Hello dear I understand your concern Erectile dysfunction could be due to medical causes like diabetes, hypertension, low testosterone, problem in back nerve, obesity, smoking and alcohol use. Psychological cause: excessive stress, fatigue, performance anxiety. I would suggest to go for complete health check up, fating blood sugar, ESR, serum testosterone level, CRP, USG of pelvis and scrotum If all the tests will come normal then problem mostly due to psychological cause. For that you require sex counselling and consultation with psychiatric. Meanwhile , following advises will help you: Do regular exercise like walking, yoga, kegel exercise, breathing exercises. During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also. Take high protein diet, drink plenty of water. Avoid sex and masturbation when you are feeling of tired. Take proper rest and sleep of at least 7-8 hours. If problem persists then Medications like Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months Drug like Cialis can be useful too. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar