Brief Answer:
Suggestions given...

Detailed Answer:
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you are concerned about your erection problem. Erection problems can be due to various causes, for example, hormonal problems, problems in blood flow to the penis, high cholesterol, side effects of medication, vitamin deficiencies, etc. Also, in many cases of erectile dysfunction, psychological factors also play a major role in aggravating the problem. Stress, anxiety, depression, relationship problems, etc. can all influence sexual functioning in a negative way. So, the first and most important step in management of this problem is a thorough evaluation. This will include a thorough physical examination and certain lab tests as per necessity.

Treatment is targeted according to the findings on evaluation. If there are any underlying medical problems resulting in the erectile dysfunction, then those problems have to be first corrected or controlled. If there are psychological factors as well, then addressing them and improving the person's self-confidence levels will also be helpful in improving sexual performance.

There is also the option of using medication which improve the blood flow to the penis and promote better erection, such as Sildenafil and Tadalafil. But I would advise you to have a proper evaluation done before you start any medication.
Obesity is one of the factors responsible for declining sexual functioning. So, eating a healthy diet and doing regular physical exercise in order to reduce your weight is very important. Also, avoid alcohol, smoking or any unnecessary medication and try to stay stress-free and positive.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist & Sexologist

---