Letrozole Ovulation Induction Protocol
Clomiphene citrate has now been used clinically for more than 40 years and remains the most common drug used for ovulation induction.
Letrozole ovulation induction protocol. Letrozole step up protocol for ovulation induction in infertile women with pcos the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Letrozole can be considered for use in the following situations. Letrozole belongs to a class of medications known as aromatase inhibitors aromatase is an enzyme that is responsible for the production of estrogen in the body. The medications were prescribed using an escalating dose if ovulation did not occur.
If you have not responded to clomiphene citrate clomid ovulation induction treatment 2. Femara letrozole is an oral medication used to stimulate ovulation in women with polycystic ovary syndrome pcos and unexplained infertility. Comparison of the pregnancy outcomes and the incidence of fetal congenital abnormalities in infertile women treated with letrozole and clomiphene citrate. 1 department of obstetrics and gynecology mansoura university hospitals mansoura egypt.
Forman r gill s moretti m et al. J obstet gynaecol can 2007. Food and drug administration for use as a breast cancer drug it has been used off label by fertility doctors since 2001 because it has fewer side effects than clomid clomiphene and a lower risk of multiple. Badawy a 1 mosbah a tharwat a eid m.
Letrozole is more effective than clomiphene for ovulation induction in women with pcos and bmi 30 3 kg m 2 legro and colleagues 1 randomly assigned 750 women with anovulatory infertility and pcos to receive ovulation induction with either clomiphene or letrozole. Letrozole is considered an established treatment for ovulation induction the most common protocol is daily dose of 2 5 7 5 mg starting day 3 5 of the cycle for 5 days another described protocol is single high dose 20mg letrozole given on day 3 of the cycle. There is a controversy concerning birth defects with the use of letrozole. Listing a study does not mean it has been evaluated by the u s.
While femara was approved by the u s. Fetal safety of letrozole and clomiphene citrate for ovulation induction. If you persistently develop more follicles to ovulation induction treatment 3. Our aim is to compare the single high dose letrozole protocol to daily low dose protocol.
We evaluated if incorporation of letrozole could be an effective alternative for low cost in vitro fertilization ivf protocol particularly in intracytoplasmic sperm injection icsi cycles where male factor infertility is the sole indication for ivf. If you are unable to tolerate clomiphene citrate clomid 4. It is therefore used off label in specific circumstances only. Extended letrozole therapy for ovulation induction in clomiphene resistant women with polycystic ovary syndrome.
Akbari sene a ghorbani s ashrafi m.