### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello..I face some sexul problem which is...my penis is not strong and stand when my wife come to my side..bUT..when 1st time of marriage then few days I face this problem then I take a sexul medicine vegorax .just few time ..after that s it s solve...but after 2 yes later ..at present 2 month my penis totally does stand and strong. when sexul time.

### output:

**Thanks for contacting Chat Doctor with your health concern1. As the problem has again resurfaced consult a Urologist for necessary examination and investigation of Reproductive System, till then:i. Start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times. ii. take: milk and milk products, ghee, Mahan, cheese, curd, black grapes, pears, raisins, dates, almonds, walnut, pomegranate, carrot, banana, apricots, musk melon, AMLA, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas, garlic, bottle gourd. iii. Avoid: sour and cold substances, tobacco [in any form], brinjal, tandoori ROTC, red chilies, heavy and food which require long hours to digest, Jagger and its items, deep-fried food. iv. before starting treatment take:. Take trifle churn [3 gm] with lukewarm water before retiring to bed for 15 days. Singly you can use: [after 15 days]:- Ashwagandha: best regarded as adapted with aphrodisiac properties which may be due to testosterone like effects, thus prescription Chat Doctor.  - In Compound form:i. Vigo max capsules [Charge]: 1 capsule daily with breakfast or at bedtime PS. Recent studies indicate Vigo max was effective in restoring sexual function in men with ED of varied etiologies. ii. Tented forte tablets [Himalaya]: 2 tablets twice daily for 3-4 weeks. Treatment may be prolonged depending upon the response.PS. is a non-hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, the antis tress, adapted action of tented forte helps alleviate anxiety associated with sexual desire. iii. Take tablet mental [Himalaya] 2 tab twice a day [since ED is a psychosomatic disorder] thus tranquility of mind is important. iv. perineal exercise [pelvic floor program] is a noninvasive alternative for the treatment of patients with ED by clearing venous occlusion. [will help to achieve full erection afterwards] It also helps to strengthen the muscles and splinters involved in erection and ejaculation. PS. Before prescribing medication especially for ED, the patient should be evaluated for any cardio vascular diseases, thus have an appointment with a Cardiologist for any potential risk of a cardio vascular event, so that Ayurveda medicines/herbs can be incorporated in your daily routine.