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Erectile dysfunction Vidalista 20 occurs due to inadequate blood flow to the p*nile tissue. Blood flow can decrease due to any medical condition that affects the reproductive organs or as a side effect of the use of certain medications. And most of the time, psychological conditions affect sexual health. Like Viagra or Cialis, Vidalista acts on the smooth muscle and blood vessels of the p*nis. When s*xually aroused, nitric oxide is released inside the penis. Nitric acid promotes the production of a chemical known as cyclic guanosine monophosphate (cGMP) which controls blood flow to the p*nis by controlling the contraction and dilation of blood vessels. The increased blood flow results in a solid penile erection. An enzyme called phosphodiesterase type 5 then blocks the action of cGMP to stop an erection. The Vidalista 40 tadalafil in Vidalista tablets inhibits the action of the PDE 5 enzyme to prolong erection, thus providing relief from erectile dysfunction.