Let me start by explaining why I began taking Cialis 5mg. I'm 40 years old and work in sales, often staying up late for work and socializing. Half a year ago, I started getting up to urinate three or four times a night, and during the day, I always felt like I couldn't empty my bladder completely. My performance with my wife also noticeably declined—insufficient hardness, sometimes going soft midway. At first, I didn't take it seriously, but later, during a check-up, the doctor suggested I might have an enlarged prostate and recommended seeing a urologist.

I went to the hospital, the doctor asked about my symptoms, and ordered a prostate ultrasound and a uroflowmetry test. The results confirmed benign prostatic hyperplasia (BPH) along with mild to moderate erectile dysfunction (ED). The doctor directly said, "Your situation is best suited for Cialis 5mg, one pill daily. It treats both the prostate and improves erections—killing two birds with one stone." I was quite surprised at the time, as I only knew about Viagra being taken before sex, not about a daily medication.

The doctor prescribed a three-month course, and I picked up the medication from the pharmacy, which was Cialis 5mg from India's Sunrise Pharmaceutical for treating ED and improving BPH symptoms like frequent nighttime urination. It came in a pack of 10 pills, much more affordable than the brand-name version.

First Week: No noticeable effects
I took one pill at 10 PM on the first day, but nothing changed the next morning—I still got up twice to urinate at night. After three consecutive days, I started wondering: Is this medication ineffective? But the doctor said it takes until the fifth day for the blood concentration to stabilize on an empty stomach, so I continued. On the fourth night, I began to notice a slightly stronger urine stream, and nighttime urination reduced to twice.

Significant changes from the fifth day
Around the fifth night, while showering, I noticed more frequent erections with sufficient hardness. I tried it with my wife, and it lasted about 20 minutes from start to finish, whereas before it might have been over in 5 minutes. There was no softening midway, and it felt very firm. Most importantly, I only got up to urinate once that night, and I slept much more soundly.

One month of continuous use
Now, after a full month, I take one pill every night before bed. The effects are stable: I typically get up once or not at all at night, daytime urinary frequency has improved, and I don't need to constantly look for restrooms when out. In terms of erections, I can get hard with just a little stimulation, maintain hardness throughout, and my wife is clearly satisfied. This medication doesn't have that "forced erection" feeling—it feels natural and doesn't affect daily functioning.

Side effects: During the first two weeks, I occasionally experienced mild headaches and muscle aches, about a third of the days, but they weren't severe and eased after drinking water. By the third week, these sensations mostly disappeared. I didn't experience the facial flushing side effect common with Viagra.

Comparison with other products:
I've previously tried Viagra and Priligy (sildenafil + dapoxetine), and the differences are significant:

Disadvantages and inconveniences:
1. It must be taken daily without interruption. If I skip two days, the effects revert to baseline. I missed doses twice during business trips, and that night, nighttime urination increased again, and hardness decreased.
2. It works slowly, unlike Viagra, which kicks in within half an hour of taking it. If I suddenly want to engage in sex without having taken the medication regularly beforehand, it can be awkward. So it's best to take it at a fixed time to form a habit.
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Who it's suitable for and who it's not:
Suitable for: Men with BPH causing frequent nighttime urination combined with ED, or those who dislike taking medication on demand and prefer a natural, long-lasting daily state. Not suitable for: Those taking nitrate heart medications (absolute contraindication), or those with only occasional hardness issues who don't want long-term daily medication—on-demand 20mg might be more flexible. Additionally, if premature ejaculation is severe, Cialis 5mg has no direct effect on it and would need to be combined with dapoxetine.

In summary: Cialis 5mg has been a blessing for me, solving both my prostate issues and improving my sex life. But not everyone needs to take it daily. I recommend getting a confirmed diagnosis from a hospital first and letting the doctor determine if daily therapy is right for you.