As with any medication, it's essential to use Tadalis SX 20 mg as prescribed by a healthcare provider. If you have any questions or concerns about using Tadalis SX or its effects on sexual performance, it's important to discuss them with your healthcare provider. They can provide personalized recommendations based on your medical history, current health status, and individual needs. Additionally, it's crucial to be aware of potential side effects and drug interactions associated with tadalafil and to seek medical attention if any adverse reactions occur.