Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
How to treat erectile dysfunction with no sperm production and low vitality in a 58-year-old man experiencing mental stress?
Sexual Health & Disorders
Question #56970
3 hours ago
27

How to treat erectile dysfunction with no sperm production and low vitality in a 58-year-old man experiencing mental stress? - #56970

Client_91f629
$5

Complete Erectyle dysfunction problem with no sperm production and no eager , vitality and stamina.I am 58 years old and mental stress.

How long have you been experiencing erectile dysfunction and low sperm production?:

- More than 1 year

How would you describe the severity of your erectile dysfunction?:

- Inability to achieve erection

Have you noticed any specific triggers that worsen your condition?:

- Stress or anxiety

How is your overall energy and vitality during the day?:

- Very low – I have no energy

What is your current level of mental stress?:

- Moderate – I have some stress

How is your appetite and digestion?:

- Average – I have some issues

Have you sought any treatments for erectile dysfunction before?:

- No, this is my first time
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Namaste. I understand how distressing it can be to experience complete erectile dysfunction, very low vitality, loss of sexual desire, and mental stress, especially when these symptoms have been present for more than a year. The good news is that many men in your age group can experience meaningful improvement when the underlying causes are properly evaluated and treated. However, complete inability to achieve an erection requires a thorough assessment rather than relying on medicines alone. Understanding the Likely Cause At 58 years of age, your symptoms suggest that multiple factors may be contributing: Age-related decline in testosterone and reproductive function Chronic mental stress affecting libido and erectile response Possible diabetes, hypertension, thyroid imbalance, obesity, or vascular disease Reduced nerve and blood supply to the genital organs General decline in energy and tissue nourishment (Ayurvedically, Shukra Dhatu Kshaya and Vata aggravation) The statement of “no sperm production” is significant. If confirmed through semen analysis, it requires proper medical evaluation because hormonal or testicular factors may be involved. Personalized Ayurvedic Management Ashwagandha Churna/Capsules – supports stress reduction, strength, stamina, and nervous system function. Kapikacchu (Mucuna pruriens) – may help libido, vitality, and reproductive health. Shilajit (purified) – traditionally used for energy, fatigue, and male reproductive weakness. Musli Pak or Safed Musli formulations – useful for low vigor and sexual debility. Brahmi or Jatamansi – if mental stress, anxiety, or disturbed sleep are prominent. Dosages should be individualized after reviewing your medical history and current medications. Panchakarma & External Therapies If available, therapies such as: Abhyanga (medicated oil massage) Shirodhara Basti therapy (medicated enemas) can be beneficial in chronic Vata-related weakness, stress, and low vitality. Diet & Lifestyle Include: Warm milk (if tolerated) with a small amount of Ashwagandha or dates Ghee in moderation Almonds, walnuts, black sesame seeds Mung dal, fresh fruits, seasonal vegetables Adequate protein intake Avoid: Smoking and excessive alcohol Late-night sleeping Excessive tea, coffee, and junk food Chronic stress and prolonged sitting Lifestyle: 30–40 minutes of daily walking Gentle yoga and pelvic-floor exercises Regular sleep (7–8 hours) Meditation, pranayama, or relaxation practices for stress control Important Tests Recommended Since you have complete erectile dysfunction and very low energy, I strongly recommend: Testosterone (Total & Free) Blood sugar/HbA1c Lipid profile Thyroid profile Semen analysis (if fertility is a concern) Blood pressure assessment Prognosis Improvement in energy, stress levels, and libido may begin within 6–12 weeks of proper treatment, but long-standing complete erectile dysfunction often requires a combined approach involving lifestyle correction, medical evaluation, and individualized therapy.


