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Oral ED medications work by suppressing an enzyme in the body called PDE5.
When PDE5 is suppressed, blood is able to flow more freely through the body—including to the (you guessed it) penis.
More blood flow to the penis means harder, more satisfying erections once you’re sexually stimulated.
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Source: Feldman, H A et al. “Impotence and its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study.” The Journal of Urology vol. 151,1 (1994): 54-61. The study found a combined prevalence of minimal, moderate, and complete impotence of 52% according to a self-administered sexual activity questionnaire of men between the ages of 40 and 70.
SVP, Head of Urology