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Treatment for erectile dysfunction
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Sexual Health & Disorders
Question #23085
4 days ago
120

Treatment for erectile dysfunction - #23085

Papu Hazarika

I’ve been having some difficulty with erections for the last few months. It’s affecting my confidence and relationship. I’m not sure what’s causing it, but I’d like to understand what’s going on and if there’s something we can do about it.” Along with erection problems, I’ve noticed that my penis seems to be shrinking or getting smaller. This is new for me and it's really worrying.

Age: 34
Chronic illnesses: No
300 INR (~3.53 USD)
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Doctors’ responses

In most of cases performance anxiety is responsible for premature ejaculation. Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise. Tab.Neo 2-0-2 Count plus granules 15gms twice with milk. 2-3times sexual pleasure in a week.

0 replies
both concerns are treatable. Causes for your problem can be- 1.Stress or anxiety 2. poor sleep 3.Poor blood circulation 4.may be Excess porn/masturbation habits Lifestyle factors like smoking, alcohol, junk food, lack of exercises. Solution is.. start exercising if you have got wt gain.,start kegal exercises. 1.Ashwagandha -1 tsp powder With warm milk at night. 2.Shilajit resin/capsule 1-0-1 3.Safed Musli - Helps with energy, penile tissue health ½ tsp with honey Penal Massage with kerala bala ashwagandhadi tail. 2- 5mins daily. Calming mind will help aswell Anulom Vilom (5 min) morning + evening calms nervous system. Yoga poses: Vajrasana, Bhujangasana, and Pawanmuktasana improve pelvic blood flow. Avoid- spicy and oily, processed food intake.

0 replies
Dr. Harshita Hyati
I have gained comprehensive clinical experience through my internship and professional duties, which has laid a strong foundation for my medical practice. During my internship, I worked extensively across multiple departments, including casualty, general medicine, general surgery, and obstetrics & gynecology at the Government District Hospital, Gadag. This exposure allowed me to handle a variety of acute and chronic cases, sharpen my clinical assessment skills, and actively participate in patient management under the guidance of senior medical professionals. Following this, I served as a duty doctor at AYUSH Hospital, Gadag Betgeri, where I applied my Ayurvedic knowledge in a clinical setting and contributed to patient care in both outpatient and inpatient departments. I successfully completed 366 days of rigorous internship training at DGM Ayurvedic Medical College and Hospital, Gadag, where I was involved in patient evaluation, diagnosis, and treatment planning under supervision. My time there allowed me to integrate classical Ayurvedic principles with practical patient care while developing a keen understanding of hospital operations and multidisciplinary collaboration. These experiences have enhanced my ability to handle diverse medical conditions confidently while maintaining a patient-centered approach. I am dedicated to continuing my journey as an Ayurvedic practitioner with the same passion and commitment, focusing on delivering quality, evidence-based, and holistic healthcare.
4 days ago
5
Amrita rasayana 1tsp with milk Count plus granules 1tsp Makaradwaja gutika or vati

0 replies
Take Cap Ashwashila 1-0-1 after food with water Divya youvanamrit gold 0-0-1 after food with water Apply Shilajit/ ashwagandha oil on penis twice daily externally.

