Hello, Thanks for using healthcaremagic. Before a treatment is decided for erectile dysfunction it is important to identify the cause of it. The most common cause is psychological which occurs due to fear of performance anxiety which starts due to inadequate sexual knowledge or due to occasional failure. It can be treated with help of counseling by a psychologist or psychiatrist. Although I must admit that loss of confidence can occur due to ED itself. Other than that meet a doctor in your city to get examined to identify the other causes of problem. Once it is done the treatment is available for almost all causes. And most importantly do not use any medication without proper guidance as the are likely to increase the problem rather than helping you. I hope this helps you in taking right step. Thanks and regards