Our expert says:
In the first instance I would presume that a sperm analysis has been done and is essentially normal. It appears that in addition to ovulatory dysfunction there may also be a metabolic problem hence the need for glucophage. Furthermore, clomid, in many cases of advanced PCOS may be insufficient to induce ovulation and ovarian drilling may not yield any positive results after nine months of the procedure. Whilst weight reduction and glucophage is definitely of benefit, it still remains that ovulation induction is necessary, since without ovulation pregnancy is not possible. Therefore the need for injectable ovulation induction agents may be necessary I would strongly suggest that you consider this option.
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