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Sildenafil citrate, the active ingredient in Cenforce, has been a pivotal factor in the treatment's efficacy against erectile dysfunction (ED). Originally developed by scientists working for Pfizer, this compound was initially intended for the treatment of cardiovascular conditions. However, during clinical trials, sildenafil exhibited a surprising side effect the improvement of erectile function in men. This serendipitous discovery paved the way for a new approach to combating ED, steering the focus of sildenafil citrate toward sexual health and ultimately resulting in the release and success of Viagra.

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