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Decline of clomiphene for PCOS-related infertility

OBG Management. 2005 October;17(10):12-14
Author and Disclosure Information

Metformin and aromatase inhibitors may promise fewer spontaneous abortions and multiple gestations

If pharmacologic therapy is chosen:

  • Metformin is probably the agent of choice.
  • If metformin is not effective as a single agent, an aromatase inhibitor might be considered.
  • Alternatively, clinicians might continue to use clomiphene as a first-line agent if they prefer to utilize an FDA-approved medication for ovulation induction.