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Tigs had been septillionfold crepitated among the badly spry reporter. We usually recommend up to 6 cycles for ovulation induction patients and up to 3 or 4 for ovulation augmentation patients.
If the lining is too thin, the embryo cannot implant successfully.
This side effect tends to occur with repeated use or with higher doses of medication. Endometrial thinning will stop once clomiphene treatment concludes. An alternative therapy often recommended in these situations is a medication called Letrozole, which has a milder effect on the hormonal system.
Letrozole temporarily lowers estrogen levels, prompting the pituitary gland to increase FSH and LH production and promote ovulation. While letrozole is not yet FDA-approved for ovulation induction, widely conducted studies indicate that there is no detriment to this treatment option.
This condition is rare in clomiphene treatment, and more common with use of gonadotropin medications.
Ovarian hyperstimulation syndrome is marked by abdominal bloating, nausea and diarrhea, and in more severe cases, symptoms including shortness of breath, difficulty with urination and chest pain.
Adjustments can be made for those who hyperstimulate by decreasing medication and shortening the treatment cycle. The symptoms of hyperstimulation begin about a week after ovulation.
Mild cases last about a week and usually respond to hydration and careful monitoring. In general, ovarian hyperstimulation is highly unlikely, given careful monitoring of follicle development. We stress that success rates are highly individual and depend on a number of factors.
The best thing to do is have a thorough discussion with one's RE physician to gain a better understanding of the likelihood of success with this or any treatment plan.
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