0 replies
Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
2 days ago
5
HELLO PAPU HAZARIKA, YOUR SYMPTOMS- ERECTILE DYSFUNCTION, REDCUED PENILE SIZE/FIRMNESS NO CHRONIC ILLNESS ROOT CAUSES MAY BE 1)PSYCHOGENIC- PERFORMANCE ANXIETY, STRESS, SHAME, PORN ADDICTION, RELATIONSHIP PRESSURE->MANOVAHA SROTODUSHTI)MIND CHANNELS DISTURBANCE) 2)PHYSIOLOGICAL - WEAK PELVIC FLOOR MUSCLES, POOR CIRCULATION, TESTOSTERONE DROP, EARLY EJACULATION->SHUKRA KSHAYA, MAJJA DHATU KSHAYA 3)LIFESTYLE/METABOLIC- ALCOHOL, SMOKING, HIGH SCREEN TIME, JUNK FOOD, LATE NIGHT SLEEPING->VATA-PITTA AGGRAVATION , OJAS DEPLETION 4)SEDENTARY HABITS- REDUCED PELVIC BLOOD CIRCULATION, FAT DEPOSITION 5)SHRINKAGE- FAT PAD ACCUMULATION ABOVE PENIS, POOR ERECTIONS LEADING TO TISSUE ATROPHY TREATMENT GOAL- 1)RESTORE ERECTILE FUNCTION 2)ENHANCE LIBIDO AND SEXUAL DESIRE 3)REVERSE PENILE SHRINKAGE OR WEAKNESS 4)IMPROVE EJACULATORY CONTROL 5)STRENGTHEN NERVOUS AND REPRODUCTIVE TISSUES 6)REDUCE PSYCHOLOGICAL BARRIERS 7)REBUILD CONFIDENCE AND RELATIONSHIP INTIMACY 8)PREVENT RECURRENCE #INTERNAL MEDICINES TO START FOR 1 MONTH 1)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK TWICE DAILY IN MORNING AND AT BEDTIME= BOOSTS TESTOSTERONE , REDUCES STRESS 2)SHILAJIT CAPSULE- 500MG 1 CAPSULE ONCE DAILY IN MORNING WITH MILK= IMPROVES STAMINA, SEXUAL ENERGY 3)KAUNCH BEEJ CHURNA- 3 GM TWICE DAILY WITH WATER= ENHANCES LIBIDO , IMPROVES SPERM QUALITY 4)VRIHAT VATACHINTAMANI RAS- 125 MG WITH HONEY AT BEDTIME= NERVE REJUVINATOR 5)YOHIMBINE- 125 MG WITH HONEY AFTER DINNER= ENHANCE QUALITY USE COMBINATION OF ASHWAGANDHA+KAUNCH BEEJA+SHATAVARI+VIDARIKAND=MIXED IN EQUAL PARTS(5GM), TAKE TWICE DAILY WITH WARM MILK #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 REPS*3 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 4-8 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, DR.HEMANSHU MEHTA

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Thank you for reaching out this platform and trusting with your health journey What you’re going through, is more common then most people realise and it is completely understandable to feel concerned. According to Ayurvedic point of view, symptoms may reflect an imbalance in VATA Dosha and depletion of shukra dhatu often caused by mental stress, overthinking, irregular sleep weekend digestion or excessive PAST indulgence The feeling of shrinkage can result from RASANMAMSADHATU nourishment and poor blood flow, but this is reversible with focused Care. You can start on. Ashwagandha churna- 1/2 with warm milk at night Shilajit sat -one drop with warm milk at night Gokahuradi guggulu- One tablet twice daily after food with warm water The above herbs restore vitality, improve action and rebuild confidence I would like to know more about your sleep stress, bowel habits and energy levels so that together we can plan a holistic treatment to strengthen your body and restore balance

