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• 06:34, 15 February 2026 AracelisOman171 talk contribs created page As Yet Not Known Details About Generic Cialis 20mg Made Known (Created page with "<br><br><br>When the cGMP is destroyed by another enzyme, phosphodiesterase-5, the blood vessels return to their normal size, blood leaves the penis, and the erection ends. Tadalafil prevents phosphodiesterase-5 from destroying cGMP so that cGMP stays around longer. The persistence of cGMP leads to a more prolonged engorgement of the penis with blood. There are alternatives treatments such as lifestyle changes that can help. Some men find counselling helpful as a means o...")