Enhanced myometrial vascularity in hysteroscopy in the elderly: a case report

Sildenafil citrate (Viagra), a selective cGMP specific PDE5 inhibitor, widely used in erectile dysfunction in males, acts on vascular smooth muscle, especially corpus cavernosum. Authors detail a rare case report here, elderly 80-year-old woman, on sildenafil for coronary artery disease and pulmonary hypertension, with a small long standing FIGO 2-5 uterine fibroid, presenting with acute post-menopausal bleeding after 40 years of menopause, hysteroscopy showing enhanced myometrial vascularity and benign histopathology thereafter.