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Hello Papu Hazarika " NO NEED TO WORRY " " I WILL HELP YOU TO RECOVER WITH ERECTIL DYSFUNCTION SAFELY EFFECTIVELY PERMENANTLY " " I can understand ur concern and anxiousness regarding Weak Erection and it's affecting ur Sexual life and Relationship" "I Must Appreciate u for Choosing Ayurveda for Natural Safe cure to solve ur Problem " UR ISSUES * Erectile Dysfunction ( ED ) * Improper Weak Erection Unsustainable not Getting Stronger Erection * To Boost Sexual Desire & Libido * Affecting Confidence * Affecting Relationship * Performance Anxiety * Penis Seems Smaller Shrinking MAIN CAUSE * Testosterone Fluctuations * Improper Penile Blood Flow * Penis Muscle & Pelvic Floor Weakness * Penile Nerve Weakness * Psychogenic Complex - Gulit Fear Negativity Performance Anxiety Overconciousness Unnecessary Negative thought * Relationship issues Misunderstandings * Nutritional Deficiencies * Addictions Smoke Alcohol Tobacco Pornography Over Mastrubation PROBABLE CAUSE Ageing Testosterone Fluctuations, Hormonal issues ,Improper Penile Blood Flow, Neuromuscular Weakness, Nutritional Issues, Pelvic Floor weakness, Performance Anxiety Psychosexual Stress, Overconciousness on Erection, Sedentary Lifestyle, Overweight Obesity, Relationship Issues , Addictions,Few Medications Antacids Antidepressants Secondary Helath issues like BP Sugar Fluctuations Over Mastrubation Relationship Issues Addictions Smoke Alcohol Tobacco etc AYURVEDIC APPROACH * Ling Shaithilya - Weak Erection Unfirm Erection Size shrinking * Kalibya - Erectile Dysfunction * Dhatukshay - Penile Weak Physiology TREATMENT AIM * Strengthen Penile Muscle Nerves * Improve Penile Blood Circulation * Strengthen Pelvic Floor * Improving Testosterone Levels * Positive Mind Set Up * Semen Rejuvenation * Managing Psychosexual Stress and * Building a Good Psychosexual Relationship with Partner * Sedentary Lifestyle Lack Physical Activities metabolic issues * Sustainable Erection & Non Recurrence treatment AYURVEDIC TREATMENT "NOTE - TAKING MEDICINE ONLY IS NOT ENOUGH TO SOLVE THIS PROBLEMS " "I RECOMMEND COMBINATION OF FOLLOWING THERAPY " " Identify Cause Behind ED + Ayurvedic Medicine + Specialized Exercises for ED + Sexual Position Modifications + Instructions to Follow During Sexual Activity + Mindset Prepartion Before Sex + Lifestyle Modifications+ Stress Management " VERY IMPORTANT NOTE TO UNDERSTAND BEFORE STARTING TREATMENT * As Ayurveda Aims Improving Natural Erection and Timings.Don't Expect this medicine acts Instant Like Viagra ( Which Helps Temporary with Dangerous Side Effects * Keep Maximum Patience while taking Ayurvedic Treatment,u feel improvement week by week * Ayurvedic Medicines Take Time to Improve But they improve conditions without side effects) * Few Brands Labelled Ayurvedic Adulterated with Viagra so Don't ever take Any Sexual Ayurvedic Medicine without Consent of Doctors especially when u r Old Age " • HELPFUL AYURVEDIC MEDICINES IN MY CLINICAL PRACTICE U MUST TRY ( Erection improves desire safely in Just 15 Days ) FOR ERECTILE DYSFUNCTION RELATED NEUROMUSCULAR WEAKNESS * Tab.Shilapravang Special ( Dhootapapeahwar Pharma) 1-0-1 After Food TO IMPROVE PENILE NERVE BLOOD FLOW & BLOOD VESSELS WEAKNESS * Cap.Men's Drive ( Bioqem Pharma) 1-0-1 After Food TESTOSTERONE BOOSTER & NERVE ISSUES * Cap.Ashwamed ( Bal Pharma) 1 -0- 1 After Food FOR SEMEN VOLUME LIBIDO DESIRE REGAIN LOST SEXUAL ENERGY * Dhatupoustik Churna ( Baidyanth Pharma) 5 Grams -0- 5 Grams After Food Preferably with 1 Glass of Luke Warm Milk FOR INCREASE MUSCLE NERVE BLOOD FLOW LOCAL EFFECTS * Masti Oil ( Vyas Pharma) 15 Drops For Penile Application 30 min Before FOR PENILE GROWTH TONNING * Lingvardhak Taila ( AVP Pharma) For Daily Night Whole Penile Application followed by Mild Massage & wash after 1 hour .U can do twice a Day Also before bath and Night POSITIVE MILD SET UP BEFORE SEXUAL ACTIVITY HELPFUL IN PSYCHOGENIC ERECTILE DISFUNCTION ALSO • Go With Confidence and Positive Approach.Back Urself • Don't Be Overanxious Overexcited Tensed during initially • Always Prefer Slow Steady Rhythmics Sexual Activity • Don't Be Hurried initially during sexual activities • Enjoy Foreplay & Extend Foreplay to get Full Arousal.Without Arousal Erection won't be harder • Be In Comfortable Position Place for Sexual Activity • Have Strong Emotional Connection with Partner and Have Mutual Understandings • Have Good Communication and Understanding with Partner so Sex Becomes Easy Comfortable • Use desensitizing sprays or Oil to Mask Over sensation if Foreskin in Hypersensitive • Find Appropriate Sexual Position in which feel more comfortable and get Good Erection and timings • Avoid Over Mastrubation & Pornography Addictions SPECIAL EXERCISES FOR PME Please Open This You Tube Link How to do those 1 ) Kegel's Exercises Step 1 Focus:- On Muscle of Perineum area between anus and Scrotum Step 2 Tighten: Tighten your pelvic floor muscles for 3-5 seconds. Step 3 Relax: Then, relax them for 3-5 seconds. Step 4 Repeat: Repeat this cycle 10-20 times. 2 ) Pelvic floor Exercises a) Pelvic Bridge Pose ( Thrust Exercise) Ups - All 10 Rounds Step 1 :- Lie Down on Back Step 2 :- Bend Ur Knees Step 3 :- Flaten ur Feet Step 4 :-Raise ur Hip Upwards and Squeeze Buttock and Hold it tight Step 5 :- Hold For 10 Secs and Release Again Hold likewise Step 6 : - Repeat 5 Sets b) Squats , Pelvic Tilts Push - 10 Rounds BEHAVIORAL TECHNIQUES FOR ED 1.Start Stop Method When feeling the urge to ejaculate, stop sexual activity and allow arousal to subside before resuming. Then Start Again Erection and Sexual Activity Likewise 2.Squeeze Technique As the urge to ejaculate intensifies, the partner can apply gentle pressure on Base of Penis to the penis to help delay ejaculation. SPECIAL PREFERRED SEXUAL POSITIONS FOR ED PME 1) Missionary Sex Position 2) Cowgirl & Modified Cow Girl Sex Position 3) Left Lateral Sleeping Side way position 4 ) Spooning Sex Position 5 ) Side by Side Sex Position 6) Cross Lotus Sex Position YOGA FOR ED PME Dhanurasan - (5 Rounds) Paschimottanasan ( 5 Rounds) Surya Namaskar ( 10 Rounds) Ardha matsyendriyasan ( 5 Rounds) Mool Bandh ( 5 Rounds) Ashwini Mudra ( 5 Rounds) ANTISTRESS REGIME Dhayn Meditation Positive Sexual Mid Set Up DO'S - Plenty of Water Fluids Juices intake Approximately 3 Liters Per Day All Alkaline Highly Nutritious Healthy Leafy Vegetables Fruits salads sprouts Fibers Soaked Dry Fruits Milk products Amla Flaxseed Pumpkin seeds Sunflower Seeds Soaked Almonds Anjir Dates Moringa Drumstick Methi Spinach Aloe Vera Beet Carrot Juice Apple Pomegranate Watermelon Juices to take DON'TS - Too Acidic Spicy Salty Sour Masala Fast Juck Foods Bakery Non Veg Heavy Sun Heat Exposure Late Night Sleeps Carbonated Beverages Excessive Tea Coffee Packed Canned Processed Sweets Stress Avoid Soda Vinegar Pickles Fermented Foods LIFESTYLE MODIFICATIONS Rest Good Sleep Lifestyle Physical Activities Timely Food Intakes Sleep Early Wake Early Avoid Sedentary Lifestyle ANTISTRESS REGIME Dhyan Meditation Positive Mind Set Up REGARDS Dr Arun Desai GOD BLESS YOU 😊🙏 If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here

