Yes, Zhewitra 60 mg (which contains Vardenafil) requires sexual stimulation to work effectively. Like other medications for erectile dysfunction, Zhewitra 60 mg does not spontaneously cause an erection on its own. It is not an aphrodisiac. Zhewitra 60 mg works by enhancing the blood flow to the penis, helping to achieve and maintain an erection during sexual stimulation. Sexual stimulation can be in the form of physical touch, visual stimuli, or mental arousal. Without sexual stimulation, the medication is unlikely to produce the desired effect. It is important to note that individual response to medication may vary. Some individuals may require more or less sexual stimulation to achieve the desired effect. It is recommended to follow the instructions provided by your healthcare provider and communicate openly about your experiences to ensure the best outcome. If you have concerns about the effectiveness of Zhewitra 60 mg or have difficulty achieving or maintaining an erection, it is recommended to consult with your healthcare provider. They can provide guidance, assess your individual situation, and explore potential underlying causes or treatment options that may be appropriate for you.