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    To say that PCOS is a huge problem is a real understatement. It affects 6 - 8 % of women, and it’s the most common reason for anovulatory infertility (more than 80% of cases)! For a long time, Clomiphene Citrate (usually prescribed as Clomid) has been a standard first line drug used to induce ovulation in PCOS. But there’s a big gap in how often Clomid makes women ovulate (about 85% of the time), versus how often it leads to pregnancy (35-40% of the time). It’s hypothesized that this may be because of adverse effects Clomid has on the endometrium and cervical mucus. A few years ago, a Cochrane systematic review reported that Letrozole (brand name Femara) had a 44% higher pregnancy rate thank Clomid for PCOS women, but the quality of the evidence wasn’t convincing at the time. Now, a recent study with a much better design has tried to answer the question: which is a better first line ovulation induction method for anovulatory PCOS women -- Clomiphene Citrate (Clomid) or Letrozole (Femara)? Clomid vs. Letrozole success? — The Bump ciprofloxacin levofloxacin Letrozole more effective for pregnancy vs. clomiphene citrate in PCOS Femara or Letrozole, Fertility Drugs for Ovulation and Pregnancy
     
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