Suffering from ed since a month. Very rare erections. Last week I had erections. Was able to have sex. But now it went into same abnormality. My tsh is 5.86, testosterone is 308, lh- 1.56, fsh- 1.91, serum prolactin- 7.53. I have been advised nano leo- once daily, cialis 10 mg weekly thrice. But I have been advised to pause for a month as I am under various other medications. I am taking telma ln 40 for bp, thyronorm- 12.75 mcg early morning. Due to my spinal l3/l4 to l5/s1 nerve compression at 3 points I am taking pregabalin-25 mg, methylcobalamin-1, 500 mcg, nortryptityline- 10 mg. Additionally for anxiety I take etitop- 0.5 mg before sleep, other medications include akubon plus which also contains methylcobalamin- 1,500 mcg. Very worried about ed. Spine stenosis under physiotherapy and rest since 3 weeks.