hello Sahil ,
Since you were on finasteride, it’s common for some men to notice reduced sexual desire, weaker erections, or faster ejaculation, even after stopping it. The good part is that these changes can usually improve with time, good digestion, and the right medicines. Along with that, your digestion and constipation need attention, because in Ayurveda, if digestion is weak, sexual strength and energy also go down.
A few things I’d like to ask you (in your words): How are your bowels daily – hard stools, incomplete evacuation, or normal sometimes? Do you feel gas, acidity, bloating, or loss of appetite? How is your sleep – refreshing or broken? Do you get morning erections at times?
Ayurvedic Treatment Approach
1. First step – Ama Pachana / digestion correction (first 7–10 days): Since you already started Liv-52, continue it (2 tablets twice daily after food).
Avipattikar Churna – 3 g (half teaspoon) with warm water at night for constipation and acidity.
2. Internal Medicines (to start after digestion improves, continue for 1–2 months):
Confido – 1 tablet at night after food.
Tentex Forte – 1 tablet twice daily after meals.
(You don’t need Tentex Royal together right now; Tentex Forte + Confido is a good safe combination. Royal can be added later if erections are still very weak.)
3. External & lifestyle:
Abhyanga (oil massage with Dhanwantharam taila or sesame oil) before bath 2–3 times a week. Avoid excess spicy, oily, late-night food – these worsen constipation and sexual weakness.
Yoga: Vajrasana after meals, and Ashwini Mudra (anal contraction–relaxation, 20 times daily).
4. Investigations (to be done if possible): Serum testosterone, LH, FSH Thyroid profile Hb, Vitamin B12, Vitamin D
With this approach, both your digestion and sexual strength will slowly improve. Constipation must be corrected first; once that’s better, medicines like Tentex Forte and Confido will work more effectively.
Warm regards, Dr. Karthika
Yes,you can take both of these…
Hello Sahil, In what does are you taking these? Are you taking these according to a doctor’s prescription or on your own. Generally,it is not advised to take both of these together as confido and tentex forte/royal both are aimed to treat ED.You can take one of these. You can take Liv 52 for Digestive issues.
Yes, Confido + Tentex Forte/Tentex Royal + Liv 52 are usually considered safe together as they are herbal formulations. 👉 But: • Avoid taking Tentex Forte + Tentex Royal at the exact same time, since both are for the same purpose. Use either one. • Confido can be added safely alongside. • Liv 52 is safe and won’t interfere.
4. Additional advice • Give at least 4–6 weeks to judge effect of Ayurvedic/herbal medicines. • Focus on: • Regular exercise (improves testosterone, blood flow). • Sleep 7–8 hrs. • High protein & fibre diet (helps both constipation and stamina). • Reduce alcohol/smoking if applicable. • Stress management (stress worsens ED & PME).
Based on your age, symptoms, and the medications you are considering, here’s some information to help you understand your situation. 1. Finasteride and its potential side effects You mentioned you took Finasteride for 6 months. It’s important to know that Finasteride, which is used for hair loss, is a 5-alpha reductase inhibitor. This can affect hormones like testosterone and dihydrotestosterone (DHT), and some studies have shown a potential link between its use and sexual side effects like erectile dysfunction (ED), low libido, and ejaculatory issues. While many men who experience these side effects find they resolve after stopping the medication, a small subset may have persistent or long-lasting issues. Given that you have stopped Finasteride but are still experiencing symptoms, it’s worth considering that this may be a contributing factor.
2. Confido and Tentex Forte/Tentex Royal
Ayurvedic Formulations: Confido and Tentex Forte/Tentex Royal are Ayurvedic herbal formulations from the same company (Himalaya). They are often used for male sexual health.
Tentex Forte vs. Tentex Royal: While both are intended for male sexual wellness, they have slightly different focuses. Tentex Forte is generally used to enhance libido and overall sexual health, while Tentex Royal is more specifically targeted at improving sexual performance.
3. Liv.52 and its interactions
Liv.52 is an Ayurvedic medication used for liver health and digestive issues. It is generally considered safe when taken as directed.
Interactions: While Liv.52 is not known to have significant adverse interactions with other Ayurvedic products like Tentex Forte or Confido, it’s always important to be cautious. Since you are taking Liv.52 for digestive issues and the other two are for sexual health, the proper timing and dosage to ensure they don’t interfere with each other or with your digestive health goals.
Lifestyle Changes: In addition to any medication, lifestyle changes can be very beneficial for ED and low desire. This includes a healthy diet, regular exercise, managing stress, and getting enough sleep.
