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With a variety of ED medications available, what is the difference between them all, and what is Generic viagra? Erectile dysfunction, commonly known as ED, is the inability to get and sustain an erection long enough to enjoy intercourse. According to Cleveland Clinic, about 1 in 10 men will experience ED at low cost generic viagra point in their life. While there are a variety of causes of ED, sexual health is complicated and involves hormone levels, emotions, the brain, nerves and blood vessels. But what is Generic Viagra? Although the prices differ significantly, sildenafil and Viagra contain the active ingredient sildenafil citrate, making them the same medication that works the same way in treating ED.