Can metformin tablets induce ovulation?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I also feel extremely cold and afraid of the cold. Can metformin tablets promote ovulation?

Doctor's answer:

After stopping letrozole, monitor ovulation. If there is no dominant follicle after stopping medication for 5-7 days, you can receive an intramuscular injection of human menopausal gonadotropin (HMG) to promote follicular development under ultrasound guidance. If it is an advanced ectopic pregnancy, there will be wounds from laparoscopic surgery or laparotomy due to heavy bleeding. Both procedures leave scars, although laparoscopic surgery results in smaller wounds. Early examination can help determine this.

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