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When Sildenafil Citrate, the active component of cenforce 200, is taken into the bloodstream, the tissues and vessel walls in the penile area relax.
PDE5 (phosphodiesterase type 5) is also suppressed along with this. The erection normally breaks down after ejaculation because PDE5 causes the penile blood arteries to open, allowing the blood flow to stop.
PDE5 levels are below average in this instance. This time, the penis develops an erect position and maintains it for three to four hours.