Fildena, which contains sildenafil citrate as its active ingredient, is a widely used medication for treating erectile dysfunction (ED). While it does not directly "increase the duration" of sexual intercourse, it can significantly improve a man's ability to maintain and sustain an erection during intimacy, thus indirectly prolonging the duration of sexual activity. How Fildena Works Mechanism of Action: Fildena works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for regulating blood flow in the penis. This leads to relaxation of the smooth muscles and increased blood flow to the penile tissues, allowing the user to achieve and maintain an erection in response to sexual stimulation. Effective Window: Fildena typically starts working within 30 to 60 minutes after consumption and can last for 4 to 6 hours, depending on the individual's metabolism and dosage. Does Fildena Directly Increase the Duration of Intercourse? While Fildena does not act as a "delay" medication to extend time, it enables men to sustain a firm and lasting erection during intimacy. This means that men may experience longer-lasting sexual activity because they are able to maintain their performance without the issue of premature loss of erection. Factors Contributing to the Perceived Increase in Duration Erection Sustained by Fildena: With a strong and steady erection, users can engage in prolonged sexual intercourse without struggling with ED-related interruptions. Reduced Psychological Pressure: ED can cause anxiety or performance-related issues. With the assistance of Fildena, anxiety is often reduced, allowing men to stay confident and focused. Improved Sexual Confidence: Knowing that Fildena is working can increase confidence, leading to a more fulfilling sexual experience. Premature Ejaculation vs. ED It's important to note that premature ejaculation and erectile dysfunction are separate conditions. While Fildena addresses the ability to achieve and maintain an erection, it does not directly treat premature ejaculation, which is the inability to delay ejaculation during sexual activity. If premature ejaculation is a concern, other treatments or medications may be recommended. Fildena itself does not directly increase the duration of sexual intercourse by delaying ejaculation. However, by improving the ability to maintain a strong and sustained erection, Fildena allows men to engage in longer-lasting intimacy and helps address psychological stressors that might otherwise interfere with sexual performance. If concerns about premature ejaculation or prolonged sexual performance persist, consult a healthcare professional to explore additional treatments or therapeutic options.