Start on Ashwagandha capsule- 1 capsule twice daily after good with lukewarm milk Chitrakadi vati- 1 tab to be chewed twice daily after food Continue liv 52
Yes you can take confido & Tentex forte together If you don’t see results switch to Cap. Ashwashila 1-0-1 after food with water Cap youvanamrit gold 0-0-1 after food with water Apply ashwagandha bala oil ,/ Shilajit oil on penis externally twice daily For digestive problems You can take Tablet Liv-52 For constipation you can add Triphala tablet 0-0-2 at bedtime with warm water.
Yes u can use both
HELLO SAHIL,
Ayurvedic view -ED + LOW DESIRE= often linked to shukra dhatu kshaya (depletion of reproductive tissue) or vata imbalance affecting sexual vigour
-PREMATURE EJACULATION=vata vriddhi (excess vata causing loss of control) + manasika chinta (anxiety)
-CONSTIPATION AND DIGESTION ISSUES= agni dushti (weak digestive fire), vata prakopa
-HAIR LOSS= linked to pitta aggravation + shukra dhatu depletion
So, the approach is agni deepana (Improve digestion), Vata-pitta shaman (balance), shukra dhatu poshana (nourish reproductive tissue), and Manasika shanti (calm mind)
INTERNALLY
1) TENTEX FORTE= okay to continue
2) CONFIDO= useful for performance anxiety and premature ejaculation
AVOID COMBINING tentex forte + Tentex royal (too stimulating, can worsen digestion
ALTERNATIVE OPTIONS
1) KAPIKACCHU CHURNA= 1 tsp in morning with milk =improves sperm quality, sexual vigour
2) SHILAJIT (purified)= 250 mg with water in morning =improves energy, vitality, testosterone support
3) CHYAWANPRASHA= 1 tsp in orning =rasayana, nourishes all dhatus, helps hair/sexual health
4) ASHWAGANDHA CAPSULES= 1 cap in morning and night with milk =rasayana, balances vata, improves libido and Stamina
5) TRIPHALA CHURNA= 1 tspwtih warm water at night fr constipation and detox
6) LIV 52= can continue for digestion
DIET -warm, light, freshly cooked meals -cow’s milk with a pinch of nutmeg or ashwagandha at night -Nuts (almonds soaked overnight, walnuts), ghee, sesame seeds, does -spices that improve digestion :- ginger, cumin, fennel, ajwain
AVOID -excess spicy, oily, junk, cold drinks -too much tea/coffee , alcohol, smoking -late night heavy meals
LIFESTYLE AND VAJIKARAN PRACTICES
DAILY OIL MASSAGE= with sesame oil
REGULAR EXERCISE= yoga + moderate physical activity
SLEEP= maintain regular sleep 10-6 ideal
YOGA AND PRANAYAM -vajrasana, bhujangasana, paschimottanasana, = improve pelvic circulation -Anulom vilom, bhramari, Ashwini mudra= control premature ejaculation, calm mind
STRESS MANAGEMENT - meditation, sattvik lifestyle
PANCHAKARMA (if symptoms persist) -VIRECHANA= for pitta + digestive issues
-BASTI CHIKITSA= for chronic vata disorders (ED, costipation, PE)
-RASAYANA THERAPY post detox for rejuvination of reproduce health
3 MONTH AYURVEDIC REGIMEN
MORNING -warm water + triphala churna 1 tsp soaked overnight for constipation -chyawanprasha 1 tsp -yoga/pranayam
AFTER BREAKFAST -Tentex forte -Ashwagandha capsules
EVENING -condifo for PE/anxiety -Light diet with digestion-friendly spices
NIGHT (before bed) -warm milk + Ashwagandha -gentle oil massage on feet/genitals with sesame oil
Ayurveda works gradually. expect improvement in 3-6 weeks with consistency, but don’t overload with multiple formulation . stick to simple, consistent plan
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANKYOU
DR. MAITRI ACHARYA
Combining Confido and Tentex Forte can be considered for addressing issues like erectile dysfunction (ED) and premature ejaculation (PME), especially if your main concerns involve sexual wellness. Both are ayurvedic formulations from Himalaya, formulated to support male health, yet they work differently. Confido primarily supports stamina and functions by reducing anxiety which can interfere with sexual performance, improving overall sexual health. Tentex Forte, on the other hand, is designed to improve libido and strengthen vitality, mainly through its tonifying and strengthening herbs. Taking them together is often safe, but it’s essential to ensure they are suitable for your specific constitution and the underlying imbalance causing your symptoms.
