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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909971PMC
http://dx.doi.org/10.36660/abc.20200631DOI Listing

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Background: A study of topical Sildenafil Cream 3.6% was completed among healthy premenopausal women with female sexual arousal disorder.

Aims: To compare efficacy endpoints based on product use in pre-planned and post-hoc subsets of age, race, and medication use.

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Article Synopsis
  • The study investigates the potential effectiveness of sildenafil in treating primary coronary slow flow phenomenon (CSFP), which can cause severe cardiovascular issues including chest pain and sudden death.
  • A 12-week pilot study involved 20 patients who were randomly assigned to receive either 50 mg of sildenafil or a placebo, measuring improvements in angina severity, exercise capacity, and overall heart function.
  • Results showed significant improvements in the sildenafil group, with all patients becoming asymptomatic during exercise and notable increases in functional capacity compared to the placebo group, suggesting sildenafil may be a promising treatment for CSFP.
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Background: There are currently no Food and Drug Administration-approved treatments for female sexual arousal disorder (FSAD), which is physiologically analogous to male erectile dysfunction.

Aims: The study sought to test the systemic and local genital safety of topical sildenafil cream, 3.6% (sildenafil cream) among healthy premenopausal women with FSAD and their sexual partners over a 12-week treatment period.

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Objective: Severe early-onset fetal growth restriction (FGR) causes stillbirth, neonatal death and neurodevelopmental impairment. Poor maternal spiral artery remodelling maintains vasoactive responsiveness but is susceptible to treatment with sildenafil, a phosphodiesterase type 5 (PDE5) inhibitor, which may improve perinatal outcomes.

Design: Superiority, double-blind randomised controlled trial.

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Aims: Phosphodiesterase 5 inhibitors (PDE5i), which are widely used for the treatment of erectile dysfunction (ED), have been found to exhibit systemic vascular benefits by improving endothelial function. In this context, we sought to evaluate the effects of PDE5i on long-term cardiovascular outcomes and mortality.

Methods And Results: A comprehensive search of electronic databases was conducted up to 30 May 2023.

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