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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Effective Is Taking Silnafil And Engra ?

I am trying clomid with HCG trigger (NO IUI) but I suffer from thin endometrium lining. Doctor has suggested Silnafil tablets vaginally and Engra thrice a day. 10th day follicles are almost ready but lining is not ready yet I will start this medication on 10th day.Last cycle I ovulated on 13th day. Do I have good chances?
Sat, 8 Feb 2014
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OBGYN 's  Response
Hello
Thanks for writing to us with your health concern.
Silnafil tablets contain sildanefil, which is supposed to dilate the blood vessels that supply the endometrium, thus leading to growth and proliferation of the endometrium.
Emgra or estrogen tablts also stimulate growth of the endometrium.
If the lining grows proportionately, and is atleast 8 - 10 mm by the day of ovulation, you have good chances of conception.
In response to Clomid more than 50 % of women ovulate , and 20 % manage to conceive in the first cycle itself.
If the endometrium fails to grow, please have evaluation for tuberculosis or other infections.
Meanwhile hope your partner's semen analysis is normal.
If 3- 6 cycles of blind clomiphene therapy fail, then you should have a laparoscopy to ascertain if your fallopian tubes are open or not.
Take regular folic acid supplements.
All the best.
Take care.
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How Effective Is Taking Silnafil And Engra ?

Hello Thanks for writing to us with your health concern. Silnafil tablets contain sildanefil, which is supposed to dilate the blood vessels that supply the endometrium, thus leading to growth and proliferation of the endometrium. Emgra or estrogen tablts also stimulate growth of the endometrium. If the lining grows proportionately, and is atleast 8 - 10 mm by the day of ovulation, you have good chances of conception. In response to Clomid more than 50 % of women ovulate , and 20 % manage to conceive in the first cycle itself. If the endometrium fails to grow, please have evaluation for tuberculosis or other infections. Meanwhile hope your partner s semen analysis is normal. If 3- 6 cycles of blind clomiphene therapy fail, then you should have a laparoscopy to ascertain if your fallopian tubes are open or not. Take regular folic acid supplements. All the best. Take care.