1. Using the term ED [erectile dysfunction] makes it clear that other problems which interfere with sexual intercourse and reproduction,and problem with ejaculation/orgasm are not involved.
B. ED can be a total inability to achieve erection,an inconsistent ability to do so,or a tendency to sustain only brief erection.
3. ED usually is treatable at all ages, thus prior to management, one has to exclude:
i. Psychological Factors: such as
stress,
anxiety, guilt,
depression,low self esteem, and fear of sexual failure
ii. Anxiety performance?
iii. fear of rejection by wife/partner
iv. addiction to alcohol,
nicotine or opiates?
4. start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times.
5. take: milk and milk products, ghee, makhan, cheese, curd black grapes, pears, raisins, dates, almonds, walnut, mango, pomegranate, carrot, banana, apricots, musk melon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas,garlic, bottle gourd.
Avoid: sour and
cold substances, tobacco [in any form], brinjal, tandori roti, red chilies, heavy and food which require long hours to digest, jaggery and its items, deep fried food.
PS. Before prescribing medication for ED, patient should be evaluated for any cardio vascular diseases, thus have an appointment with a Cardiologist for any potential risk of a cardio vascular event.