** Thanks for contacting HCM with your health concern 1. As the problem has again resurfaced consult an Urologist for necessary examination and investigation of Reproductive System, till then: i. start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times. ii. take: milk and milk products, ghee, makhan, cheese, curd, black grapes, pears, raisins, dates, almonds, walnut, pomegranate, carrot, banana, apricots, musk melon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas,garlic, bottle gourd. iii. 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. iv. before starting treatment take: . take trifla churan [3 gm] with lukewarm water before retiring to bed for 15 days . 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]: 1 capsule daily with breakfast or at bed time PS. Recent studies indicate Vigomax was effective in restoring sexual function in men with ED of varied etiologies. ii. Tentex forte tablets [Himalaya]: 2 tablets twice daily for 3-4 weeks. treatment may be prolonged depending upon the response. PS. is a non hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, the antis tress, adaptogen action of tentex forte helps alleviate anxiety associated with sexual desire. iii. take tablet mentat [himalaya] 2 tab twice a day [since ED is a psychosomatic disorder] thus tranquility of mind is important. iv. perineal exercise [pelvic floor programme] is a noninvasive alternative for the treatment of patients with ED by clearing venous occlusion. [will help to achieve full erection afterwards] It also helps to strengthen the muscles and splincters involved in erection and ejaculation. PS. Before prescribing medication especially for ED, the 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, so that Ayurveda medicines/herbs can be incorporated in your daily routine.