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The primary effect of Malegra is on penile blood flow. In men with erectile dysfunction, the natural process of achieving an erection is impaired due to insufficient blood flow to the penis. Sildenafil citrate corrects this by relaxing the blood vessels and increasing blood flow to the penile tissues, allowing for a firmer and longer-lasting erection. Clinical studies have consistently shown that Malegra is effective in improving erectile function, making it a widely prescribed treatment for this condition.