Seeking Treatment for Erectile Dysfunction - #48291
For a male aged 55 years, I'm experiencing issues with erectile dysfunction. Though the interest in sex is still high, I have an issue with erectile dysfunction. Over the years, I have excessively masturbated since younger days, but I also do realise that during masturbation, I now do not get the erection as strong as it used to be earlier. Please recommend me a course of treatment to address this issue.
How long have you been experiencing erectile dysfunction?:
- 1-6 monthsDo you notice any specific triggers that worsen your condition?:
- StressWhat is your overall health status?:
- Good, minor health issuesDoctor-recommended remedies for this condition


Doctors' responses
Hello Jeff,
What you are experiencing is very common around your age and it does not mean permanent damage or loss of masculinity The most important positive sign is that your interest in sex is still present This shows that the desire mechanism is intact and the issue is mainly related to erection quality and response
From an ayurvedic view,erection depends on proper functioning of nerves blood circulation mental relaxation and the strength of shukra dhatu… Over years excessive masturbation especially when linked with stress anxiety or compulsive patterns can weaken the nervous response and sensitivity… This does not destroy the system but it makes the response slower and less firm over time… When this is combined with age,related changes,stress and performance pressure the erection becomes inconsistent…
The fact that erection strength has reduced even during masturbation suggests that this is not only situational but a functional imbalance… Stress plays a strong role because erection happens only when the body is relaxed… When the mind is tense the body remains in a fight mode and the signals required for erection do not flow properly… This is why men with strong desire may struggle with firmness…
At this stage the focus should not be on quick stimulants or aggressive medicines… The goal is to nourish the nerves restore pelvic circulation calm the mind and rebuild confidence…
Medicines that strengthen shukra majja and help balance vata work slowly at the root level when taken consistently Along with medicines lifestyle correction plays an important role…
Reducing masturbation frequency naturally without force or guilt allows the nervous system to recover… Avoiding pornography is important because it overstimulates the brain and reduces natural arousal response… Regular physical activity like walking stretching and mild strength work improves pelvic blood flow…
Diet has a strong influence Warm nourishing foods adequate protein healthy fats and good quality sleep support recovery…
Late nights alcohol smoking and excess spicy or dry foods should be avoided…
It is important to rule out silent contributors like blood sugar cholesterol hormone levels and blood pressure… This is not because something serious is expected but because even a mild imbalance can affect erection quality…
The key is patience consistency and removing fear from the mind…
1.Siddha Makardhwaja rasa 1 tab twice daily with honey 2.Ashwagandha churna 1 tsp twice daily with warm milk after meals 3.Musli pak 1 tsp twice daily with water after meals 4.Vanari gutika 2 tab thrice daily with water after meals 5.Bala taila- massage gently on penis once daily
Diet: - Favor milk, ghee, almonds, dates, figs, pumpkin seeds, and fresh fruits. - Avoid excess spicy, oily, fried foods, alcohol, and smoking.
Routine: - Sleep by 10 pm; avoid late nights. - Practice yoga (Bhujangasana, Vajrasana, Shavasana) and pranayama (Anulom-Vilom, Bhramari) to calm stress.
Mind & Stress: - Meditation, chanting, or journaling to reduce anxiety. - Reduce excessive masturbation — conserve Ojas for natural rejuvenation.
Warm Regards DR. ANJALI SEHRAWAT
Hello Jeff, Start with Cap. Ashwashila 1-0-1 after food with water Youvan gold 1-0-1 before food with warm milk. Apply ashwagandha bala oil on penis externally twice daily. Have early dinner. Remain relaxed and stress free.
