Patient's question:
What is the best treatment for polycystic ovary syndrome? Does taking clomiphene easily lead to miscarriage? Is Chinese medicine effective for regulating menstruation? Which is better? After a series of tests, I took clomiphene capsules last month, and to my relief, I got pregnant. Then I quickly checked into the hospital to protect the fetus. Unfortunately, I miscarried at 40 days. Could this lead to habitual miscarriage? Someone suggested using traditional Chinese medicine to regulate menstruation and achieve natural ovulation to get pregnant. I don't know if this advice is feasible. Will the child conceived with clomiphene be less? It has been 8 days since the miscarriage, and I have lost hope in pregnancy! If I take clomiphene again next time, will it be...Doctor's answer:
Now it is generally agreed that the first-line treatment for polycystic ovary syndrome (PCOS) is clomiphene. Clomiphene can induce the hypothalamus to release gonadotropin-releasing hormone (GnRH), which in turn promotes the pituitary gland to release follicle-stimulating hormone (FSH), thereby promoting the normal development of follicles. An increase in FSH concentration is key to inducing ovulation in women with PCOS. Clomiphene treatment can induce ovulation in more than 80% of patients. The specific dosage is to start from the 5th day of the menstrual cycle, taking 50 mg once daily for 5 consecutive days. Ovulation typically occurs 7–10 days after starting the medication. If the treatment is ineffective after 1–2 cycles, the dosage can be increased to 100 mg per day for 5 days. During treatment, basal body temperature should be measured to observe for the presence of an ovulatory biphasic pattern.