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Cialis acts by blocking an enzyme that acts as an inhibitor of blood flow. In men, this can cause penile tissue to swell. When a man takes Cialis, there is an increased blood flow to the genitals, thus contributes to erectile dysfunction or impotence in men. The same inhibitor affecting male sexual dysfunction influences of pelvic blood flow in women. The research team attempted to find a link between arousal in men and pelvic blood flow in the early stages of the studies. However, this attempt failed, and some researchers even suggested that genital arousal in women is not necessarily sexual desire in women as it normally does in men. Women may define sexual arousal based on mental and emotional, and biological.