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Group A: 40 women are given oral estradiol valerate tablets 2mg hourly from the day of the cycle to prepare the endometrium. Group B: 40 women are give sildenafil citrate 25mg vaginally every 6 hours a half of 50 mg tablet is crushed and dissolved in 2cc of distilled water and injected in to vagina starting from day of the cycle, in addition to oral 2mg of estradiol valerat hourly from the day of the menstrual cycle. Estrogen and progesterone prontogest mg pessaries are given 3 days prior to embryo transfer. Sildenafil is discontinued hours prior to the embryo transfe due sildenafil may have some detrimental effects on endometrium in the implantation window. For assessing endometrial vascularity on day 14 of cycle, two dimension power Doppler characteristics as normal quality of color, color gain After 5 days when the endometrial pattern is triple line pattern trilaminar and endometrial thickness is more than 8mm,embryos will be transferred. In case BHCG is tested and proved to be positive, estradiol valerat and progesterone are continueed until the 11th week of pregnancy. Then, four weeks after the embryo transfer, the number of gestational sacs are determined by vaginal ultrasound.

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Manufacturer advises a starting dose of 25 mg with concurrent use of moderate and potent inhibitors of CYP3A4. Manufacturer advises if concurrent use of ritonavir is unavoidable, the max. Manufacturer advises reduce dose to 20 mg twice daily with concurrent use of moderate inhibitors of CYP3A4. Manufacturer advises reduce dose to 20 mg once daily with concurrent use of some potent inhibitors of CYP3A4 avoid viagra 25mg tablet ketoconazole, itraconazole and ritonavir. Manufacturer advises reduce dose to 10 mg twice daily with concurrent use of moderate inhibitors of CYP3A4. Manufacturer advises reduce dose to 10 mg once daily with concurrent use of some potent inhibitors of CYP3A4 avoid with ketoconazole, itraconazole and ritonavir.

Sildenafil is a drug used for the treatment of erectile dysfunction ED in men. Sildenafil 8 x 25mg Tablets - UK Sourced. Continue as a new patient Ordered with us before?

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