Brief Answer:
further necessary details

Detailed Answer:
Dear
Thanks for contacting me with your health concern(s) and after reviewing your health query, I am of the following opinion.

1. Is Erectile Dysfunction (ED) only during intercourse (then the cause is definitely psychogenic)? (Can you obtain an erection on your own by masturbation)?

2. we have to look out for:
. Anxiety performance
. The most important aspect of treatment is/are the sexual exercises, drug treatment is given once-perfect control is achieved.

3. FOR ERECTILE DYSFUNCTION

i. start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times.

PS. perineal exercise [pelvic floor program] is a non-invasive alternative for the treatment of patients with ED by clearing venous occlusion. [will help to achieve full erection afterward] It also helps to strengthen the muscles and sphincters involved in erection and ejaculation.

ii. take milk and milk products, ghee, Makhan, cheese, fresh curd, black grapes, pears, raisins, dates, almonds, walnut, XXXXXXX pomegranate, carrot, banana, apricots, musk melon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas, garlic, bottle gourd, banana, watermelon, apple, urad dal, brinjal, butter.
iii. avoid sour and cold substances, tobacco [in any form], brinjal, tandoori roti, red chilies, heavy food which requires long hours to digest, jaggery and its items, and deep-fried food, clove, hot milk, musli, shilajit [in any form].

4. In my Clinical Practice I usually treat the patient on the line of ": Shukragat Vata" which is characterized by a group of clinical presentations either with the impairment of ejaculation or with seminal abnormalities.

i. The line of treatment should be based on 'vrishya', 'medhya', 'shukrastambhaka', and 'vatahara' properties. If interested I can courier you the medicines along with the dose, duration, and cost.

PS. All medicine(s) is/are non-hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, are anti-stress, and adaptogen action helps alleviate anxiety associated with sexual desire.

Dr. Munish Sood
Consultant Physician
Naimittika

direct online link: bit.ly/drmunishsood

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Brief Answer:
prescription medicines

Detailed Answer:
Thanks for reverting back.

1. The medicine(s) which will be provided to you have the following course of action and are evidence-based medicines [EBM].

a. start by taking trifla churan [3 gm] with lukewarm water at bedtime for 15 days.
b. churna/Lehyam/Liquid: is best regarded as an adaptogen with aphrodisiac properties which may be due to testosterone-like effects.
c. In Compound form: capsule with breakfast or bed time which is effective in restoring sexual function in men with ED of varied etiologies.
d. Tablets: 2 tablets twice daily for 3-4 weeks and treatment may be prolonged depending upon the response.
e. XXXXXXX [nootropic] Rasayana: since ED is a psychosomatic disorder thus tranquility of the mind is important.
f. Oil for massage which helps in erectile dysfunction and nerve problems.

PS. All are non-hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, have anti-stress action, and adaptogen action helps alleviate anxiety associated with sexual desire, and helps by reactivating testosterone hormone.

If you are comfortable I can let you know about the price of the Ayurveda Medicine and will share my bank details and will courier you the medicine(s).

Dr. Munish
Naimittika

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Brief Answer:
price, number and instructions

Detailed Answer:
Dear

Price of medicine is/are: [for 1 month]: 2532/-
after discount:[10%]: 2280/- plus 1 month of testosterone increasing tablets free [worth 346/- for 30 tablets]

Oil is for external use only: Apply on the penis shaft [leaving the top of the penis [i.e. glans] and massage gently till absorbed before intercourse [and avoid exposure to direct sunlight].

PS. Massage twice a day for 3 months, and do not use water till half an hour after massage.

* Final Amount is 2280/- plus courier charges [which will be calculated once your medicines are packed and then the box will be weighed]. In the meantime kindly deposit the medicine charges in my XXXXXXX number: 0000 [phonepe/gpay/Paytm available on this number] and kindly provide your correspondence address with pin code, so that I can further process the order.

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