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Objective: To evaluate the effects of vaginally administered sildenafil on endometrial thickness and IVF outcome in a large cohort of infertile women with poor endometrial development. Design: Retrospective cohort analysis. Setting: Private practice setting. Intervention s: Patients underwent IVF using a long GnRH-a protocol with the addition of sildenafil vaginal suppositories 25 mg, 4 times per day for days. Main outcome measure s: Peak endometrial development, pregnancy, and implantation rates.

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