Polycystic ovary syndrome is a common heterogeneous endocrine disorder in reproductive-age women, with prevalence around 4-12%. The present study was performed to investigate whether progesterone-induced endometrial bleed before ovulation induction affects pregnancy in patients with PCOS who underwent intrauterine insemination (IUI) treatment. A total of 241 IUI cycles were retrospectively anal...

Examinations of the cervical mucus for determining its quantity and physical characteristics are used to provide a clinical marker for the timing of ovulation. We propose that transvaginal ultrasound, which is routinely used as a tool for monitoring follicular growth in patients undergoing ovulation induction, might also be used simultaneously for estimating cervical mucus measurements. With no...

ABSTRACTOvulation induction with clomiphene citrate is a hormonal therapy for infertile women impaired ovarian function caused by dysregulation of the hypothalamus and pituitary, affecting egg development ovulation. Several factors, such as obesity, influence success rate treatment citrate. According to Asia-Pacific classification, obesity was classified into two categories, type I (25-29,9 kg/...

context correct timing of diagnostic laparoscopy for unexplained infertility management remains as a debate for clinicians. a cost-effective strategy of diagnostic laparoscopy utilization for unexplained infertile patients is much needed. evidence acquisition detailed evaluation of the articles extracted from a “pubmed” and “cochrane database” search using “unexplained infertility and diagnosti...

BACKGROUND A recent meta-analysis has proven that metformin (M) is highly effective for ovulation induction in the clomiphene citrate (CC)-resistant patient. There is uncertainty whether M should be introduced as a primary ovulation induction agent in polycystic ovarian syndrome (PCOS). METHODS We conducted a systematic review and meta-analysis to establish if M is better when given alone or ...

CONTEXT For the last 40 yr, the first line of treatment for anovulation in infertile women has been clomiphene citrate (CC). CC is a safe, effective oral agent but is known to have relatively common antiestrogenic endometrial and cervical mucous side effects that could prevent pregnancy in the face of successful ovulation. In addition, there is a significant risk of multiple pregnancy with CC, ...