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PCOS: Laparoscopic Laparoscopic ovarian drilling or ... - eshre

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Clomiphene CitrateStarting dose 50 mg/day f<strong>or</strong> 5 days; maximum 150 mg/day.Should be limited to six (ovulat<strong>or</strong>y) cycles• Produces ovulation in 75%–80% and a• Conception rate of up to 22% per cycle•Cumulative live-birth rates vary between 50% to 60% f<strong>or</strong> up to six cycles• US monit<strong>or</strong>ing is not mandat<strong>or</strong>y ( usefull in the fist cycle to allow adjustmentin subsequent cycles)• No evidence that HCG improves conception•Adverse effects :OHSS is rareMultiple pregnancy rates are under 10%, ( 9% twins. < 1% triplets)

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