0 replies

Namaste Ji, ----Aapki jankari ke anusaar aapko pichhle kaafi samay se ling mein tanav na aana (erectile dysfunction), stamina aur vitality ki kami, sharirik kamzori, mansik tanav aur sperm production se sambandhit samasya hai. ----Is prakaar ki samasyaon ke peeche kai karan ho sakte hain jaise diabetes, high blood pressure, hormone (testosterone) ki kami, thyroid vikaar, hriday rog, mansik tanav ya kuch dawaiyon ke prabhav. Isliye pehle mool karan ka pata lagana avashyak hai. ----Aapke liye salah: 1. Blood Sugar (Fasting/PP), HbA1c, Testosterone Level, Thyroid Profile (TSH), CBC, Vitamin B12 aur Vitamin D ki jaanch karvaen. 2. Roz 30–45 minute walk aur halka vyayam karein. 3. Pranayam, Anulom-Vilom aur meditation dwara tanav kam karne ka prayas karein. 4. Raat mein 7–8 ghante ki puri neend lein. 5. Dhumrapan, tambaaku aur alcohol ka sevan na karein. 6. Santulit aur poshtik aahar ka sevan karein. ----Ayurvedic Support (General): - Ashwagandha Churna 5 gram raat ko doodh ke saath. - Shatavari Churna 3 gram subah-shaam. - Chyawanprash 1chammach subah doodh ke saath. —Yeh samasya aksar uchit chikitsa, jeevan shailee mein sudhar aur mansik tanav kam karne se behtar ho sakti hai. Kripya kisi bhi sexual power medicine ka bina chikitsak salah ke sevan na karein. —Dhanyavaad.


0 replies

Hi Please take these medicines for 25 days then take break for 5 days and then again repeat same treatment for 25 days. These medicines will improve the physical stamina, strength, stress relief, sperm count and quality also. Along with the medicine please follow healthy diet plan and do physical exercise as per possibility


0 replies

••In Ayurveda, the symptoms you are describing—complete erectile dysfunction (Klaibya), lack of desire (Anapatya or loss of Harsha), and diminished volume of semen/sperm (Shukra Kshaya)—at 58 years of age point toward a severe imbalance of Vata Dosha combined with a depletion of Shukra Dhatu (the reproductive tissue). ••To address this effectively, we use a specialized branch of Ayurveda called Vajikarana Chikitsa (Aphrodisiac and Virility Therapy) alongside Rasayana (rejuvenation) to counter age-related decline. ••The Ayurvedic Management Line Treatment must be systematic, focusing first on calming the nervous system (stress reduction) and then deeply nourishing the depleted tissues. 1. Medhya Rasayana (Mind Calm & Stress Reduction) Because stress is a primary blocker here, we must nourish the Majja Dhatu (nervous system) to revive desire (Eager/Harsha). ••Ashwagandha (Withania somnifera): It acts as a powerful adaptogen, lowering cortisol (stress hormone) levels, pacifying Vata, and directly building stamina. ••Tagara (Valeriana wallichii) or Jatamansi: Excellent for calming an overactive, stressed mind, ensuring deep sleep, which is vital for testosterone production. ••2. Shukra Janana & Vardhana (Sperm & Vitality Builders) To address the lack of semen production, stamina, and erectile function, heavy, unctuous (Snigdha) herbs are required to rebuild the tissue. ••Safed Musli (Chlorophytum borivilianum): Highly regarded for improving sperm count, fluid volume, and structural stamina. ••Kapikachhu (Mucuna pruriens): Contains natural L-DOPA. It elevates dopamine levels in the brain, which directly triggers sexual desire (libido) and improves motor control/erectile strength. ••Shatavari & Gokshura: Gokshura (Tribulus terrestris) helps improve blood circulation to the pelvic area by enhancing endothelial nitric oxide, which is essential for correcting erectile dysfunction. ••3. Classical Herbo-Mineral Formulations In clinical practice, raw herbs alone may take longer at age 58. Classical formulations combine herbs with purified minerals for faster transport into the deep tissues: ••Vajrakaran Rasa / Manmathabhra Ras: Classical formulations specifically indicated for complete Klaibya (ED) and low desire. Shilajitwadi Vati or Purified Shilajit: A potent mineral pitch that revitalizes the entire body, clears urinary/reproductive channels, and enhances physical stamina. ••Ashwagandharishta / Kapikachhu Churna: Taken with warm cow’s milk (which acts as an Anupana or vehicle to carry the medicine to Shukra Dhatu).


0 replies

Hello, At 58 years of age, complete erectile dysfunction , no ejaculation/ no sperm porduction, very low libido, poor stamina and mental stress requires attention You are facing 1. Low mood or libido-you start the act but lack excitement or interest. 2. Weak or no erection- incomplete erection or difficulty sustaining it. 3. Premature ejaculation- leaking semen quickly within minutes or before penetration 4. Sexual fatigue- no energy or confidence after the act or fear of failure Probable causes- -psychological stress=performance anxiety,depression,low self image -poor blood flow= lack of nitric oxide to penile tissue -nerve weakness= delayed stimulation and reduced sensation -hormonal imbalance= low testosterone or high prolactine -early ejaculation= often due to sensitive nerves and lack of stamina. #ayurvedic understanding Your symptoms are classic of shukra kshaya+ vata dushti, specifically:- -klaibya=erectile dysfunction-from low vitality -shukra vega= inability to holf ejaculation-fromm weak semen -ojakshaya= low energy,fatigue,mental stress Treatment goal 1)improve erection strength and duration 2)increase libido and confidence 3)control premature ejaculation 4)nourish shukra dhatu-semen and vitality 5)reduce mental stress/anxiety #start taking this medicines for 3months continues 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 Regards,


