I am 45 year old male, having problem im erection since last 2 years. Had been on otc sildenafil (dosage varying from 25 mg to 75 mg). What shd I do. Does this use of sildenafil would have adverse effect on my health too. My all other tests are normal including sugar & testosterone levels. I have mild hypertension for which I was on medication since last 1 year. I have stopped medication as my bp is normal now. I also take normaxin rt and folic acid for fatty liver. I think I have ed. Due to this I always feel tense. Kindly advise line of treatment and medicines.

Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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Do you suffer from high bp or dm. If so are they under control. Any stress there are exercises a man can carry out to reduce the effects of ed. The best way to treat erectile dysfunction without medication is by strengthening the pelvic floor muscles with kegel exercises. These are often associated with women looking to strengthen their pelvic area during pregnancy, but they can be effective for men looking to regain full function of the penis. Firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of kegel exercises. One kegel exercise consists of tightening and holding these muscles for 5 seconds and then releasing them. Try to do between 10 and 20 repetitions each day. This may not be possible when you first start doing the exercises. However, they should become easier over time. You should be able to notice an improvement after 6 weeks. Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. Instead, bring the muscles together in a squeezing motion. Aerobic exercise, such a jog or even a brisk walk, can also help the blood to circulate better and can help improve ed in men who have circulation issues.  

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