Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Yes ED is a condition that requires a diagnostic workup. You may require a complete medical history and physical examination including a few tests like diabetes screen, hormonal assays, duplex doppler imaging, nocturnal penile tumenescence testing and other tests to get to a diagnosis. I suggest you consult an urologist or andrologist for a diagnostic workup. In the mean while you may try some supplements that have shown beneficial effects in ED patients but clinical data regarding them is lacking: 1. Natural Nitric Boosters - They are a must have if you want a better sexual health. Nitric oxide is one of the main reasons behind an ‘erection’ and therefore, it can be directly taken in the form of food or as a supplement. It helps in preventing blood pressure, cardiovascular diseases and improves the blood flow. There are certain foods that can boost nitric oxide naturally, such as dark chocolate, walnuts, pomegranate, watermelon, brown rice, beets and garlic. 2) Exercise - It is important to exercise and stay fit if you want a healthier sex life. You shouldn’t have to do furious strength training. Instead, simply opt for cardio exercises, do strength training or weight lifting if you like. 3) Green Vegetables - There are several greens that, when combined with the bacteria in your gut can help in transforming nitrites to nitric oxide. This includes cabbage, iceberg lettuce, parsley, spinach, celery and collard greens. 4) Sunlight - Sunlight provides us with Vitamin D and also gives the skin an opportunity to synthesize more nitric oxide.