Friday, 10 July 2020

CC & hMG cycles


·        How many of us prescribe  OCP for 3-4 cycles in cases of lean PCO with high LH where CC/Letrozole have failed due presumably to  raised LH?? Which OCP is safe and will maximize results??  Does OCP for 2--3 cycles will decrease raised basal LH?? Ans: Possibly yes. One should insist on FSH LH in CC/Letrozole failure cases to observe how these are. May be compared such pre OCP value with Post OCP value.  Additionally in any OCP cycle one  can plan  HSG that very cycle if not done. After stoppage of OCP one can also do induction along with clomiphene giving pure fsh 2-3 Inj(day 7, 8, 9)  while doing follicle monitoring along with myoinositol & metformin significant wt reduction all this definitely gives result!

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