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Endometrial Lining and Viagra

Author/Doctor: 

by Geoffrey Sher, M.D.

In normal and "stimulated” cycles, pre-ovulatory endometrial thickness (uterine lining) and ultrasound appearance is predictive of potential embryo (pregnancy) implantation following In Vitro Fertilization/Embryo Transfer (IVF/ET). It has been shown that with “conventional” IVF/ET (where the woman receives fertility drugs and has her own fresh embryos transferred to her uterus), optimum implantation potential requires that on the day of the hCG trigger the endometrium should measure ≥ 9.0mm and ideally (although less important than thickness) should have a “triple line appearance.”

While some viable pregnancies may occur with a lining of 8-9mm, very few will occur when the endometrium measures <8mm. For some reason that remains unclear at present, this rule of thumb might not apply to third party embryo Recipients (Ovum donation, IVF-Surrogacy) and to women undergoing Frozen Embryo Transfers (FET) (i.e., where the recipient receives estrogen and not gonadotropins, to prepare the uterine lining). Here, a lining measuring ≥8mm on the day that progesterone supplementation is started may be adequate.

A “poor” endometrial lining more commonly occurs when the basal (“germinal”) endometrium, from which the full endometrial layer develops is compromised in its response to estrogen.

A poor endometrial lining can be treated with viagra vaginal suppositories.

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