Hi sir I am 38 year old I have ed problem when I am going to do sex I feel stressed thinking that can I do best. In that way my erection goes down and I can't sex my libido going down i'm so stressed please suggest me can start with himalaya confido or tentex royal.

Dr. Rahul GuptaSexologist15yrs exp

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Hello- while lack of libido is sometimes related to hormonal imbalances, it's important to understand the other factors which can lower libido and contribute to erectile dysfunction and premature ejaculation. Two of the most common sexual dysfunctions that affect a large percentage of men are premature ejaculation (pe) and erectile dysfunction (ed). When it gets added by lack of libido the situation get more complicated. The incidence of these conditions have been found to be equitably spread among all socio-economic groups and can affect men of all ages. Most men who have been diagnosed with ed as a primary problem, the secondary concern in most instances is pe, the two are often thought to be mutually inclusive and are always associated with reduced sexual urge. Also because reduced or hampered blood flow, critical to achieve a penetrable erection, to the genital areas is one of the main reason for premature ejaculation and erectile dysfunction, the logic of 'one reason one problem' gets applied. In the last few decades, significant advancements in treatment procedures and options have improved the outlook for these three conditions and the comprehensive treatment is possible with the help of medications.  

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