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How to treat erectile dysfunction with no sperm production and low vitality in a 58-year-old man experiencing mental stress?
Sexual Health & Disorders
Consultation #56970
23 days ago
77

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
Consultation is closed

Doctors' responses

Dr. Shashank Aggarwal
Bachelor of Ayurvedic Medicine and Surgery
23 days ago
4.99

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.

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Ashwagandha Capsule (60No's) - Kairali60No's
Shilajit Capsules (60 N) - Planet Ayurveda60 N
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3 replies
Client_91f629
Client
19 days ago

Namaste sir.Thank you for your suggestion and advice.The medicines which you mentioned, where it can be found? I will try my best to obey your suggestion and advice in my routine life.If above mentioned medicines available as capsule, kindly mention.Thanking you, good night

Dr. Shashank Aggarwal
Bachelor of Ayurvedic Medicine and Surgery
19 days ago
4.99

Check this if you are satisfied my answer please close the question and select my name and review it…warm regards dr shashank

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Dr. Shashank Aggarwal
Bachelor of Ayurvedic Medicine and Surgery
19 days ago
4.99

take this

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Dr. Harsh Khandelwal
Bachelor of Ayurvedic Medicine and Surgery
23 days ago
5

••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).

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Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
23 days ago
5

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.

13290 answered questions
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Dr. Suraj Amber
Bachelor of Ayurvedic Medicine and Surgery
23 days ago
5

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

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Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
23 days ago
5

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,

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3 replies
Client_91f629
Client
18 days ago

Good morning madam. Thanks for your suggestion and advice. The medicines, which you mentioned kindly inform me where available.

Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
18 days ago
5

You can get this from our website

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Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
18 days ago
5

And if you like my answer kindly close and review my profile that would be very helpful

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Dr. Ajay Singh Panwar
Bachelor of Ayurvedic Medicine and Surgery
23 days ago

Namaste, In your condition, balancing Vata, nourishing the body tissues (Dhatus), managing stress, maintaining a nutritious diet, getting adequate sleep, and practicing regular yoga and pranayama are the most important aspects of treatment. Rather than relying on a single medicine, a comprehensive and holistic approach is more likely to provide better results. 1. Ashwagandha Churna – 5 g (1 teaspoon) twice daily after meals with warm milk. 2. Kaunch Beej Churna – 3 g twice daily after meals with warm milk. 3. Shilajit Resin/Capsule – 250–500 mg twice daily after meals with lukewarm water or milk. 4. Ashwagandharishta – 20 ml with equal quantity of water twice daily after meals. Diet Advice (English): At bedtime: * Take 1 glass of warm milk mixed with 1 teaspoon of Mishri (rock sugar) and 1 teaspoon of cow’s ghee. Patient advice: you may perform Kegel exercises daily. Start with 10 repetitions, 3 times a day, holding each contraction for 5–10 seconds. Regular practice may help improve pelvic floor strength.

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Dr. Nayan Wale
Bachelor of Ayurvedic Medicine and Surgery
23 days ago
5