0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


What to do for persistent joint and back pain after excessive masturbation during teenage years?
How to treat premature ejaculation during intercourse?
What Ayurvedic treatments can help with premature ejaculation at age 43?
How to treat erectile dysfunction and premature ejaculation with Ayurvedic herbs and their dosages?
Is it true that losing semen affects my health and depletes ojas in Ayurveda?
How to increase penis size and firmness for better sexual health?
What to do if my penis feels small and I have trouble with erections after 10 years of masturbation?
What Ayurvedic medicine can help with premature ejaculation and erectile dysfunction I've had for the last 2 years?
What to do if my erection doesn't last long during sex?
What to do if I experience pre-ejaculation and have a smaller penis size for comfortable sex?
What is the best Patanjali medicine for increasing sexual power and is it safe for someone with high cholesterol?
What is the best Ayurvedic treatment for delayed ejaculation without side effects?
What is the treatment for persistent erectile dysfunction and lack of libido?
How to regain energy after stopping masturbation for 3 years?
What to do for a fast-growing pimple on my penis that looks like a fungal infection?
What is the cause of red bumps on the penis that itch and recur after a week of treatment?
How to use Tentex Royal capsules for best benefits?
How to increase the size of my penis after it has shrunk?
How to treat erectile dysfunction and low libido in a 43-year-old man with high triglycerides?
Can I massage oil on my genitals if I have weakness and premature ejaculation from childhood mistakes?
Is it true that penis circumference matters more than length for a 20-year-old?
What is the best home treatment for weakness in the nerves after excessive masturbation?
What to do if I have sticky discharge and difficulty maintaining an erection during sex?
What to do for weakness after early sexual experiences at 14 years old?
What to do if I have premature ejaculation and tightness issues during arousal?
What can I take for penis enlargement and lasting longer during sex?
What to do for vaginal itching, rashes, and burning after periods and ovulation?
How to treat nightfall and weakness at age 19 with excessive sweating and anxiety?
What is the best Ayurvedic medicine for erectile dysfunction, premature ejaculation, diabetes, high cholesterol, constipation, and sleep issues?
What is the best treatment for erectile dysfunction and sensitive skin in a 63-year-old man?
What could be causing numbness and weak erections in a 22-year-old after frequent masturbation?
How long should I continue taking Lycopodium clavatum for optimal results in erectile function?
Can I use Madanakameshwari lehya to restore my declining libido at 69 years old?
What is the best Ayurvedic medicine for premature ejaculation, erectile dysfunction, and low stamina?
Can I use Tentex Royal or Tentex Fort if I consume opium?
Is it safe for me to take makardhwaj ras while on antidepressants and thyroxine?
What is the best oil and capsule for increasing penis size and their prices?
How long before sex should I take Tentex Forte and is it effective?
Can I get Ayurvedic treatment or advice to stop masturbation?
What are the remedies for low libido, weakness, and stress in a 40-year-old?
How to improve stamina during sex if I ejaculate in 2 minutes?
What to do for red rash and small bumps on my penis that haven't improved after 10 days of using Clobetasol Propionate?
How to improve the size of my penis naturally at 24 years old?
What to do for sexual weakness at 43 years old after 15 years of issues?
What to do for severe swelling and pain in the penis with skin issues?
How to recover from weakness and low energy after excessive masturbation at 18?
Can I take Spark Gold capsule for erectile dysfunction at 54 years old?
What to do for erectile dysfunction and premature ejaculation in a diabetic patient?
What to do if I'm experiencing frequent nightfall and anxiety after watching porn?
What to do if my erect size is 5.1 inches but feels small when flaccid?
Can I use fenugreek oil for breast firmness and is it safe for long-term use?
How to use herbs like Ashwagandha and Musli for erectile dysfunction and premature ejaculation?
How to treat sudden erectile dysfunction in a 45-year-old man with stress?
What can I do to relieve back, knee, and head pain after masturbation?
Can I take silajit for sexual satisfaction if I have diabetes and a history of heart surgery?
How to maintain an erection for 30 minutes to 1 hour during intercourse?
What to do for premature ejaculation and low penis size in adults?
