Hello dear I understand your concern First you have to find the cause of the erectile dysfunction like sexual anxiety, obesity, smoking, diabetes, back nerve problem, low testosterone. Consult the urologist/psychiatric for better management and undergo following investigations: Serum testosterone, blood glucose, USG of pelvis, ESR, CBC, semen analysis, urine tests. Doctor will give following advises: Avoid stress while having sex Spend more time in the fore play Do pelvic exercise like kegel s exercise, Use condom and try women on top position Do regular exercise like walking and yoga Take high protein diet with vitamin and antioxidant supplements Tablet gonadil F and CO Q will help If problem persists then Tablet sildenafil and paroxemtine will help after proper evaluation Cognitive behaviour therapy will help for the psychiatric problem Testosterone shot for low testosterone Hope this may help you Contact HCM for further health query Best regards Dr. Sagar