Infertility, Polycystic Ovary Syndrome
Conditions
Keywords
PCOS, clomiphene citrate resistant PCOS, Aromatase inhibitors
Brief summary
Polycystic ovarian syndrome (PCOS) is a condition characterized by infertility, infrequent periods and amenorrhea or irregular bleeding plus anovulatory infertility. Clomid is the standard first drug of treatment for ovulation induction. Ovulation and conception will occur in approximately 75 and 30 percent of cases respectively. Cases not ovulating in response to doses of clomid up to 150 mg/day are known as clomid resistant PCOS.
Detailed description
To test whether CC co- treatment with chronic low dose HP uFSH versus lirizole plus chronic low dose HP uFSH in CC resistant PCOS will yield comparable results in terms of, ovulation rate, lower follicle number, lower HP uFSH dose, better outcome in terms of pregnancy rates, better cost-effectiveness ratio, lower multiple pregnancy rates, lower cycle cancellation.
Interventions
literozole tablets 5 mg /day for days 3-7 plus intramuscular injections of uFSH 37.5 IU/day for days 3-12
clomiphene citrate 50 mg tablets twice /day for 5 days plus 37.5 IU uFSH IM injections daily for 10 days
Sponsors
Study design
Eligibility
Inclusion criteria
* CC resistant PCOS * Infertile * Females * Age 18-38
Exclusion criteria
* Hyperprolactinaemia * Cushing syndrome * Adult onset adrenal hyperplasia * Age \> 38 * Other infertility factors in the couple than PCOS: male factor,tubal factor,edometriosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ovulation rate | 30 days | percentage of ovulatory cycles per started and per completed cycles |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| endometrial thickness | 4 weeks | endmetrial thickness at time of ovulation triggering |
| ongoing cycle pregnancy rate | 16 weeks | — |
Countries
Egypt