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Cenforce works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which breaks down cGMP (cyclic guanosine monophosphate) in the smooth muscles of the penis. During sexual arousal, nitric oxide is released, stimulating the production of cGMP. This compound causes the muscles in the penis to relax, leading to increased blood flow and an erection. By inhibiting PDE5, Cenforce helps maintain higher levels of cGMP, thus enhancing blood flow to the penis and improving erectile function.