** Thanks for raising your concern on this platform and following is/are recommended guidelines for you: 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. 2. 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. . before starting treatment take : . take trifla churan [3 gm] with luke warm water before retiring to bed for 15 days PS. if prior to starting the therapy still constipation or hard stools is a problem, go for enema to clear the stools . Singly you can use: [after 15 days] . Ashwagandha: best regarded as adaptogen with aphrodisiac properties which may be due to testosterone like effects, thus prescription drug available for same is/are: Ashwagandha churan, Ashwagandha lehyam. . In Compound form: i.Vigomax capsules [Charak]: ii. Tentex forte tablets [Himalaya]: iii. take tablet mentat [himalaya] 2 tab twice a day [since ED is a psychosomatic disorder] thus tranquility of mind is important.