Treatment of erectile dysfunction is depend on the cause of it. So first we have to find the causes behind that. Following are the causes of erectile dysfunction: Diabetes, Prostate Enlargement, psychological like Excessive stress and relationship issues, obesity, Problems in low back nerves, hormone problem like Low testosterone levels. So first consult the best urologist and get the following test done: Blood tests:Hb,CBC, ESR, blood sugar, lipid profile, urea, creatinine, Vitamin B12, folic acid levels iron, etc.Hormones (total and free testosterone, corticosteroids, DHEAS, Thyroid hormone, seminal fluid analysis, Doppler USG of scrotum and penile area to find out the blood flow problem. Meanwhile take following advice: Start exercising (60-80 minutes in morning with relaxation and yoga), losing weight, stopping smoking and alcohol, Healthy diet with proteins and vitamin A, C, E. Take anti oxident like CO Q, More fore play before sex will lead to more excitment, Do discussion with your partner that help in gaining psychological trust, use more than one condom. Following medicine can be provide by doctor: Tablet viagra: about one hour before sexual activity, Testosterone Replacement Therapy, paroxetine 30-40 min before sex Hope this may help you Contact HCM for further health query Best regards Dr. Sagar Best regards Dr. Sagar