I am 30 years old and married for the last three and half years. I have been trying to conceive for a while now and visited a gynecologist. I got various tests done, including thyroid test, abdominal scan, CT scan, blood picture, sugar tests, etc. All reports were normal. I have given FSH, LSH, PROLACTIN, TSH test again and am expecting the reports.

In the meantime, my doctor has given me a hormonal tablet named Primiwal, which has Sildenafil Citrate and Estradiol Valerate in its composition. I understand that this is Viagra and Estrogen or female hormone. My doctor advised me to this medicine every month from the 3rd to the 9th day of my menstrual cycle.

I would like to know if these hormonal tablets can lead to any side effects or imbalances in the body. I generally suffer from migraine and sometimes anxiety and low blood pressure as well. Will these tablets create any further troubles for me? Can you please share your valuable opinion or advice?


All medications have some side effects, but not all individuals suffer from it. You should check with your doctor if you are likely to experience any of these side effects.

It is difficult to dispense medication or medical advice without having all the comprehensive medical reports and lab results for consultations and talking to the patient in person. Many doubts get cleared when the doctor and the patient interact with each other, one-on-one.

Though you have given a lot of data there is a chance that you might have missed out some crucial information, in the absence of which it will not be possible for me to pass comment about the medicines suggested by your doctor. All medical practitioners evaluate and decide the modality of the treatments based on the patient’s lifestyle, medical history, reports and their own experience. It is ideal that you find a consultant that you are most comfortable with and then let him or her guide you with your family planning endeavors.

My suggestion to you is that when you are trying to become pregnant, follow a healthy lifestyle, which includes a nutritious diet and an active fitness regime. Keep your stress levels under control and discuss your complete medical history with your doctor, especially any ailments like anemia, hypertension, diabetes, epilepsy, etc.

Avoid consumption of alcohol, cigarettes or any unapproved drugs as they might cause certain birth defects in a fetus. And keep trying, without worrying too much, as stress can also affect your chances of conception.

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