Hello I read your statement and i understand your concern If you are doing good with these pills, keep using them But it is important that all physical and psychological causes are ruled out first Erectile Dysfunction and decreased libido may have many causes, the history you narrates does not give any clue towards any cause. First of all you have to exclude organic causes such as those causing damage to arteries and nerves of penis. top of the list among these are diabetes and Hypertension. The most important and frequent cause among any age group patients is performance anxiety. Follow the following guidlines 1. Do a fasting blood sugar and be your Blood pressure checked, if they are normal go to step 2, if they are deranged, consult physician and start treatement 2. Healthy habit of masturbation is 2-3 times per week and not 1-2 times per day. Try to change your habit and 3. If you take alcohol and if u smoke, try to reduce because both of these causes ED 4. If you does not fit among the above, it most probably psychogenic cause or performance anxiety. Take Tab Arcalion 200mg once a day for a month. Try to take it in the morning as it causes sleeplessness when taken at night. Also Take Tab Alprazolam 0.25mg for 8 days once a day at night 30 mins before going to bed. I hope this will solve your issue Thanks