Our expert says:
It is important to establish the underlying cause of the problem. A hormone evaluation by means of blood tests is required to exclude the possibility of thyroid abnormalities as well as elevated prolactin levels. Also an evaluation of the ovarian hormones will need to be undertaken to exclude possible underlying polycystic ovarian disease. The use of the premelle is mainly to artificially regulate the menstrual cycle and will not necessarily assist in solving the ovulatory problem or the hormone imbalance and hence will not necessarily assist in conception. Ovulation induction using either tablets such as clomiphene citrate (clomid, fertimed, serifene, etcetera) or a combination of clomid plus injections may be necessary to induce ovulation.
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