Brief Answer:
tetrafol plus or tenex forte will help,5-PDE inhibitor drugs can be used

Detailed Answer:
Hello Mr. XXXXXXX

Thanks for writing to us.

At age of 50 sexual dysfunction is common.

Physical examination and some investigations are required to search cause of sex problem.

Let me know:

- Since when problem is there?

- Do you have any physical illness, specifically diabetes or high blood pressure?.If yes describe details with medicines.

- Is there any history of history of smoking or alcohol?

- Is there any difficulty in urinating?

- How is relationship with your partner? Any emotional or social problem is there?

- In investigations Serum testosterone and Blood sugar should be done.

Treatment of erectile dysfunction:

5- PDE inhibitor group of medicines like sildenafil or tadalafil are used. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
Tadalafil is preferred in patients with blood pressure.

You can use another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients.You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

As you are likely from XXXXXXX I want to mention one ayurvedic product Tentex royale by himalaya which is available over the counter and probably without any side effect for treatment of PME. You can take one tablet daily at night with milk for 2 months.

There are some natural lifestyle measures which help to improve blood flow to penis, increase sperm volume and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

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