I am sorry you are experiencing difficulty with erections. I strongly encourage you to discuss this fully with your primary care doctor
. There are many different causes of erectile dysfunction
, and it is not possible to determine the most appropriate treatment without a thorough evaluation by a physician.
Abnormalities of the blood flow to your penis can cause difficulty with erections. This can occur in peripheral arterial disease or in diabetes, and your doctor should evaluate you to determine if these are possible causes. Many medications, including beta blockers such as metoprolol, can cause difficulty with erections. Testicular abnormalities as well as deficiencies in several hormones can cause erectile dysfunction. In addition, severe anxiety
or depression can lead to erectile dysfunction. Your doctor will need to evaluate you to determine if you need additional blood work or a testicular ultrasound to evaluate your issue.
In general, I do not recommend taking natural or over-the-counter supplements for erectile dysfunction. Such supplements are not tightly regulated by the FDA and can even contain known toxins or supplements other than what they claim. Depending on the evaluation by your doctor, you may require a medication known as a phosphodiesterase inhibitor, such as viagra or cialis. However, you will need to undergo a thorough evaluation by your physician first.