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Erectile dysfunction can affect confidence and intimate relationships, making proper medical evaluation important before treatment. Cenforce 200mg is a prescription medicine containing sildenafil citrate that may help improve erectile function by increasing blood flow during sexual stimulation. It is intended for use only under the guidance of a qualified healthcare professional because it is a high-strength dose. Common side effects may include headache, flushing, dizziness, and nasal congestion, and it should not be taken with nitrate medications.