Hello dear
Understand your concern.
Following are the causes of erectile dysfunction:
fatigue,
Excessive stress,
relationship issues, performance anxiety,
Chronic alcohol consumption and smoking,
Uncontrolled diabetes, obesity,
tobacco use,
enlarged prostate gland
Spinal injury
So please do health check up to exclude above causes.
Take following advice
1. Start exercising, losing weight, stopping smoking and alcohol if you are taking
2. Tablet viagra one hour before sexual activity. Do not use more than one time daily
3.
Testosterone Replacement Therapy after semen anaysis
4. Alprostadil urethral suppository-
OR drug :
paroxetine 10 mg 30-40 min before sex
5. Talk with your doctor
6. Do discussion with your partner that help in gaining psychological trust
7. Distract your mind from sexual stimulation
8. withdrawing the penis altogether,
9. purposefully ejaculating before sexual intercourse
10. using more than one condom
11. use squeez technique to reduce excessive arousal
Gonadil F tablet that contain Protodioscin, Oti Zinc,
Vitamin E and Selenium.
for maintenance therapy after proper treatment.
Hope this may help you.
Take care
Best regards
Dr. Sagar