Extra Super Avana is commonly marketed as a combination medicine containing avanafil and dapoxetine, intended to address two male sexual-health conditions: erectile dysfunction (ED) and premature ejaculation (PE). However, formulations and strengths can vary between manufacturers and markets, so checking the product packaging is important. Avanafil belongs to the phosphodiesterase type 5 (PDE5) inhibitor class. It works by increasing blood flow to the penis during sexual stimulation, helping achieve and maintain an erection. It does not directly increase sexual desire or testosterone.