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HELLO PAPU HAZARIKA, Thank you for sharing this, and its completely understandable that you are feeling concerned. Erectile Dysfunction(ED) and perceived penile shrinkage can be distressing, especially when they affect self-esteem and relationships. #POSSIBLE CAUSES WITHOUT CHRONIC ILLNESS 1)PSYCHOLOGICAL FACTORS- stress, anxiety, depression, relationship tension, performance pressure 2)LIFESTYLE ISSUES- poor sleep, excessive alcohol, smoking, lack of exercise or obesity, porn-induced desensitisation. 3)HORMONAL IMBALANCE-low testosterone, thyroid isses 4)REDUCED BLOOD FLOW- early vascular insufficiency 5)PENILE SHRINKAGE- often related to poor circulation or lack of regular erections-erectile tissue needs regular blood flow -psychological perception - penis appears smaller when flaccid due to stress or anxiety #RECOMMENDED INVESTIGATIONS -serum testosterone-free/total -thyroid profile-tsh,t3,t4 -fasting blood sugar, lipid profile -vitamin d and b12 -pelvic ultrasound- if shrinkage persists AYURVEDIC VIEW AND TREATMENT PLAN -according to Ayurveda, your condition is likely related to shukra dhatu kshaya, vata imbalance, and possible manovaha srotas ducti-mind body channel disturbance #LIFESTYLE AND DIET -SLEEP- aim for 7-8 hours, avoid late nights -EXERCISE-brisk walk or surya namaskar daily -YOGA- vajrasana, Ashwini mudra, sarvangasana and PRANAYAM- especially anulom-vilom and bhramari #DIET -warm,nourishing food like ghee, milk especially shatavari+ashwagandha milk -avoid excessive spicy, dry or fast food -include dates, almonds(soaked), sesame seeds, and pumpkin seeds -stay hydrated #INTERNALLY START THIS 1)ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime 2)SHILAJIT CAPSULE- 500mg morning empty stomach 3)KAPIKACHHU CHURNA- 3gm with honey+milk at night 4)SAFED MUSLI CHURNA- 3 gm with milk after dinner 5)VRIHANI VATI- 1tab after dinner 6_CHYAWANPRASHA- 1tsp morning with milk #MENTAL AND EMOTIONAL SUPPORT -practice mindfullness meditation to manage stress -avoid overstimulation too much porn, masturbation, as it can desensitise natural arousal continue this for 3 months with kegel exercises and moola bandha for better resuts as you are young and healthy it is reversible so follow consistently THANK YOU DR. MAITRI ACHARYA

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