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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Is Fertyl With An Ovulation Study Used To Treat PCOS?

Hi Doc...I am Rashmi..I have been diagonesd PCOD..but now my periods are regular and I have lost weight too...Now my gyneac has suggested Fertyl 50 mg from day 5 to 9 and she has asked for a ovulation study from day 10....please tell me doc wht are the implications of this tablet and study
Mon, 15 Sep 2014
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General & Family Physician 's  Response
Hello
Fertyl is CLOMIFENE 50 mg and note down the indication of this drug.
Anovulatory infertility ;50 mg daily for 5 days starting on the 5th day ( as in your case 5th to 9th days ) of menstrual cycle or at any time if there is amenoorhea ( no bleeding ,but in your case period is regular so your treating doctor prescribed this drug from 5th day on wards).
If ovulation ( no pregnancy ) does not occur, a 2nd course of 100 mg for 5 days may be used ( 5th day to )commencing as early as 30 days after the previous therapy.
Further treatment may not be recommended if pregnancy has not occurred after a total of 6 treatment cycles.
Clomifene develop stimulation of ovarian follicle and one or more than one follicle mature ( known as dominant follicle ) and rupture or burst and liberate ovum i.e. ovulation occurs.
The size of follicle should be around 19-20 mm on day 14-15 at least to rupture and endometrium thickness must be around 11 mm to conceive.
Follicle study is necessary so that doctor can find out the size of follicle ( dominant ) which rupture and liberate OVUM for conception.
Hope this will be helpful for you.
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How Is Fertyl With An Ovulation Study Used To Treat PCOS?

Hello Fertyl is CLOMIFENE 50 mg and note down the indication of this drug. Anovulatory infertility ;50 mg daily for 5 days starting on the 5th day ( as in your case 5th to 9th days ) of menstrual cycle or at any time if there is amenoorhea ( no bleeding ,but in your case period is regular so your treating doctor prescribed this drug from 5th day on wards). If ovulation ( no pregnancy ) does not occur, a 2nd course of 100 mg for 5 days may be used ( 5th day to )commencing as early as 30 days after the previous therapy. Further treatment may not be recommended if pregnancy has not occurred after a total of 6 treatment cycles. Clomifene develop stimulation of ovarian follicle and one or more than one follicle mature ( known as dominant follicle ) and rupture or burst and liberate ovum i.e. ovulation occurs. The size of follicle should be around 19-20 mm on day 14-15 at least to rupture and endometrium thickness must be around 11 mm to conceive. Follicle study is necessary so that doctor can find out the size of follicle ( dominant ) which rupture and liberate OVUM for conception. Hope this will be helpful for you.