Hello dear Understand your concern jakjay and akash fourte tab are herbal tablet and should take long time to respond. Better to take allopathy tablet after proper evaluation by sexologist.psychiatric. Following are the causes of erectile dysfunctions: acute may be due to spinal or nerve problem, depression and anxiety, excessive smoking and alcohol consumption, prostate enlargement, low testosterone, obesity etc. Consult the urologist/sexologist and go for following investigations: noctural penile erection test, seminal fluid examination, lipid profile, reproductive hormone analysis, blood PSA, ESR. Take following advice: start regular exercise like waking and medication 45-60 minutes in the morning, loose weight if you are overweight, stop alcohol and smoking, spend more time in foreplay before intercourse, try women on top position, be relax while doing sex, healthy diet rich in protein and antioxidant rich item like almonds, fresh fruits and CO Q. If above advice will not help then you can take sildenafil plus paroxentine 30 minutes before sex after proper evaluation, testosterone shot weekly if low testosterone , tablet gonadil F to maintain sperm count after proper treatment or you can take jakjay and akash fourte. Hope this may help you Best regards Dr. Sagar