Treatment Resistant Disorders
Conditions
Keywords
clomiphene resistant, pcos, induction of ovulation, l-carnitine
Brief summary
Adding L-carnitine is more successful than clomiphene as a first line therapy for ovulation induction in women with clomiphene resistant PCOS
Detailed description
Patients younger than 35 years, presenting with primary or secondary infertility following regular intercourse for at least 1 year and diagnosed with PCO according to Rotterdam's criteria who had received five unsuccessful clomiphene citrate-timed intercourse stimulation cycles were included.
Interventions
3gm l-carnitine from day 1 to day 12 of the menstrual cycle
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients younger than 35 years, presenting with primary or secondary infertility following regular intercourse for at least 1 year and diagnosed with PCO according to Rotterdam's criteria who had received five unsuccessful clomiphene citrate-timed intercourse stimulation cycles were included. The diagnosis was based on a complete history taking, physical examination and a paper documented complete infertility work-up within the previous 6 months, either conducted within the setting of the hospital or at a licensed infertility management clinic.
Exclusion criteria
* age more than 40 years, * tubal,uterine or male factor infertility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ovulation induction | 0ne year | is to study the efficacy of l-carnitine in inducing ovulation in clomiphene resistant pco |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pregnancy | 0ne year | the occurrence of pregnancy and the rate of continuation of pregnancy till end of the first trimester |