Hello dear Understand your concern I think job related stress is the cause of erectile dysfunction. Other causes like diabetes, hypertension, obesity, smoking, low testosterone, back nerve problem should be rule out by consulting the urologist. Take following advice: Avoid job related stress and if possible go to new city with your wife, Be relax while doing sex, do pelvic exercise like kegel s exercise, spend more time in the foreplay before intercourse, try women on top position, do regular exercise like walking and yoga. Diet: high protein diet, anti oxidant rich food: fresh fruits, almonds, green leafy vegetables, tablet Co Q and multivitamin tablet. Avoid smoking and alcohol. If not resolves than consult the psychiatric/urologist for your problem. Doctor will provide cognitive behavioral therapy, tablet sildenafil pus paroxentine 30 minutes before sex. Testosterone for low testosterone. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar