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Dispersible vardenafil, which dissolves in the mouth and is known as Vivanza or Staxyn in some countries, is only licensed and legally available in the UK as Levitra orodispersible. Generic Levitra vardenafil available all strengths. The PDE5 enzyme is involved in the regulation of blood flow in the penis, particularly during erections. By inhibiting the PDE5 enzyme, blood flow to the penis is increased during sexual stimulation. Arousal is still required before Levitra will work. Levitra is also sometimes used as a treatment for premature ejaculation, significantly increasing the duration of sexual intercourse before ejaculation, although Levitra is not licensed in the UK for this use. There are a variety of factors that can lead to erectile dysfunction. Erectile dysfunction can be, but is by no means always, a sign of impaired circulation. In other cases, the cause can be psychological.

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