Combining Viagra with Duloxetine, a medication that is typically prescribed as an antidepressant and to treat anxiety, can offer a combined solution for men experiencing both erectile dysfunction (ED) and premature ejaculation (PE). Viagra works by improving blood flow to the penis, aiding in achieving an erection, while Duloxetine works by delaying ejaculation by increasing serotonin levels in the brain, which helps in controlling ejaculation reflexes. This combination is particularly beneficial for men who suffer from both conditions simultaneously, as it provides a multifaceted approach to improving sexual performance. This therapy targets both physical and psychological components of sexual dysfunction.