting urologist, routine blood tests like blood sugar, lipid profile, USG scan of pelvic, serum testosterone to rule out any healthy problem. If all test will come normal then problem is mainly due to psychological. For that psychiatric consultation and sexual counselling is required. Midfil does not affect sperm and it will help in erectile dysfunction. You can also ask for tetrafol plus But it should be used after proper evaluation. 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. Hope this may help you Contact further if follow up needed Best regards Dr. Sagar