What should I do if I fail to ovulate with PCOS induction?

Patient's question:

Polycystic ovary syndrome patients. Took ovulation-stimulating medication on the 13th. Today is the 25th, had a blood test, but didn't get pregnant. Feeling very sad, how could this happen? Semen was checked carefully before and there were no problems. Doctor, what further tests should I do next? I really want to get pregnant, what should I do? Do I still need to check the six hormones on the third day of my period? When is the next ovulation induction?

Doctor's answer:

Polycystic ovary syndrome (PCOS) primarily involves small follicular development and anovulation. It is essential to check the six sex hormones on the third day of the menstrual cycle. If luteinizing hormone (LH) levels rise and sex hormone levels normalize, ovulation induction treatment can be initiated. On the fifth day of the menstrual cycle, oral clomiphene or letrozole should be taken. Monitor the data to check for mature follicles, which are follicles less than 18 millimeters in diameter. Assess whether normal ovulation occurs. If normal ovulation does not occur, the ovulation-inducing medication can be administered. Schedule intercourse accordingly.

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