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How do i know i can get pregnant???
tiggerfan_06 posted:
I feel lost i havent ovulated snice almost being on a year with three types of meds, and i dont know if i actually can. 1st i was on provera and clomid found out it wasnt working, so switched obgyns and found out i have POCS plus that provera and clomid wasnt helping me. now im on a med named metformin and its suppose to be getting my levels back to the way its suppose to be. but still no sign of ovulation. i dont know what to do and i really want to know if im able to have kids or not because i havent been on any meds b4 and i feel like im taking them for no reason its making me depress ANY ADVICE on what i should or ask my obgyn????
David K Walmer, MD, PhD responded:
There are at least three different medications that you can take by mouth. They are clomid, tamoxifen and letrozole. Letrozole has the biggest range of options with regard to dosing and timing. If these are unsuccessful, you can use them in combination with the pituitary hormone FSH or you can use FSH alone. Each option varies with regard to success rate, complication rate and cost. There are lots of variables such as age, ovarian reserve, etc. that you will want to take into consideration in making decisions. If you are young and end up needing the FSH, the safest way to use it is with IVF to minimize the risk of high order multiples (triplets or more). Hopefully that won't be necessary. Good luck.

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For more information, visit the Duke Fertility Center