Hello dear Understand your concern First you have to find the cause of erectile dysfunction and then take spermen forte to maintain sperm count and reproductive function. I think following possibility in case like you: Low testosterone, Prostate enlargement, diabetes, hypertension and its medication, fatigue, stress, obesity etc. You have to consult the urologist for proper management after investigation like: Blood sugar, lipid profile, PSA, ESR, reproductive hormone analysis, semen examination, nocturnal penile erection test, blood pressor measurement etc. Take the following advice: Be relax while doing sex, do sex when you are energetic, engage more in foreplay before sex, try women on top position, do kegel exercise for pelvic strengthening, start regular exercise like morning and evening walk followed by medication daily in the morning for 45 minutes, use condoms while doing sex, take healthy diet rich in protein, antioxidant rich item like fresh fruits, almond and Co Q tablet, tablet revital. If above advice will not help then take sildenafil plus paroxentine 30 minutes before sex after proper evaluation. Hope this may help you Best regards Dr. Sagar