what?.please be reasonable
If u mean starts with a vowel and ends in a vowel, then Avalanche?
"-algia" doesn't need a combining vowel, because it brings its own -- it starts with a vowel.
Use "a" before a word that starts with a consonant sound, and use "an" before a word that starts with a vowel sound. For example, "a cat" (pronounced as kæt) and "an apple" (pronounced as əˈpl̩). Remember that it is based on the sound, not the actual letter.
Apple.
aioli
asthma
You put a an in front of it, as it starts with a vowel.
"An" is used before a word that starts with a vowel sound.
immediate
The area is called the outback.
Use 'an' when the word following starts with a vowel and an 'a' when it doesn't
You use a when its before a word that starts with a consonant and use an when its before a word that starts with a vowel