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The long-term use of Fildena often stems from the desire to maintain a satisfying sexual life. For many men, ED is not a fleeting issue; it can be a chronic condition influenced by factors such as stress, anxiety, age, and underlying health problems like diabetes or heart disease. Using Fildena allows individuals to regain control over their sexual health and improve their overall quality of life. Additionally, psychological factors play a significant role in long-term usage. Men may experience increased confidence and reduced anxiety regarding sexual performance when they know they have an effective treatment option at their disposal. The positive impacts on relationships and intimacy often encourage continued use of the medication.