Kamagra, like other PDE5 inhibitors (e.g., sildenafil), primarily works by increasing blood flow to the penis to help achieve and maintain an erection. However, it does not directly reduce the need for manual stimulation during sexual activity. Here’s a more detailed explanation: How Kamagra Works: Mechanism: Kamagra enhances blood flow to the penis by inhibiting the enzyme phosphodiesterase type 5 (PDE5), allowing for better erections in response to sexual stimulation. Does Not Eliminate Stimulation: Kamagra does not eliminate the need for physical or mental stimulation. Sexual arousal is still required to trigger the erection. Effect on Manual Stimulation: Increased Effectiveness: While Kamagra helps facilitate erections, it does not replace the need for manual stimulation or other forms of sexual arousal. Complementary Role: It supports the natural process of achieving an erection but doesn’t negate the requirement for physical or emotional stimulation. Kamagra enhances erectile function but does not reduce the need for manual stimulation during sexual activity.