Tentex Royal is more specialized for directly enhancing sexual performance and could be an alternative, but since you’re already on Tentex Forte, starting Confido in addition could benefit from a broader spectrum. With Tentex Forte and Confido, monitor how your body responds over a few weeks. If symptoms persist or worsen, discontinuing might be necessary.
Given your digestive issues, integrating Liv.52 is a sound choice for supporting liver function, which indirectly aids digestion. Ensure your diet is light and promotes digestion, focusing on warm, cooked meals. Drink water with ginger, which improves Agni, the digestive fire, aiding better assimilation of nutrients and energy. Avoid cold, heavy, and processed foods that could aggravate your symptoms.
Balance is crucial; overuse of any formulation, even an herbal one, might lead to imbalance. Visit a practitioner who might offer a detailed pulse diagnosis to tailor-make a regimen for you. Practice calming techniques like pranayama or yoga daily to center your focus and alleviate stress.
Cont liv 52 Tab ashwasheela 1-0-1 with warm milk
Confido and Tentex Forte can be taken together, but this should be approached with attention to your unique constitution (prakriti) and specific imbalances (vikriti). Both are formulated to help with male sexual health, but excessive or improper use can disrupt your body’s dosha balance. Confido is primarily aimed at addressing premature ejaculation and enhancing sexual drive by harmonizing vata and pitta doshas. Tentex Forte, on the other hand, is more generalized in boosting libido and might support your condition by balancing vata, which is often linked with anxiety-related issues like ED and low desire.
However, considering your current digestive concerns, it’s crucial to ensure your agni, or digestive fire, is strong. Liv 52 should help in supporting liver function and improving digestion, particularly breaking down and absorbing the herbs in Confido and Tentex Forte. An easier digestion reduces excess vata build-up, often a culprit in digestive as well as anxiety syndromes that can indirectly affect sexual health.
It’s important to take these on an empty stomach, preferably 30 minutes before meals for better absorption, but pay attention to any signs of discomfort or reactions. If digestive issues persist or you feel unease, it may be necessary to step back and adjust the dosages, or address the digestive imbalance directly first. Ensure any supplements are completed under supervision, particularly given the complexity of your complaints. If possible, incorporate practices like Tratak Kriya, a yogic gaze practice, to alleviate stressors impacting sexual health. If symptoms worsen or a serious condition emerges, seek immediate professional advice. Remember, consistency and moderation in these remedies play a key role in achieving desired results over time.
HELLO SAHIL,
-ED, low desire, PME-> often linked to vata-pitta imbalance, dhatu kshaya (tissue weakness), and Ojas depletion -Digestive issues, constipation-> weak agni (digestive fire) -> improper nutrition to reproductive tissues -Finasteride sometimes worsens libido/sexual energy due to shukra dhatu depletion
ABOUT MEDICINES
-TENTEX FORTE-> improves erectile function and libido (mainly vajikaran) -CONFIDO-> more for premature ejaculation (reduces anxiety, balances serotonin-dopamine) -TENTEX ROYAL-> stronger aphrodisiac than Tentex forte (for libido/erection)
-CONFIDO + TENTEX FORTE can be safely combied
-If libido is very low, Tentex royal may replace forte (not both at once)
-Liv.52 is fine for digestion/liver support
MANAGEMENT PLAN
1) COMBINATIONS
MORNING= LIV 52 + 1 TENTEX FORTE
EVENING= 1 TENTEX FORTE + 1 CONFIDO
CONTINUE FOR 6-8 WEEKS, monitor progress
OPTIONAL= ADD ASHWAGANDHA CAPSULE= twice daily with milk for strength, stress, and semen quality
2) DIGESTIVE AND CONSTIPATION CARE
-TRIPHALA POWDER= 1 tsp at night with warm water -light, easily digestible meals- khichdi, soups -avoid excess spicy, oily, and junk food
3) LIFESTYLR -Regular exercise/yoga (especially vajrasana, bhujangasana, paschimottanasana) -stress management= meditation, pranayama - anulom vilom, bhramari -proper sleep routine
DIET -milk with little ghee or almond at nght -nuts- almonds, walnuts, seeds- pumpkin, sesame -fresh fruits- pomegrante, dates, figs, bananas
Yes, confide + tentex forte is safe for you. If low libido dominates, switch to tenets royal + confido instead. strengthen digestion with triphala + dietary discipline, and add Ashwagandha for energy and sexual vigor
THANK YOU
DR. HEMANSHU MEHTA
