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Cenforce 200 mg works by inhibiting the enzyme phosphodiesterase type 5 (PDE5). Normally, PDE5 breaks down cyclic guanosine monophosphate (cGMP), which is responsible for relaxing smooth muscles and dilating blood vessels, thus allowing for increased blood flow to the penis. By blocking PDE5, Sildenafil helps maintain cGMP levels, leading to improved blood flow to the penis and allowing for an erection.