Brief Answer:
you can take tetrafol plus and tentex forte

Detailed Answer:
Hello XXXX,

Thanks for writing to us. I can understand your concern.

At age of 30 sudden erection problem is likely due to performance anxiety.

One medicine cum vitamin supplement mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60 patients of mine with. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

As you are likely form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for ED. No side effects have been reported.

At present I would recommend Tetrafol plus and tentex forte at present.

To help you further I need more information.

- How did problem start? Any specific incidence was there?

- Do you pay more attention to erection while trying for intercourse?

- Do you have any physical illness?

- How is relationship with your partner? Any emotional or social problem is there?

- Is morning erection present?

- Is there any history of smoking or alcohol?

- Is there any difficulty in urinating?

- When did you do successful intercourse last?

- Is there any history of masturbation? If yes, how is pleasure/orgasm during masturbation?

- During last month what is actually happening when you go for sex?

As such problem since 1 month does not mean diagnosis of erectile dysfunction.

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
remove performance anxiety

Detailed Answer:
Hi,

Thanks for information. Your history clearly suggests that there is performance anxiety. Morning erection is present that means there is no major physical problem.

Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.

While doing sex keep yourself relax.

Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy.

You should also spare time for yourself to become stress free from job schedule and for that time management is required. This stress is contributing factor to your sex life.

In conclusion take above supplement, avoid performance anxiety and apply stress management.

All the best.

If still any query there, I will be happy to answer. If not, you can close the discussion and give your feedback and rating so I can improve my service.

In future if you wish you can contact me directly with following link:
http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.

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Brief Answer:
tentex forte is sufficient

Detailed Answer:
Hi,


Thanks for asking your doubt. Musli power and zandu pancharist are herbal supplements. There are no scientific studies providing effectiveness of these products in erectile dysfunction. I have already mentioned tentex forte which is also herbal product and you need not to take any other herbal supplement as per my opinion.

Take care.

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