Erectile dysfunction in your case may be related to a combination of hypertension and the medicines used to control it, as both can affect blood flow and nerve function in the penis. Certain blood pressure tablets, especially beta blockers and diuretics, may sometimes contribute to this problem. Stress, anxiety, diabetes, high cholesterol, and hormonal imbalance can also play a role and should be checked. Aswagandhadi Lehyam has limited evidence in treating erectile dysfunction and is unlikely to address the underlying cause. Management typically includes improving lifestyle factors such as regular exercise, a healthy diet, weight control, stopping smoking, reducing alcohol intake, and good sleep, along with optimal blood pressure control. Medicines for erectile dysfunction, such as phosphodiesterase type 5 inhibitors, can be effective but should only be used under medical supervision due to possible interactions with blood pressure drugs. Please consult a doctor or urologist for a proper assessment and a personalised treatment plan.