** A. Using the term ED [erectile dysfunction] makes it clear that other problems which interfere with sexual intercourse and reproduction,and problem with ejaculation/orgasm are not involved. B. ED can be a total inability to achieve erection,an inconsistent ability to do so,or a tendency to sustain only brief erection. C. ED usually is treatable at all ages, thus do not involve too much of psychological factors, such as stress,anxiety, guilt,depression,low self esteem, and fear of sexual failure or fear of rejection by wife D. Since diabetes causes weakening of nerves and ED is one of them, do check with your blood sugar profile. MANAGEMENT . start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times. PS. perineal exercise [pelvic floor programme] is a noninvasive alternative for the treatment of patients with ED by clearing venous occlusion. [will help to achieve full erection afterwards] It also helps to strengthen the muscles and sphincters involved in erection and ejaculation. . take: milk and milk products, ghee, makhan, cheese, curd, apple, black grapes, pears, raisins, dates, almonds, walnut, mango, pomegranate, carrot, banana, apricots, musk melon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas,garlic, bottle gourd. avoid: sour and cold substances, tobacco [in any form], brinjal, tandori roti, red chilies, heavy and food which require long hours to digest, jaggery and its items, deep fried food. PS. Before prescribing medication for ED, patient should be evaluated for any cardio vascular diseases, thus have an appointment with a Cardiologist for any potential risk of a cardio vascular event, so that Ayurveda medicines/herbs can be incorporated in your daily routine. Foot Note: Medicine(s) of Alternate system do not help to control diabetes directly but prevent further complications. Dr. Munish