Hello dear I understand your concern Erectiel function could be due to Psychological problem anxiety about the performance failures in the bed in past anxiety about partner s satisfaction, Marital disharmony if any, ongoing stress at home and at work place(if any), Excessive fatigue predisposng to erectile dysfunction. Medical cause: diabetes, hypertension, obesity, smoking, alcohol, probelm, cardiovascular diseease. I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum testosterone level, Ultrasound pelvis and scrotum. If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatrist Meanwhile , following advises will help you: Do regular exercise like walking, yoga, kegel exercise, breathing exercises. Free communication and mutual understanding with partner will help. During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also. Medications: Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months Drug like Cialis can be useful too. Best regards Dr. Sagar