sildenafil citrate in fetal growth restriction

background: pregnancies with early onset fetal growth restriction have poor perinatal outcome. sildenafil citrate (pde -5 inhibitor) as a vasodilator increases uteroplacental blood flow and potentiates fetal growth. case presentation: in this study, a case was examined and sildenafil was administered for her. it was found that sildenafil improved the uterine blood flow with a favorable fetal outcome at delivery. conclusion: sildenafil, as a vasodilator has emerged as a potential management option in the treatment of intra uterine growth retardation (iugr) and preeclampsia by later normalization in velocimetric profile.