Our expert says:
It is clear that the problem is more complex than simply that of PCOS or endometriosis by itself. Part of the dysfunctional bleeding might be related to the use of depo provera but I suspect that there may well be other hormonal imbalances, which need to be monitored and managed appropriately. In this instance I would recommend a well recognised stimulation protocol to induce follicle growth and ovulation specifically with prior regulation of the cycle. In such cases the use of an oral contraceptive for between one to two months prior to onset of the stimulation protocol would be of great benefit.
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