Not getting erection during sexual intercourse - #26199
Hi. My age is 42 years. I am not able to get/maintain erection during sexual intercourse. It helps when I use allopath tablets like modula (10mg) or Tadafill (10mg). These were prescribed by one doctor. But without these tablets it becomes very difficult. The problem has been there for over 5 years. The desire to have sex is also very low. This is impacting my married life (now 8 years of marriage). I feel no strength in my penis. Existing health issue: High triglyceride and cholesterol Smoking : Sometimes (1-2 cigarettes a day). Drinks: Rare (once a month)
Doctors’ responses
HELLO AMIT,
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. SEXUAL FATIGUE- NO ENERGY OR CONFIDENCE AFTER THE ACT OR FEAR OF FAILURE
TAKING ALLOPATH TABLETS= MODULA 10 MG OR TADAFILL 10 MG = WITH MEDICATIONS ERECTION IS PROPER BUT WITHOUT THIS PROBLEM OCCURS
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
#AYURVEDIC UNDERSTANDING YOUR SYMPTOMS ARE CLASSIC OF SHUKRA KSHAYA+ VATA DUSHTI, SPECIFICALLY:- -KLAIBYA=ERECTILE DYSFUNCTION-FROM LOW VITALITY -OJAKSHAYA= LOW ENERGY,FATIGUE,MENTAL STRESS
TREATMENT GOAL 1)IMPROVE ERECTION STRENGTH AND DURATION 2)INCREASE LIBIDO AND CONFIDENCE 3)IMPROVE DESIRE MOOD 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 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 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
DO FOLLOW CONSISTENTLY
DR.MAITRI ACHARYA
Take Cap Ashwashila 1-0-1 after food with water Divya youvanamrit gold 0-0-1 at bedtime with milk Makardwaj vati 1-0-1 after food with water Apply ashwagandha bala oil/ Shilajit oil on penis externally twice daily. Be relaxed, if you are stressed you can take Brahmi vati 0-0-2 at bedtime. Do pranayam daily Kegel exercises daily. Follow up after 45 days
The issue you’re facing with erections and decreased desire for sex can have multiple contributing factors, including stress, lifestyle, diet, and possibly dosha imbalances according to Ayurvedic principles. To address erectile dysfunction (ED) comprehensively, we can consider some personalized Ayurvedic recommendations aimed at balancing your body and enhancing sexual vitality.
Firstly, focusing on your diet is important. Reducing the intake of fatty, oily foods and refined sugars can help manage your lipid profile which in turn may impact erectile function. You should include more whole grains, fresh fruits (especially pomegranates which are known for improving heart health), and vegetables in your daily meals. Try incorporating warming spices like ginger and cinnamon to enhance digestion.
As per Ayurvedic practices, certain herbs have been traditionally used to support male reproductive health. Ashwagandha (Withania somnifera), is known for enhancing energy and reducing stress, and taking it as a powder (5 grams) with warm milk before bedtime can be beneficial. Gokshura (Tribulus terrestris), another herb, is noted to help with libido; you might consider a standardized extract following a practitioner’s guidance.
Addressing lifestyle, reducing smoking is key. Even minimal smoking can impair blood flow and worsen erectile problems. Aim to gradually taper off with support strategies in place. Regular physical activity is critical too; activities like walking, yoga, or moderate aerobic exercises at least 4-5 times a week help with circulation and stress alleviation.
Additionally, practice specific yoga postures like Vajrasana and Padmasana, as they are thought to enhance stamina. Meditation can be a powerful tool to reduce stress and improve mental clarity which positively affects libido.
Monitoring your triglycerides and cholesterol levels through regular check-ups will aid in managing any underlying vascular concerns. However, considering this has been a long-standing issue, regular consultation with both Ayurvedic practitioner and your allopathic doctor is recommended to ensure a comprehensive approach. They’re key in tailoring treatments to meet your specific condition while addressing primary health concerns carefully.
Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Tab.Confido 2-0-2 Tab.Neo 2-0-2 Count plus granules 15gms twice with milk
hello amit, Your concern is completely valid, and you are not alone many men silently experience similar issues, especially when metabolic factors like high cholesterol, high triglycerides, stress, and mild habits like smoking come into play
From an Ayurvedic view, this is a Shukra Kshaya + Vata Vriddhi condition. Over time, your reproductive strength (Shukra Dhatu) has weakened, and Vata (responsible for nerve function, circulation, and erection) has increased • Poor erection maintenance • Low libido or interest • Loss of penile strength or firmness
Your high triglycerides and occasional smoking further block the fine channels (srotas) that carry blood and energy to the reproductive organs. So even though you take tadalafil (a temporary vasodilator), the natural function remains weak without it.But the good news is: this is not permanent, and can be corrected if approached steadily and holistically especially since you’re just 42.
internal medication- (6–8 weeks minimum):
1. Chandraprabha Vati – 2 tablets twice daily after food 2. Shilajit Rasayan Vati – 1 tablet morning and evening with milk 3. Ashwagandha Avaleha (Lehyam) – 1 tsp at bedtime with warm milk 4. Kapikacchu Churna – ¼ tsp with honey and ghee in the morning (helps libido and sperm strength) 5. Gokshuradi Guggulu – 2 tabs twice daily (for urinary and prostate tone)
These build long-term stamina, nerve tone, and hormonal vitality without causing dependency.
Investigations to be Done: If not done in the last 6 months: • Testosterone levels (free and total) • Fasting lipid profile • Liver and kidney function test • Blood sugar (fasting + HbA1c) • Serum prolactin • Thyroid profile
These help rule out underlying causes that silently reduce libido and erectile strength.
Diet & Lifestyle Tips:
Include daily: • Dates (2–3 soaked), black sesame seeds, cow ghee, warm milk with a pinch of nutmeg at bedtime • Garlic sautéed in ghee or roasted 2–3 cloves • Almonds (4 soaked), walnuts (2), 1 tsp soaked fenugreek at night
Avoid: • Smoking (even 1 cigarette reduces nitric oxide → erection strength) • Heavy, oily, cold, or sour food • Night-time screen exposure and stress before sleep
Practice: • Bhramari pranayama, Vajrasana after meals • Pelvic floor strengthening (like Ashwini Mudra)
This is not a reflection of your worth or masculinity. Hormonal and vascular sluggishness happens silently, but with your age and current awareness, recovery is possible. If this has affected intimacy with your partner, gently communicating that you are taking natural efforts can rebuild trust and comfort.
You’re not too late. The body heals when given the right support. If followed well, most people start noticing better morning erections, increased desire, and improved strength within 6–8 weeks.
If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika
Non-Drug Therapy
Counselling
Relaxation
Meditation
Kegel’s exercise for men (pelvic floor exercises)
It takes diligence to identify your pelvic floor muscles and understand how to contract and relax them. Here are some pointers:
Find the right muscles. To identify your pelvic floor muscles, stop urination in midstream or tighten the muscles that keep you from passing gas. These are your pelvic floor muscles. If you contract your pelvic floor muscles while looking in the mirror, the base of your penis will move closer to your abdomen and your testicles will rise.
Perfect your technique. Once you’ve identified your pelvic floor muscles, empty your bladder and lie on your back with your knees bent and apart. Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row but don’t overdo it. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking.
Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
Repeat 3 times a day. Aim for at least three sets of 10 repetitions a
day.
Make Kegel exercises part of your daily routine.
1) Vanari Kalpa-1tsf before food with warm milk
2) Samira Pannaga Rasa-65mg+Musali Churna-1gm+Kapikacchu churna 1 gm+Pippali choorna-500mg+Shuddha Shilajatu-250mg+Vanga bhasma-100mg+Shuddha Kuchala-20mg after food 2 times with ghee and honey
3) srigopala Taila - local massage 2 times
4) Makaradwaja-125mg after food 2 times with ghee and honey
Diet and Lifestyle
Pathya: Light and nutritious diet; carrot, fish, walnut, alomond, dates.
