Our expert says:
It appears that you have a condition called polycystic ovarian syndrome (PCOS) with insulin resistance. The fact that your menstrual cycle is so irregular usually means that with the presence of polycystic ovarian syndrome and irregular cycles that ovulation is not taking place every month. The use of Glucophage is normally recommended in patients with PCOS and a high insulin level. Fertomid would be a good option to start of with to help you ovulate. This should however be ideally taken while having serial ultrasound monitoring of follicular development or at least doing the urinary LH surge kits that are available at the pharmacy. Fertomid can be taken either from day 5 to 9 or day 3-7 it usually does not make a difference. The use of Fertomid may predispose you to having more cysts, as that is one of the side effects of taking these types of medications.
Answered by: Dr Y.M. Dasoo
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