Hello dear I understand your concern Erectile function treatment will depend on the causes. Medical causes like: diabetes, hypertension, smoking and alcohol use, problem in the back nerve/neurological disease, prostate enlargement, low testosterone. Psychiatric cause: anxiety/depression, anxiety about partner s satisfaction, Marital disharmony if any, ongoing stress at home and at work place(if any), Excessive fatigue may predispose the erectile dysfunction. I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum testosterone level, Ultrasound pelvis and scrotum. If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatrist Meanwhile , following advises will help you: Do regular exercise like walking, yoga, kegel s exercise, breathing exercises. Free communication and mutual understanding with partner will help. 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 with fresh fruits and green leafy vegetables Try women on top position. If problem persists then drugs like Tetrafol plus, sildenafil and testosterone shot (for low testosterone) will helpful. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar