Cenforce 200 mg is marketed as a sildenafil-based treatment for erectile dysfunction (ED). Sildenafil belongs to the phosphodiesterase type 5 (PDE5) inhibitor class and works by increasing blood flow to the penis during sexual stimulation. However, physical health factors can strongly influence both erectile function and medication safety. Conditions such as heart disease, high blood pressure, diabetes, obesity, and high cholesterol can contribute to ED by affecting blood vessels and circulation. Kidney or liver problems may also alter how sildenafil is processed and may require individualized medical advice.