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1.  In the past, it was possible for a man to induce an erection by
  injecting himself with something called Phentolamine. This forced
  an erection, but caused health issues due to the manner in which
  the medicine was applied, via a needle. Viagra, however, is a much
  easier way to induce an erection. It comes in a pill form and,
  when taken, releases what is known as sildenafil citrate. This is
  the chemical responsible for creating a lasting erection in men
  with erectile dysfunction. Though the sildenafil citrate flows
  throughout the body, it has been created to target a certain
  enzyme found only in the penis.
2.  This enzyme is phosphodiesterase 5 (PDE5), one of 11 types of
  phosphodiesterase. Pfizer, the company that creates Viagra, was
  able to target PDE5 alone, a breakthrough that allowed Viagra to
  do what it does. PDE5 takes what is called cGMP and breaks it down
  so that is unusable. CGMP is responsible for relaxing the smooth
  muscle in the arterial walls of the penis. When these smooth
  muscles are relaxed, pressurized blood is able to fill the penis,
  which is what causes an erection.

3.  When a man becomes sexually aroused, the brain sends a message
  to special NANC cells in his penis. These cells are responsible
  for creating nitric oxide in the penis. This nitric oxide is what,
  in turn, creates cGMP. It is a normal process that is not affected
  by Viagra, but that does play an important role by giving the body
  something for Viagra to protect.
4.  Men with erectile dysfunction lose a significantly large amount
  of cGMP to the PDE5 enzyme, causing reduced blood flow into the
  penis. The sildenafil citrate produced by Viagra, however, plugs
  the holes in the PDE5 in place of cGMP. This means that the enzyme
  will be busy breaking down sildenafil citrate instead. While this
  is happening, more cGMP will be roaming free, which means the
  smooth muscles of the penis will be more relaxed, and therefore
  there will be an increase in blood flow into the penis.

5.  The increased blood flow into the penis will last as long as the
  sildenafil citrate is present in the body. This lasts about four
  hours for most individuals. For some, however, it could last
  longer, and there have been cases of men having to go to the
  hospital to help get rid of their erection. It is just one of the
  side effects that Viagra can cause, which is why it is important
  to check with your doctor to make sure Viagra is a drug that is
  safe for you to take.
Resources

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MedTV discusses Viagra and ED

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