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You become pregnant when an egg released from your ovary is fertilized by sperm. Like sertraline, these medications are only available with a prescription from a licensed healthcare provider. Sildenafil was evaluated primarily at doses of 25 mg, 50 mg and 100 mg in 21 randomized, double blind, placebo controlled trials of up to 6 months in duration, using a variety of study designs. Sildenafil also activated Akt and inhibited GSK3 , calpain, cyclin dependent kinase 5 , and c Jun N terminal kinase.