Erectile dysfunction and premature ejaculation can occur due to several reasons such as stress, anxiety, hormonal imbalance, and lifestyle factors. If you have been taking Thunder?M Tablet for a month without improvement, it is advisable to consult a doctor for a proper evaluation, as the cause needs to be identified before choosing the right treatment. Doctors may suggest different medications, counseling for performance anxiety, pelvic floor exercises, or lifestyle changes such as regular exercise, good sleep, reducing alcohol, and quitting smoking. Proper medical guidance is important to find the most effective and safe treatment.