If Provera and Clomid aren’t working after three cycles, discuss alternative treatment options with your doctor. These may include Letrozole, a medication that works differently to stimulate ovulation. It’s often considered if Clomid proves ineffective.
Metformin, a medication typically used for type 2 diabetes, can also improve insulin sensitivity, which is frequently disrupted in PCOS, potentially boosting ovulation chances. Your doctor will assess your blood sugar levels before prescribing it.
Consider lifestyle modifications alongside medication. Weight loss, even a modest amount, can significantly improve fertility in women with PCOS. Regular exercise and a balanced diet play crucial roles here. Your doctor can provide personalized recommendations.
For women who haven’t responded to medication, assisted reproductive technologies (ART) like intrauterine insemination (IUI) or in-vitro fertilization (IVF) offer a pathway to pregnancy. Your doctor will explain the procedures, success rates, and potential risks involved.
Surgical intervention, such as laparoscopic ovarian drilling, might be an option for some women with PCOS, particularly those with severe symptoms or resistance to other treatments. This procedure aims to improve ovarian function but carries surgical risks. Discuss thoroughly with your doctor.
Remember, individual responses to treatments vary. Open communication with your healthcare provider is key to creating a tailored treatment plan that addresses your specific needs and circumstances.
