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Yes, you can become pregnant if your spouse uses Vilitra 60, as the medication is designed to treat erectile dysfunction (ED) and does not have any contraceptive effects. Vilitra 60 works by improving blood flow to help achieve and maintain an erection, but it does not affect sperm production or fertility. If you and your partner are trying to conceive, it's always a good idea to consult with a healthcare professional for personalized advice and to discuss any medications being used.