Tadaflo 20 mg contains the active ingredient tadalafil and is used to treat erectile dysfunction (ED) in men. Tadalafil belongs to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors, which work by increasing blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection. As of my last knowledge update in September 2021, tadalafil and other PDE5 inhibitors primarily target the physiological processes related to blood flow and erection, rather than directly affecting natural hormonal processes. Hormonal Balance Tadalafil does not directly interfere with the body's natural hormonal balance. Tadaflo 20 Mg marily affects the blood vessels and blood flow in the genital area to facilitate erections. Sexual Stimulation Tadalafil and similar medications do not cause automatic erections. Sexual stimulation is still required to initiate the biochemical processes that lead to an erection. Hormonal Causes of ED In cases where erectile dysfunction is caused by hormonal imbalances, such as low testosterone levels, addressing the hormonal issue directly might be a more appropriate approach. Consult a Healthcare Provider If you have concerns about the potential effects of Tadaflo 20 mg on hormonal processes or overall health, it's best to consult a healthcare provider. They can provide personalized advice based on your medical history, current health status, and the underlying causes of your ED. It's important to remember that I have information only up until September 2021, and there may have been developments or new research in this area since then. For the most current and accurate information, consulting a qualified healthcare professional is recommended.