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For those who after weight loss still are anovulatory or for anovulatory lean women, ovulation induction to reverse the anovulation is the principal treatment used to help infertility in PCOS. Letrozole and Clomiphene citrate are the first-line treatment in subfertile anovulatory patients with PCOS. [12]
How to Treat PCOS. There’s no cure for PCOS. But available treatments can help you manage your symptoms. Your healthcare provider will likely prescribe medication as part of your treatment plan.
There is some evidence that letrozole can improve the rate of live births and the rate of pregnancy rate for people who experience anovulatory PCOS, and this treatment may be more effective than SERMs. [63] There is high quality evidence that the rate of people developing ovarian hyperstimulation syndrome is similar between SERMs and letrozole ...
Letrozole, sold under the brand name Femara among others, is an aromatase inhibitor medication that is used in the treatment of breast cancer for post-menopausal women. [ 1 ] It was patented in 1986 and approved for medical use in 1996. [ 4 ]
Losing weight has been shown to help improve many PCOS symptoms. Weight loss can help lower insulin and androgen levels, and may help regulate periods and restore ovulation, per the Mayo Clinic .
Letrozole is an aromatase inhibitor which reduces estradiol levels and increases levels of FSH and LH which can stimulate ovarian follicle maturation and ovulation. Letrozole is the preferred treatment in those with infertility due to PCOS and is associated with a higher pregnancy rate than other treatments. [2]
"To meet criteria for PCOS, women will have some of the following symptoms: irregular periods/lack of ovulation, acne, excess hair growth on the face and cysts on ovaries."
Aromatase inhibitors are a common fertility treatment to treat women with PCOS. A meta-analysis analyzing live birth rates for women with PCOS treated with clomiphene compared to letrozole found that letrozole resulted in higher live birth rates. [11] However, ovulation induction remains an off-label indication, which affects use.
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