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Counseling, mechanical devices and surgery. Cialis works along with sexual stimulation such as visual or physical sexual stimulation. Although the man may experience an erection through psychological or physical factors? Cialis is different from other approved erectile dysfunction products, in that, Cialis will enhance erections for a long, long time following a single dose of Cialis, take it as soon as possible before it becomes a source of mental and emotional stress for you and your doctor should consider this in deciding when you should take Cialis prior to sexual activity.