How to treat erectile dysfunction and timing issues during intercourse at age 52?
How to stop nightfall after 5 years of masturbation and 8 months of abstaining?
What to do for erectile dysfunction, muscle aches, and frequent burning urination after Ayurvedic treatment?
What is the best Ayurvedic treatment for erectile dysfunction in a 58-year-old man?
What to do for weakness and anxiety during sex and back pain?
What is the best Ayurvedic treatment for premature ejaculation and erectile dysfunction in a 34-year-old male?
How to treat premature ejaculation and fatigue at 30 years old?
How to treat low libido and premature ejaculation effectively?
How to regain energy after stopping masturbation for a week?
What to do if I can't get an erection after using mephentermine and experiencing masturbation issues?
How to improve erectile function and stamina for better sexual performance at 50?
What is the best Patanjali medicine for increasing sexual power and can people with high cholesterol take it?
What can I do for premature ejaculation after 15 years of struggling with it?
How does daily masturbation affect the size of my erection and sexual satisfaction?
Can I use Himcolin gel to regain strength like before and improve my sexual performance?
How to recover from weakness and low vitality after excessive masturbation at 18?
How to treat nightfall issues after excessive masturbation for 18 months?
What to do if I have a small penis size and low stamina with high stress and masturbation habits?
What to do if my wife is not satisfied during sex and experiences discomfort?
Can a 15-year-old boy have sex safely?
How to treat premature ejaculation and erectile dysfunction in a 22-year-old with weakness and laziness?
How to treat low libido and erectile issues in a 30-year-old with high blood pressure?
What to do if my penis is not very strong during sex?
What topical cream can I use for glans penis hypersensitivity after a friction injury?
How to treat erectile dysfunction and premature ejaculation after brain tumor surgery and psychiatric medications?
Why do I keep getting genital itching even after using anti-fungal creams?
Is it safe to use mustard oil, garlic, and cloves for massage if I have been experiencing looseness for a long time?
How to increase the size and thickness of the penis and reduce looseness?
How to treat premature ejaculation and erectile dysfunction to improve stamina and blood flow?
What to do if I have trouble getting an erection after 12 years of masturbation?
How to treat premature ejaculation during sex with my wife?
How to use Tentex Royal capsules for best stamina and are there any side effects?
How to naturally increase breast size without surgery at 24 years old?
Can Ayurveda help with low testosterone symptoms like sparse body hair and erectile issues in a 30-year-old man?
What is causing numbness and weak erections in a 22-year-old after frequent masturbation?
How to retain energy and convert ojas after years of frequent masturbation?
What is Vita ex gold capsule and how can I increase my sex timing and virya?
How to increase penis size and improve sexual timing while taking thyroid medication?
How to treat erectile dysfunction that has lasted for 3-4 years?
How to reduce sexual desire at 41 after having two kids?
Can I use Himcolin gel before sex if my libido is not as strong as before?
How to increase the size of the penis and treat premature ejaculation?
How long should I take Lycopodium clavatum 30C for best results in improving my erection and timing?

Doctors online

Latest reviews

Nova
16 hours ago
Thanks a lot! This answer really cleared things up for me. I appreciate the detailed advice and suggestions on what steps to take next!
Thanks a lot! This answer really cleared things up for me. I appreciate the detailed advice and suggestions on what steps to take next!
David
19 hours ago
Really grateful for the clear explanation and reassurance in your response! Feeling hopeful and ready to follow your advice. Thanks a ton!
Really grateful for the clear explanation and reassurance in your response! Feeling hopeful and ready to follow your advice. Thanks a ton!
Lincoln
22 hours ago
Thank you so much for such a detailed and reassuring answer! Your advice was clear and really helped me understand what’s safe while breastfeeding. Feeling relieved! 😊
Thank you so much for such a detailed and reassuring answer! Your advice was clear and really helped me understand what’s safe while breastfeeding. Feeling relieved! 😊
Madison
2 days ago
Thanks a ton! Your explanation really cleared things up for me. Stopping the both made a difference. Appreciate the smart advice!
Thanks a ton! Your explanation really cleared things up for me. Stopping the both made a difference. Appreciate the smart advice!