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This is a compounded medication specifically made for you based on a prescription from your licensed physician.
Sildenafil has a vasodilatory effect, meaning that it dilates blood vessels. It works by increasing nitric oxide activity, which increases blood flow. Sildenafil administered vaginally improves uterine blood flow, and in the process causes more estrogen to be delivered to the basal endometrium to increase endometrial thickening.