Two years on standard dose Sildenafil with gradually diminishing returns. My urologist reviewed my complete cardiovascular profile, ran a full assessment, and prescribed Malegra 200mg. He was clear higher dose Sildenafil requires proper medical evaluation first, not self-adjustment. First use at 200mg was the most reliable result I had experienced in over a year. Consistent, strong, fast onset. Three months later the reliability has held completely. If lower doses have stopped delivering consistent results the conversation with your doctor about supervised dose adjustment is worth having.
Last Edited by Nova Lewis on Jul 15, 2026 2:09 AM