AT THE AGE OF FIFTY FIVE WHEN SEXUAL DESIRE IS PRESENT BUT ERECTION QUALITY HAS REDUCED BOTH DURING INTERCOURSE AND MASTURBATION IT INDICATES FUNCTIONAL WEAKNESS RATHER THAN IRREVERSIBLE DAMAGE THIS IS VERY IMPORTANT FOR YOU TO UNDERSTAND THE BODY IS STILL WILLING BUT THE SUPPORT SYSTEM OF SHUKRA DHATU NERVES AND BLOOD FLOW HAS BECOME WEAK OVER TIME STRESS AGEING AND YEARS OF EXCESSIVE EJACULATION CAN ALL CONTRIBUTE TO THIS STATE
FROM AN AYURVEDIC POINT OF VIEW THIS IS SHUKRA DHATU KSHAYA WITH VATA PREDOMINANCE AND MILD OJAS DEPLETION THIS CONDITION IS REVERSIBLE BUT IT CANNOT BE FIXED QUICKLY OR FORCEFULLY IT REQUIRES REBUILDING AND STABILISATION
I WANT YOU TO STOP TESTING YOUR ERECTION FREQUENTLY THROUGH MASTURBATION OR MENTAL CHECKING THIS ITSELF CREATES PERFORMANCE PRESSURE AND VATA AGGRAVATION REDUCE MASTURBATION FREQUENCY GRADUALLY DO NOT SUPPRESS BUT DO NOT EXHAUST THE SYSTEM
SLEEP MUST BE A PRIORITY MINIMUM SEVEN HOURS SLEEP BEFORE ELEVEN PM IS EXTREMELY IMPORTANT BECAUSE TESTOSTERONE AND SHUKRA DHATU NOURISHMENT HAPPEN DURING NIGHT SLEEP
STRESS IS A MAJOR TRIGGER IN YOUR CASE DAILY DEEP BREATHING OR PRANAYAMA FOR TEN TO FIFTEEN MINUTES MORNING AND EVENING IS ESSENTIAL WITHOUT THIS MEDICINES WILL NOT WORK PROPERLY
NOW COMING TO MEDICINES WHICH SHOULD BE TAKEN CONSISTENTLY FOR AT LEAST THREE TO SIX MONTHS
ASHWAGANDHA CHURNA ONE TEASPOON TWICE DAILY WITH WARM MILK MORNING AND NIGHT THIS HELPS REDUCE STRESS SUPPORTS NERVE STRENGTH AND IMPROVES SHUKRA DHATU QUALITY
KAPIKACCHU CHURNA HALF TEASPOON TWICE DAILY AFTER FOOD WITH WARM MILK THIS SUPPORTS TESTOSTERONE DOPAMINE BALANCE AND ERECTION QUALITY
SHUDDHA SHILAJIT CAPSULE OR RESIN ONE CAPSULE ONCE DAILY IN THE MORNING WITH WARM WATER OR MILK THIS IMPROVES CELLULAR ENERGY AND BLOOD FLOW TO THE PENILE TISSUES
GOKSHURA CHURNA ONE TEASPOON TWICE DAILY AFTER FOOD WITH WARM WATER THIS SUPPORTS PELVIC CIRCULATION AND URINARY REPRODUCTIVE SYSTEM
IF AVAILABLE SAFED MUSLI CHURNA HALF TEASPOON AT NIGHT WITH WARM MILK FOR STAMINA AND SHUKRA POSHANA
DO NOT COMBINE THESE WITH ANY OVER THE COUNTER SEXUAL STIMULANTS OR QUICK ACTION TONICS AS THEY DISTURB NATURAL RECOVERY
ALONG WITH INTERNAL MEDICINES DAILY ABHYANGA IS VERY IMPORTANT APPLY WARM SESAME OIL OR MAHANARAYAN OIL OVER LOWER BACK THIGHS GROIN REGION AND FEET THREE TO FOUR TIMES A WEEK THIS CALMS VATA AND IMPROVES NERVE SIGNALING
DIET SHOULD SUPPORT SHUKRA DHATU TAKE WARM COOKED FOOD USE GHEE IN SMALL QUANTITY INCLUDE SOAKED ALMONDS DATES OR FIGS IF DIGESTION PERMITS AVOID EXCESS TEA COFFEE ALCOHOL LATE NIGHT HEAVY FOOD AND VERY DRY OR COLD DIET
DAILY PHYSICAL ACTIVITY SUCH AS BRISK WALKING OR LIGHT STRENGTH TRAINING IS IMPORTANT AS IT IMPROVES OVERALL BLOOD CIRCULATION INCLUDING GENITAL BLOOD SUPPLY
IMPROVEMENT WILL BE GRADUAL FIRST YOU MAY NOTICE BETTER SLEEP AND CALMNESS THEN IMPROVEMENT IN MORNING ERECTIONS AND OVER TIME BETTER RIGIDITY AND CONFIDENCE DO NOT JUDGE RESULTS WEEK BY WEEK THIS CONDITION NEEDS PATIENCE AND CONSISTENCY
IT IS ALSO ADVISABLE TO CHECK FASTING BLOOD SUGAR LIPID PROFILE AND SERUM TESTOSTERONE IF NOT DONE RECENTLY AS SOMETIMES ERECTILE WEAKNESS IS THE FIRST SIGN OF INTERNAL METABOLIC IMBALANCE EVEN WHEN OVERALL HEALTH SEEMS GOOD
THIS CONDITION IS COMMON AND TREATABLE WHEN ADDRESSED IN A DISCIPLINED AND SYSTEMATIC WAY
stop 21 days sex use ashwagandha ksm 66 2 tab bd take pulcurd ( avn pharma ) 2 bd before foods take shilajit with milk water take makar dhwaj 0 0 1 at night take livtone 2 bd avoid soicy food take cow ghee 5 ml at empty stomch at night do bramni prayaman 2 times days do nasya with cow ghee 2 drop each nostril 2 times days
