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Sildenafil citrate for heart disease prevention and treatment. N Engl J Med 2007; 356 : 1623 – 43. 16. Heshka SJ Fung TT C et al. Effects of sildenafil on glucose tolerance and insulin resistance in nondiabetic menopausal women. J Steroid Biochem Mol Biol 2008; 93 : 464 – 71. 17. Zhang HL Li G Zheng J et al. Effect of oral sildenafil citrate on blood pressure and vascular function in healthy volunteers. Am Heart J 2010; 155 : 875 – 81. 18. sildenafil citrate for erectile dysfunction Ligresti A De Berto G Dominguez-Bello JM Cerrudo Effects of an erectile dysfunction therapy on sexual function. J Sex Med 2011; 8 : 2958 – 68. 19. Pascual-Leone A Lipsin P Le T Menendez A et al. Effects of sildenafil on sexual functioning, mood, and erectile dysfunction in men with and without a previous diagnosis of erectile dysfunction. J Sex Med 2012; 10 : 2255 – 8. 20. Pascual-Leone A Lipsin P Le T, et al. Sildenafil (Viagra®) improves sexual parameters in patients with nonprostatic erectile dysfunction without adverse effect on erectile functioning. J Sex Med 2011; 9 : 2576 – 81. 21. Stansfeld S Röder CM P Effects of sildenafil citrate on sexual symptoms and erectile functioning in patients with dysfunction caused by erectile due to diabetes mellitus. Int J Impot Res 2011; 17 : 1445 – 51. 22. Pignatelli A Boggio M Gaviola R et al. Erectile dysfunction due to diabetes mellitus: a double-blind, placebo-controlled trial of sildenafil. J Sex Med 2009; 7 : 1538 – 43. 23. Bohnert R D'Amico A Motta S et al. double-blind, double-dummy study to assess sildenafil's effects in patients with erectile dysfunction due to diabetes mellitus: a report on the first randomized, double-blind, placebo-co