Malegra 120 contains sildenafil citrate, a phosphodiesterase type 5 (PDE5) inhibitor used to treat ED by enhancing blood flow to the pill through nitric oxide (NO)–mediated vasodilation. Its influence on fertility and quality has been studied with varying results. Sildenafil primarily acts on vascular smooth muscle and does not directly alter spermatogenesis or hormone levels such as testosterone, luteinizing hormone (LH), or follicle-stimulating hormone (FSH).
Some research suggests that sildenafil may temporarily improve physical motility and the ability of pill to penetrate cervical mucus due to improved testicular and accessory gland perfusion. This could enhance fertility in men with ed related infertility. However, other studies have shown that high doses or chronic use might induce oxidative stress or acrosome reactions in potentially reducing fertilizing capacity. These adverse effects are generally mild and reversible upon discontinuation.
Overall, Malegra 120 does not significantly impair count, morphology, or overall fertility when used at therapeutic doses. It may even improve reproductive performance indirectly by restoring ed and enabling regular intercourse. Nonetheless, long-term or excessive use without medical supervision is not recommended for men concerned about fertility.
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