Malegra 120 is most commonly prescribed in regions where generic medications for erectile dysfunction (ED) are widely accepted and used, particularly in countries like India, where it is manufactured. In India, Malegra 120 is frequently prescribed by urologists, general practitioners, and sexual health specialists for men experiencing moderate to severe ED. It is also used in other countries where regulatory standards permit the import or sale of generics not approved by stricter agencies like the U.S. FDA. Some physicians in Latin America, Southeast Asia, and parts of Africa may also prescribe Malegra 120 mg due to its affordability and availability compared to brand-name alternatives. Additionally, online telemedicine platforms that operate internationally may suggest Malegra 120 for patients seeking cost-effective ED treatment. However, in many Western countries, especially the U.S. and EU nations, this medication is not officially prescribed due to regulatory restrictions, even though individuals may access it via international online pharmacies.