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During red blood cell production, hematopoietic stem cells (HSCs) undergo several rounds of cell division and differentiation to produce mature red blood cells

If reduced genital blood flow is the primary issue, PDE-5 inhibitors (the same class of medications that includes sildenafil) could theoretically help by increasing blood flow to genital tissue

Yonekura, S., Terauchi, F., Hoshi, K., Yamaguchi, T

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For readers who want primary sources, see a PubMed report on a combination study (PubMed report), a related review article (review in PMC), and a registered clinical trial listing (ClinicalTrials.gov trial)