Tadalafil for Endometrial Growth in Clomiphene Citrate stimulated cycles in an IUI programma: A pilot study.
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Tadalafil improved endometrial growth and decreased uterine artery resistance index in patients undergoing clomiphene stimulation for IUI, without affecting pulsatility index or estradiol levels.
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Abstract
AIM OF THE STUDY: The objective of this study was to assess the impact of tadalafil on endometrial growth, the uterine artery pulsatility index (PI) and the uterine artery resistance index (RI) in patients under clomiphene ovarian stimulation for intrauterine insemination (IUI). METHODS: This randomized crossover study included 30 patients with a normal endometrium over 53 cycles, and 46 of those cycles in 23 patients were included in the analysis. In group A the patients were under 100 mg clomiphene daily for five days (2-6) and 5 mg tadalafil daily for 7 days (4-10). For Group B (control) the patients only received clomiphene. Measurements of the endometrium, PI, RI and estradiol determinations were taken on cycle days 4, 8 and 10. RESULTS: We observed a better endometrial growth in Group A compared to Group B: 7.5 ± 2.1 mm vs 5.5 ± 1.2 mm, P < 0.0002 and 8.9 ± 1.8 mm vs 6.3 ± 1.8 mm, P < 0.0002 on days 8 and 10, respectively. Additionally, a progressive decrease in the RI was observed in Group A but not in Group B from day 8 (0.77 ± 0.15 vs 0.85 ± 0.18, P = 0.059) to day 10 (0.74 ± 0.20 vs 0.87 ± 0.14, P < 0.017). However, no differences were observed in PI or serum estradiol between Group A and Group B. CONCLUSION: The use of tadalafil improved endometrial growth in patients under clomiphene ovarian stimulation with no significant effect on the uterine artery Pulsatility Index and serum estradiol.
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Cites (3)
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- Vaginal sildenafil (Viagra): a preliminary report of a novel method to improve uterine artery blood flow and endometrial development in patients undergoing IVF 2000
- Treating patients with “thin” endometrium – an ongoing challenge 2014
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SciLite annotations
chemicals 57
tadalafil
clomiphene
diethylcarbamazine citrate
tadalafil
clomiphene
tadalafil
clomiphene
estradiol
estradiol
clomiphene
estradiol
tadalafil
clomiphene
diethylcarbamazine citrate
sildenafil
tadalafil
clomiphene
tadalafil
clomiphene
estradiol
clomiphene
diethylcarbamazine citrate
tadalafil
clomiphene
diethylcarbamazine citrate
tadalafil
estradiol
progesterone
estradiol
estradiol
tadalafil
clomiphene
tadalafil
diethylcarbamazine citrate
estradiol
tadalafil
sildenafil
clomiphene
diethylcarbamazine citrate
tadalafil
clomiphene
diethylcarbamazine citrate
tadalafil
sildenafil
tadalafil
sildenafil
tadalafil
clomiphene
tadalafil
estradiol
tadalafil
clomiphene
diethylcarbamazine citrate
tadalafil
tadalafil
clomiphene
diethylcarbamazine citrate
Source provenance
- openalex
- last seen: 2026-05-10T11:13:13.260719+00:00
- scilite
- last seen: 2026-05-18T04:57:49.680383+00:00
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