●Hello. I hear you, and I completely understand how deeply distressing and exhausting it is to deal with this combination of erectile dysfunction, a lack of desire, zero stamina, and no sperm production especially when you are carrying heavy mental stress. At 58, your body is naturally in a phase where Vata dosha (the air and space element) increases, which can dry out the body’s deeper tissues. When you add heavy mental stress to the mix, it burns up your Ojas (your vital energy and immunity) and severely impairs Shukra Dhatu the deepest tissue layer in Ayurveda responsible for fertility, sperm, and sexual vitality. ●The wonderful thing about Ayurveda is that it treats you as a whole person. We aren’t just looking at a local physical issue; we are looking at calming your nervous system while deeply nourishing those depleted tissues. The remedies you mentioned are classic, highly respected Vajikarana (reproductive revitalizing) herbs. Let’s look at how they work together to restore your vitality, and exactly how to prepare and use them safely. ●To address both the physical lack of sperm and the mental stress blocking your desire, these five herbs work beautifully as a synergy: ▪︎▪︎Ashwagandha: This is your foundation for stress and stamina. It acts as a powerful Rasayana (rejuvenator) that calms your nervous system and lowers stress hormones, while simultaneously boosting testosterone and building muscular power. ▪︎▪︎Kaunch Beej (Mucuna Pruriens):This is an exceptional sperm enhancer and revitalizer. Because it naturally contains L-Dopa, it boosts dopamine levels in the brain. This directly triggers a rise in sexual desire and sends the signals your body needs to kickstart sperm production. ▪︎▪︎Gokshur:This herb focuses on the physical mechanics. It clears out any lingering urinary tract issues and purifies the reproductive channels. It contains protodioscin, which significantly improves erectile power, blood flow, and sperm quality. ▪︎▪︎White Musli:Think of this as the ultimate nourisher. It acts as a natural tonic rich in plant steroids and saponins, which directly increase sperm strength, semen volume, and overall physical ability. ▪︎▪︎Vidarikand: This heavy, root-based herb is incredibly nourishing for the reproductive organs. Its natural phytoestrogenic elements act like a deep tissue moisturizer, building up semen volume and enhancing fertility from the inside out. ●Preparation & Daily Dosage To get the maximum potency from these herbs, they need to be prepared and stored correctly: ▪︎▪︎The Preparation: Purchase high-quality, raw forms of these five herbs. Grind each herb separately into a very fine, smooth powder (aiming for a 60–80 mesh consistency). Once they are finely powdered, blend them together thoroughly. ▪︎▪︎Storage: Transfer the combined powder into a clean, completely dry, airtight glass jar or tin container. Keep it in a cool, dark place away from direct sunlight to preserve its medicinal strength. ▪︎▪︎How to Consume: Take 1 teaspoon (about 3 to 5 grams) of this mixed powder. ▪︎▪︎The Method: Mix the powder into a cup of lukewarm milk sweetened with a little organic sugar candy (Mishri). Milk acts as an Anupana a vehicle that carries the heavy nourishing properties of the herbs deep into your reproductive tissues. ▪︎▪︎Timing & Duration:Drink this blend every night at bedtime. Because your tissues are deeply depleted, you must give the body time to rebuild. Take this consistently for at least 3 months to see meaningful changes in your stamina, desire, and fluid production. ● Daily Vitality Massage Since mental stress is a major root cause of your symptoms, a daily external therapy is highly effective for grounding your nervous system and improving local blood circulation. ▪︎▪︎The Routine: Perform a gentle massage twice a day once in the morning after your bath, and once before sleeping. ▪︎▪︎The Oils: Use therapeutic Ayurvedic oils like Bala Ashwagandha oil or Almond oil. ▪︎▪︎How to apply:Warm the oil slightly. Gently massage it onto your lower back, lower abdomen, and the groin area (avoiding the sensitive skin of the organ itself if it causes irritation). Massaging the lower back and feet is incredibly powerful for calming Apana Vayu the specific downward-moving energy that governs erections, stress release, and reproduction. ●Because these herbs are highly potent, heavy, and deeply nourishing, your digestive fire (Agni) needs to be strong enough to digest them. If you experience any heavy stomach, gas, or indigestion, reduce the dose to half a teaspoon until your body adjusts.

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Client_91f629
Client
18 days ago

Good morning SIR.Thanks for your advice and suggestion…Kindly advice me to where available the above mentioned medicines .If the above medicines available as capsule form,it is easy to take.

Dr. Nayan Wale
Bachelor of Ayurvedic Medicine and Surgery
18 days ago
5

On our website only. if you need all this medicines immediately then i will prescribe for you .

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Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
22 days ago
5

At 58 years of age, the body naturally undergoes a phase where Vata Dosha increases, which can naturally decrease physical strength and tissue vitality, you mentioned mental stress and anxiety directly impact the Manovaha Srotas (mind channels), causing a disconnect between desire and physical performance. This combination leads to a lack of stamina and difficulty in achieving erections. 👇👇👇👇👇👇👇👇👇👇 Our line of treatment will focus on Vajikarana (aphrodisiac and rejuvenative therapy) to nourish your reproductive tissues , Rasayana (rejuvenation) to boost overall cellular energy, and Medhya (mind-calming) herbs to reduce stress. 👇👇👇👇👇👇👇👇👇👇👇 1) Ashwagandha Churna+ Shatavari Churna- 3 grams each twice a day with warm cow’s milk, after meals. 2) kapilachhu churna- 3 gm at bedtime with warm milk 3) shilajitwadi vati - 1 tablet once in morning with lukewarm water or milk 4) Amapachak vati - 1 tab twice a day 15 min before lunch and dinner 👇👇👇👇👇👇👇👇👇 Include cow’s ghee, soaked almonds, walnuts, dates, and fresh milk in the daily diet. Avoid excessively spicy, bitter, and dry (Ruksha) foods that aggravate Vata. 👇👇👇👇👇👇👇👇👇 Regular application of warm Tila Taila (Sesame oil) on the body before a bath to ground the nervous system and pacify Vata. 👇👇👇👇👇 Practice 10-15 minutes of Pranayama (Anulom-Vilom) daily to directly lower mental stress and anxiety levels.

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The treatment course was sent to the patient's private messages.


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Client_0a5cw8
12 days ago
very good, informative, detailed explanation and support is amazing. thanks.
very good, informative, detailed explanation and support is amazing. thanks.
Client_0a5cw8
12 days ago
informative, clear and intelligent. one of the best in ask ayurveda. thank you for all the help.
informative, clear and intelligent. one of the best in ask ayurveda. thank you for all the help.