Hello dear
Understand your concern
I think you have
erectile dysfunction as it is not hard as need for sexual activity. First you have to find out the causes of erectile dysfunctions>
Two main causes:
Psychiatric(depression, anxiety and relationship issue)
Medical causes(diabetes, obesity,
hypertension, smoking, alcohol, damage to back nerve, fatigue, low
testosterone)
Consult the psychiatric /
urologist and do proper investigations for diagnose above causes.
Doctor may provide following advises:
cognitive
behavioral therapy for psychiatric, avoid thinking about problem as it cause stress, so be relax.
Engage more in foreplay before sex, try women on top position, use double condoms, hold urine before urination, pelvic exercise, avoid smoking and alcohol, take healthy diet, fresh fruits, antioxidant (almonds and tablet co Q), start exercise like walking and yoga daily in morning for 1 hour, Tablet gonadil F that improve sperm quality.
If above advise will not work, you can take sildenafil plus paroxentine 30-40 minutes after sex but after proper evaluation.
Testosterone injection if low testosterone.
Hope this may help you
Best regards
Dr. SAGAR