Our expert says:
From the menstrual cycle patterns that you have volunteered it is evident that ovulatory dysfunction is a serious concern in this instance. The use of clomid needs to be undertaken after careful cycle control otherwise there is a definite risk of developing multiple ovarian cyst which will result in dysfunctional uterine bleeding (abnormal menstruation). For adequate cycle control the use of the oral contraceptive pill is sufficient for one or two months following which the clomid can be used and follicle growth should be monitored by means of ultrasound scanning. Ovulation should be triggered when follicles reach maturity since the risk of unruptured follicle syndrome and or the formation of follicular cyst may well occur if the follicles are not induced to ovulate.
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