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TTC with pcod since two years
Diagnosed with Pcod(lean) . No follicular growth beyond 9mm. Tried OI with Clomid 4 cycles on 50mg) with no success. Switched to Letrozole (3 cycles on 2.5mg) no success. Ovulated 4 times during OI( 2 resulted in mild OHSS due to HMG/FSH) . Last Letrozole cycle (without gonadotropins)cycle resulted in ovulation on day 14with follicles of 21mm with ET of 9mm.Still no success. Should I switch to some other fertility options (IUI)or go for another cycle of Letrozole with high dosage?
Answers (9)
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You can try one cycle of letrozole step up protocol
If no success at age 33 you can proceed with two cycles of IUI followed by IVF
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Please consult a Gynaecologist in your area who is working on Infertility. Let him decide whether you should have more trials with ovulation induction or you should straight away go for IVF.
IUI will be useless when your induction of ovulation is not successful.
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Dr. Neha Vashisth
Obstetrician
12 yrs exp
Jaipur
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Dr. Ankita Upadhyay
Obstetrics & Gynecology
9 yrs exp
Bhopal
This information is not enough to comment on how you should proceed.
If ovulation is happening, there is no need to increase dose of Letrozole.
And prior to IUI, ovulation induction is done in the same way as already done. So other factors need to be taken into account before commenting anything here.
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Dr. Nirav Jetani
Gynecologist
11 yrs exp
Vadodara
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Dr. Shivani
Infertility Specialist
4 yrs exp
Dhanbad
Go for 3 cycles of ovulation induction with IUI with 5 mg Letrozole cycle before switching to IVF
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Dr. Urba Gani
Gynecologist
5 yrs exp
Srinagar
How long have you been trying to conceive?
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.