Hi At this age this a quite common because for a long time sex and masturbation weakens the nervous system and hamper blood supply so this increase vata to overcome this situation I would recommend to Tab pushpadhanwa rasa-2-BD Tab neo -2 BD Brahmi vati-2 BD Ashwagandha churna 1 tsp at night with milk
Don’t Worry take Shilapravang 1tab bd Makardwaja 1tab bd Musalipak 1tsp with milk Srigopala tail external application
HELLO,
YOU ARE FACING 1. LOW LIBIDO 2. WEAK OR NO ERECTION- INCOMPLETE ERECTION OR DIFFICULTY SUSTAINING IT.
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)NOURISH SHUKRA DHATU-SEMEN AND VITALITY 4)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
Diet and Nutrition 1. Balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. 2. Foods rich in antioxidants: Include foods high in antioxidants like berries, leafy greens, and nuts to help reduce oxidative stress. 3. Omega-3 fatty acids: Find omega-3 rich foods like fatty fish, flaxseeds, and walnuts to support heart health.
Exercise and Physical Activites 1. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, cycling, or swimming, for at least 30 minutes a day. 2. Pelvic floor exercises: Practice Kegel exercises to strengthen pelvic floor muscles.
Stress Management 1. Mindfulness and relaxation: Try techniques like meditation, deep breathing, or yoga to reduce stress and anxiety. 2. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate hormones and reduce stress. 3. Practise yogasan: Molband, setu bandhasan, chakrasan, veer bhadrasan, halasan, gomukhasan.
Other Lifestyle changes 1. Quit smoking 2. Limit alcohol consumption 3. Maintain a healthy weight
💊Medication💊
Cap. Boostex Forte 2 caps twice a day before food. Tab. Kapikachu Ghana Vati 2 tabs twice a day before food. Tab. Khadiradi Vati 2 tabs twice a day before food.
Shilajit Gold gum 1 small spoon (the one that comes in the pack) with one cup of hot milk early in the morning.
Shwet Musli Pak 1 tsp with a cup of hot cow milk in the morning
Hello Jeff, I know how tough and discouraging erectile dysfunction can feel, especially when your sex drive is still strong. The good news? You’re 55, in good health, and this only started recently. That’s actually a great sign. And don’t beat yourself up about past masturbation—trust me, it doesn’t ruin your body or cause lasting harm. What’s going on now is absolutely fixable.
Here’s what you’ve described: - Age: 55 - Main issue: Weak erections, not as firm as before - Sexual desire: Still there - Duration: Only 1–6 months - Trigger: Stress seems to make it worse - Masturbation: Not as strong as before - General health: Pretty good, just minor stuff
All of this points to a stress and age-related change, not permanent nerve damage. That’s important.
Ayurveda’s take:
In Ayurveda, we call this Klaibya—erectile weakness. It’s often linked to Vata imbalances (Apana Vata), reduced nourishment to reproductive tissues (Shukra Dhatu kshaya), and—no surprise—mental stress or anxiety. As we get older, blood flow slows a bit, testosterone dips, and stress can make things worse. But the fact that your desire’s still there and this just started? That means we can turn this around.
Before you jump in, it helps to check a few things: - Fasting blood sugar - Lipid profile - Blood pressure - Testosterone (optional, but helpful)
This just rules out any hidden problems. You can still start treatment while you check.