Apathya: Heavy, spicy, fired diet, salt, antacids, smoking, and alcohol.
You can start on Yavanamrita vati- Yauvan a gold capsule One tablet each twice daily after food with warm milk Do kegle exercise
Don’t worry. And start taking1.Ashwagandha choorna 1tsf with lukewarm milk twice in a day. 2.Shilazit gold capsule 1 with milk 3.Kapikacchu beej choorna 1tsf with lukewarm milk at bed time. **Daily Massage your full body with Balaashwagandhadi oil. Follow up after 45 days.
1st should be avoid ciggerate and next remove ur stress and tension use Tab Purnachandradayaras 1tab bd ,musalipak lehya 1tsp with Luke warm water,tab vigorex gold 1tab bd
It sounds like you’re dealing with a combination of physical health and lifestyle factors affecting your sexual vitality. From a Siddha-Ayurvedic perspective, what you’re experiencing may relate to an imbalance in the doshas—specifically an aggravated vata or kapha—which can affect shukra dhatu (reproductive tissue) and ultimately impact libido and erectile function.
First step, consider an ayurvedic approach to address the root causes like lifestyle and diet. Start by incorporating Ashwagandha, a potent adaptogen known to help balance stress and support sexual functioning. Take it as a powder, about 1 teaspoon mixed in warm milk, at night before bed for around 6 weeks.
Tackle vata through regular routine. Go to bed at a consistent time early enough to get proper rest. Practice Abhyanga (self-oil massage) using warm sesame or almond oil, can be calming to the doshas and improve circulation which is vital for erectile strength.
Diet-wise, increase intake of nuts, seeds and healthy fats, especially those high in omega-3 fatty acids to counteract high triglycerides—fish oil supplements could also be helpful.
Avoid cold and dry foods, which can aggravate vata. Instead, opt for warm, nourishing meals. Incorporating spices like ginger and cinnamon can enhance agni and metabolism.
Since smoking can harm circulation, try to reduce or ideally quit smoking entirely as it makes a significant difference. Regular physical activities like walking or yoga can enhance stamina and lower stress, positively effecting sexual health.
If after some months these strategies don’t yield improvement, consider consulting an Ayurvedic practitioner for a personalized plan, or a conventional health check to rule out any serious issues.
HELLO AMIT,
At age 42, -erectile dysfunction
These can happen due to -poor blood flow -nerve damage - hormona decline- testosterone decreases with age -obesity or loss of muscle tone -side effect of medications
Ayurveda sees sexual health as governed by shukra dhatu(reproductive tissue), and dysfunction can be due to imbalance in vata, pitta or kapha especially vata in neuropathy and aging
AYURVEDIC MEDICATIONS
1)ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime =rejuvination, nerve tonic, improves improves strength and libido
2)SHILAJIT RESIN- 500 mg resin once daily with warm water =aphrodisiac, enhances blood flow and energy, antioxidants
3)GOKSHUR CAPSULE- 1 cap twice daily =urinary system support, mild diuretic, improves stamina
4)KAPIKACCHU POWDER- 3-5 gm powder with warm milk twice daily =dpoamine precursor, improves erection and libido
5)SAFED MUSLI POWDER- 5 gm with milk twice daily =aphrodisiac, strength-promoting , improves erectile function
EXTERNAL USE -ASHWAGANDHA BALA TAILA -warm the oil and gently massage lower back, thighs, and lower abdomen daily
DIET -warm, cooked nourishing foods -add ghee, dates, almonds, saffron, milk -avoid cold, dry, spicy, fried food -avoid smoking, alcohol, and heavy night meals
YOGA+PRANAYAM -moola bandha-pelvic floor tightening= 10-15 reps/day -vajrasana, bhujangasana, pavanmuktasana -anulom vilom, bhramari, deep breathing -Do kegel exericses
DO FOLLOW
THANK YOU
DR. HEMANSHU MEHTA
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