How to treat erectile dysfunction after prostate surgery at age 72? - #54760

Post-prostate surgery ED at 72 is usually vata-kshaya + nerve/vascular weakness. Improvement is possible, but expect gradual results Ashwagandha churna 3 g twice daily with warm milk Kapikacchu churna 3 g at bedtime with milk Shilajit (shuddha) 250 mg twice daily after meals Chandraprabha vati 1 tablet twice daily External: Gentle massage with Ashwagandha taila on lower abdomen & thighs daily Yoga & pranayam Ashwini mudra, Moola bandha Anulom vilom, Bhramari (10–15 min daily) Light walking Diet: Milk, ghee, almonds, dates Avoid alcohol, smoking

Hello, Ayurveda classifies ED under "bala and shukra deficiency’ (weakens , low vitality). internal medications morning(empty stomach) 1)shilajit gold cap- 1 cap with warm milk=it boosts stamina, testosterone, and libido 2)ashwagandha churna- 1 tsp with warm milk half a glass= adaptogen:reduces stress and improves semen quality #after meals(twice daily after lunch and dinner) 3)vrihat vatchintamani ras(plain)- 1 tab with honey= strengthens nerves and improves erection control 4)swarna makshika bhasma- 125 mg with kaunch beej churna-1tsp mix with warm milk= improves sperm retention and stimulates mood #at bedtime 5)yohimbine or atmagupta churna- 1 tsp with milk at bedtime= natural aphrodisiac ,increases dopamine for arousal #external therapy 1)warm oil massage-focused pelvic massage- with shatavari taila or ashwagandhabala taila area- lower back,abdomen,inner thighs, and groin area time- daily or 3-4times/week duration- 15-20 min -always warm the oil before use -use gentle circular strokes over lower abdomen and groin -finish with a warm towel wipe or lukewarm shower 2)localised herbal steam therapy -applied after oil massage -helps in vasodilation-opens blood vessels and enhances erection -very useful. in nerve related ed or weak sensitivity -take a big veseel of hot water with herbs like dashmool,triphala,vacha -cover the lower body with a cloth, let the herbal steam pass on thighs, lower abdomen,buttocks duration= 10-12 min 3)shukra taila- take 2-3 drops and apply over the shaft of penis(no glans), gently massage for 5 min before bed 4)sesame oil with camphor- warm mix 2 drops of camphor oil, apply only on shaft,massage ligtly=daily note - use high quality certified ayurvedic brands like dootpapeshwar, baidyanath, unjha or divya pharmacy products only #semen-nourishing diet-very important eat these daily - cow’s ghee , milk with dry dates or cardamom -white onion juice or garlic milk at night -black sesame seeds, pumpkin seeds, soaked almonds -boiled egg , banana, avocado, figs, dates -herbal tea of safed musli+gokshura+ashwagandha #strictly avoid -fried, sour, over spicy food -excess tea, coffee, cold drinks -smoking, alcohol,porn use,frequent masturbation -late night food or mobile phone use at night now comes the most important part to follow 1)kegel exercises(moola bandha in yoga) purpose- strengthen pelvic floor muscles that support erection and semen control how to do- -sit/lie down and tigthen the muscles you use to stop urine mid stream -hold for 5-10 seconds, then release -repeat 15-20 times, 3 sets daily-morning,afternoon,night advanced- try kegel contractions suring arousal , foreplay, or urination control to strengthen ejaculation delay 2)pelvic thrust exercise(bridge pose) -lie on back, bend knees, feet flat -raise hips upwards while squeezing buttocks and holding core -hold for 10 seconds and release -do 15 reps3 sets 3)yoga asana for sexual strength -bhujangasana=boosts pelvic circulation -paschimittanasana= increases semen quality -vajrasana after meals= improves digestion and shukra dhatu -ashwini mudra(anal lock)=controls premature ejaculation #pranayam-do 10-15 min daily -anulom vilom- nerve balancing -bhramari- calms mind, reduces over excitement -udgeeth- confidence+ojas boosting #emotional and mental balance what you may be facing- -fear of disappointing partner -guilt over past failed experiences -overdependence on porn/artificial triggers -tiredness from lack of sleep/diet what to do -accept it- sexual weakness is reversible , dont panic -talk- emotional intimacy>physical performance -enjoy slow foreplay-don’t rush -practice brahmacharya-based detox- 10-15 days abstinence(no sexual act, no masturbation,no arousal), then slow return -sleep minimum 7 hors daily at night -avoid porn, over masturbation strictly final advice -start this protocol for 8-12 weeks and see visible improvement in 1 week -avoid performance stress -stay natural,grounded, and committed to healing. hope this might be helpful thank you