What we’re aiming for
- Stronger erections, lasting longer - Better blood flow to the penis - Nerves and tissues getting the right support - Less stress, less worrying about performance - More confidence and satisfaction
Ayurvedic treatment plan:
Internal medicines:
1. Ashwagandha Capsules: 500 mg, twice daily after meals. Calms stress, supports testosterone, strengthens nerves.
2. Kapikacchu (Mucuna pruriens): 500 mg, once nightly with warm milk. Boosts erection quality, supports dopamine and testosterone.
3. Safed Musli Capsules: 500 mg, once after dinner. Helps stamina and firmness.
4. Shilajit (only high-quality): 250 mg, mornings with lukewarm milk or water. Improves blood flow, acts as a rejuvenator. Don’t use cheap or fake versions—quality matters.
External therapy:
Abhyanga (gentle massage) of the penis with Ashwagandha or Bala Taila, 5 minutes at night. This boosts local circulation and helps nerve response. No rough or aggressive massage.
Diet and lifestyle:
What to include: - One glass of warm milk at night - 1–2 teaspoons of ghee daily - 5 soaked almonds each day - Dates and figs - Fresh, home-cooked meals
What to avoid: - Too much alcohol (really important) - Smoking - Staying up late - Excessive porn - Overthinking or stressing about performance
Stress and the mind—don’t ignore this: Stress is a huge cause of ED these days. Here’s what really helps: - 10 minutes of deep breathing or Anulom-Vilom every day - Regular sleep schedule - No pressure to perform—just let things happen naturally
Stick with it—consistency is everything.
And a few things to remember: - Masturbation earlier in life hasn’t ruined your nerves - This problem is absolutely treatable and reversible - No need to rely on Viagra for life if you handle this right - Ayurveda really helps when you address both stress and the body
Warm Regards Dr Snehal Vidhate
Diet & Nutrition Follow a well-balanced diet that emphasizes whole, natural, and minimally processed foods such as fresh fruits, vegetables, whole grains, lean protein sources, and healthy fats. Incorporate antioxidant-rich foods including berries, green leafy vegetables, and nuts to help combat oxidative stress. Include good sources of omega-3 fatty acids such as fatty fish, flaxseeds, and walnuts to promote cardiovascular health.
Exercise & Physical Activity Engage in regular moderate-intensity physical activity such as brisk walking, cycling, or swimming for at least 30 minutes daily. Perform pelvic floor strengthening exercises, including Kegel exercises, to improve muscle tone and support. Stress Management Practice mindfulness and relaxation techniques such as meditation, deep breathing exercises, or yoga to manage stress and anxiety. Ensure adequate sleep by aiming for 7–8 hours each night to support hormonal balance and stress reduction. Regularly practice yogasanas such as Moolbandha, Setu Bandhasana, Chakrasana, Veerabhadrasana, Halasana, and Gomukhasana.
Other Lifestyle Modifications Avoid smoking completely. Restrict alcohol intake. Maintain an optimal and healthy body weight.
💊 Medication 💊
Cap. Boostex Forte 2 capsules twice daily before meals. Tab. Kapikachu Ghana Vati: Take 2 tablets twice daily before meals. Tab. Khadiradi Vati 2 tablets twice daily before meals.
Shilajit Gold Gum Take one small spoon (provided in the pack) with one cup of hot milk early in the morning.
Shwet Musli Pak Take 1 teaspoon with one cup of hot cow’s milk in the morning.
Medicines 1 Ashwagandha Lehyam – 10 gm morning + night with warm milk 2 Shilajit resin (pure) – 300–500 mg morning with warm water 3 Tentex Forte – 2 tablets night with warm water 4 Confido – 1 tablet morning + 1 tablet night after food 5 Gokshura capsule – 500 mg twice daily after food
Oil (Daily ) Warm Bala Taila + Sesame oil – gentle massage on lower abdomen & penis 10 min nightly followed by hot towel wrap 5 min (enhances blood flow & reduces sensitivity)
Daily Must-Do Kegel exercises – 50 reps × 3 daily (hold 5–10 sec) – strengthens pelvic floor & control Complete no masturbation/porn for 60–90 days Brisk walk 30–45 min daily Sleep 10 PM – 6 AM strictly
Diet Daily: 4 soaked almonds + 2 dates + banana morning, moong khichdi + ghee, pomegranate Avoid: spicy food, caffeine after 4 PM, junk
Consult urologist for basic check (testosterone, Doppler if needed).
Regards Dr Gursimran Jeet Singh MD Panchakarma

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