Alivher ES Tablet is a combination of two medicines used to treat various forms of female infertility. It works by replacing the natural hormone (estrogen) in the body and furthermore, widens the blood vessels to increase the blood flow of the uterus. Alivher ES Tablet should be taken with or without food, preferably at a fixed time each day. This is done to ensure consistent levels of medicine in the body. It should be taken as per your doctor's advice. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. Swallow the tablets whole with a glass of water. You should take this medicine for as long as it is prescribed for you. Diarrhea, nausea, stomach pain, and indigestion are some common side effects of this medicine. However, consult with your doctor if menstrual irregularities such as spotting or bleeding between menstrual periods or missed periods happen or bother you. Some serious side effects which mean immediate doctor consultation is required include unexplained swelling and pain in your limbs, shortness of breath, chest pain, or changes in vision. Before taking Alivher ES Tablet, tell your doctor if you are breastfeeding, if you have ever had any problems with your blood circulation or have diabetes or stroke. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. It might increase the risk of breast cancer, hence regular breast examination is recommended.