Fildena (sildenafil) can indirectly improve ***** confidence if low confidence is coming from difficulty getting or maintaining an erection. Sildenafil increases blood flow to the ***** and helps produce/maintain an erection when you're *****ly stimulated. N nhs.uk +1 It doesn't directly increase confidence, libido, testosterone, or ***** desire. But having more reliable erections can reduce the fear of “losing the erection,” which may improve performance confidence over time. Performance anxiety itself can contribute to erection problems, so addressing that anxiety can be important too. U Urology Health +1 Important: Fildena is a sildenafil product, and it shouldn't be taken with nitrate heart medicines or certain other medications. Common side effects include headache, flushing, indigestion, dizziness, and visual changes. N nhs.uk If you tell me your age, whether you have erection problems or mainly performance anxiety, and whether you've used Fildena before, I can explain whether sildenafil is likely to help in your situation.