<s>[INST] Hi Sir I want to get a suggestion . I am feeling the problem of premature ejaculation alOng with erectile dysfunction. One of dictor gave me conium mac agnus castus and laslty selenium. It was taken before 2 years. I found no good relax. As i was facing same problem with my girl friend. I feel a fear and tension when try to have sex with her. So that erection is nil. I never could make her happy. It creat a tension and i feel myself useless. I am married but i rarely face this problem with my wife. I feel good erection with my wife and in maximum cases i make her satisfied. In my 17 years of married life i never had sex with my wife for 5 to 6 years in different gaps. I at that time forcebily prevented my self from sex . Last 3 month i took musli pak with milk. Now it is finished. Since last ten days i am taking R 41 . But even now i am facing erectile problems. Please help me and suggest me . Also tell me if i can use homeo and ayurveda togather. Please save me from this embarrassed situation. My wife always against my opinion and i feel not happy with her. My girl friend always try to make me happy without any greed . I want to love her properly. So pls suggest me medicine for hard erection. And creat desire when she touch me. I want to rejuvenate my sex life Please reply Regards D.lal [/INST] Degree understand your concerns went through your details. I can see you are in a complicated situation which is self-made. You are having selective performance anxiety. You are not truthful to your wife and thereby you are cheating her. Furthermore, you are feeling guilty as well as anxiety about your sexual performance towards your girlfriend. Furthermore, you are having so many medicines for sexual dysfunction. Furthermore, you are worried about sexual performance to the girlfriend and whereas you are good with sex with your wife, and you still say your sexual life is finished. Is it not contradictory? I sincerely advise you not to cheat your wife and stick to her as far is sex is concerned. She is trying to console you because she loves you. Otherwise, you need to undertake psychotherapy sessions to remove this selective performance anxiety. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. </s>