instruction: hello doctor I am married 41 years old I have kids for the last six months I am having erection problems I cannot even penetrate due to this I fear of nights I cannot face my partner kindly give a solution to my problem
output: hi I am not sure whether you have diabetes or hypertension or any other diseases whether you are taking drugs allopathy or herbal for any other diseases if so we need to look the side effects of those drugs diabetes patients gets diabetic neuropathy thus there might be a chance for reduction in erection there are many other possible reasons as follows after 40 if the male hormone is reduced more sathwik pure vegetarian diets reduce the sexual hormones atherosclerosis to penile artery this is due to cholesterol sedimentation to the artery which supplies blood to penis arterial thickening of penile artery psychological depression related to work career economy family etc this has very strong influence on the erection any trauma hitting on the penis or back side of hip this will affect the neurons to rue out the cause and further treatment you need to consult a doctor in personally directly any psychiatrist or urologist or andrologist are the better choice to consult you may also try the following advice drink badham milk or eat badham nuts every day there is a risk of increasing cholesterol at this age eat cashew nuts one daily here is a risk of increasing cholesterol at this age do pranayama or mediation to keep the mind free go to picnic with family the new environments can remove the psychological depression try to solve other psychological problems if any rathina purush capsules one capsule morning and one at evening before food this can be continued for one month within one month if you get some effect then continue it for a total of months and stop it if there is no improvement within one month then no need to continue this drug after evaluating the cause then only we can take further drug therapy to evaluate the cause approach nearby clinician I mentioned earlier they do doppler or us to find the cause the above said physicians deal such cases daily you need not worry about it