Knowledge (XXG)

Female fertility agents

Source đź“ť

102: 519: 443:. It is potentially teratogenic if administered unintentionally during early stages of pregnancy as they can interrupt with normal Aromatase activity in embryonic development indicated in animal experiments. However, teratogenicity is not observed with an increase tend compared to clomiphene. In addition, it is stated in a systematic review and meta-analysis that letrozole does not associate with congenital fetal malformation or miscarriage compared to clomiphene, gonadotropin and natural conception. 499: 263:(IVF) to boost the production of more follicles in the ovaries. For patients with polycystic ovary syndrome (PCOS), gonadotropin is not an initial treatment choice. During early stage of Gonadotrophin therapy, blood testing and pelvic ultrasound are performed to confirm the absence of large ovarian cysts. The treatment initiation and dosage of gonadotropin will be instructed depending on the outcome of the tests. During the therapy, regular blood testing and 347: 564: 416: 141: 631: 582: 22: 460: 378: 276: 219:(IVF) to exert its effects. FSH promotes the recruitment and maturation of early antral follicles, while LH helps follicular development and maturation. Both FSH and LH regulate the length and order of the menstrual cycle in female. HCG aids the ultimate follicular maturation and growth of the immature oocyte in meiosis and in the 684:(breast pain) which is caused by hyperprolactinemia and hence explains female infertility. In addition, low progesterone level is also attributed to female infertility. Combination of VAC extracts and medication can normalize the levels of prolactin and progesterone. Therefore, Chasteberry alleviates infertility condition. 612:
Dopamine agonists are usually discontinued once the patient is pregnant. Based on existing data and studies, the exposure of fetus to dopamine agonists during the early stage of pregnancy does not harm the foetus. Both bromocriptine and cabergoline are considered to be safe with no identifiable risk
530:
oral contraceptives (COCs). It is proved that Metformin can restore ovulatory menses in PCOS in numerous trials. 13 trials are studies in a meta-analysis, fourfold increase of ovulation is revealed when using clomiphene with metformin compared to using clomiphene alone. In addition, Metformin can be
337:
inhibition. It is reported that clomiphene is present in breast milk, maximum content of breast milk recorded was 582.5 ng/mL which is still be considered as acceptable when relative infant dose of a drug is less than 10%. Nevertheless, breastfeeding is still debatable due to lack of clinical
73:
are medications that improve female’s ability to conceive pregnancy. These agents are prescribed for infertile female who fails to conceive pregnancy after 1-year of regular and unprotected sexual intercourse. The following will cover the advancements of female fertility agents, major causes of
621:
Dopamine agonists for infertility treatment are commonly administered to hyperprolactinemic anovulation patients. Both bromocriptine and cabergoline are the first-line dopamine agonist in hyperprolactinemia treatment. Cabergoline is currently more preferred than bromocrptine due to its higher
477:
Metformin lowers the synthesis of glucose in liver and absorption of glucose from intestines. It also acquires an antilipolytic effect which reduces free fatty acid concentration. It is proved in many trials that Metformin can normalize menstrual function and raise the chance of ovulation.
2556:
Palomba S, Falbo A, Carrillo L, Villani MT, Orio F, Russo T, et al. (December 2011). "Metformin reduces risk of ovarian hyperstimulation syndrome in patients with polycystic ovary syndrome during gonadotropin-stimulated in vitro fertilization cycles: a randomized, controlled trial".
2520:
Palomba S, Falbo A, La Sala GB (February 2013). "Effects of metformin in women with polycystic ovary syndrome treated with gonadotrophins for in vitro fertilisation and intracytoplasmic sperm injection cycles: a systematic review and meta-analysis of randomised controlled trials".
109:
Meanwhile, in the 2000s, there were clinical trials exploring the effectiveness of the aromatase inhibitor letrozole for infertility treatment. Besides, there were ongoing epidemiological studies examining the phenotypic differences associated with prenatal exposure to metformin.
1703:
Perez EA, Josse RG, Pritchard KI, Ingle JN, Martino S, Findlay BP, et al. (August 2006). "Effect of letrozole versus placebo on bone mineral density in women with primary breast cancer completing 5 or more years of adjuvant tamoxifen: a companion study to NCIC CTG MA.17".
700:, which stimulate the production of female hormone and bind to the beta estrogen receptor so as to mitigate the menopausal symptoms. Due to the presence of phytoestrogenic compounds, red clover extract can raise estrogen level and thus trigger ovulation and aid fertility. 332:
Compared to the general population, clomiphene does not exhibit a tendency toward increasing the risk of miscarriages or harmful fetal abnormalities. For breastfeeding consideration, a study found that clomiphene effectively suppresses lactation, which can be explained by
74:
female infertility. Next, it emphasizes on common female fertility agents in terms of their mechanism of action, side effects, fetal consideration and clinical application and ended up by the introduction of supplements and herbal medicines for female infertility.
210:
Female gonadotropins include follicle stimulating hormone (FSH), luteinizing hormone (LH), and human chorionic gonadotropin (hCG). Gonadotropin therapy refers to the administration of exogenous gonadotropins to treat anovulation. Gonadotropin therapy is given via
1739:
Zaman K, ThĂĽrlimann B, Huober J, Schönenberger A, Pagani O, LĂĽthi J, et al. (June 2012). "Bone mineral density in breast cancer patients treated with adjuvant letrozole, tamoxifen, or sequences of letrozole and tamoxifen in the BIG 1-98 study (SAKK 21/07)".
155: 646:
is a natural antioxidant. It is stated in randomized trials that its supplementation increases the number of oocytes, which contributes to a greater fertilization rate and improved embryonic development in women with suboptimal ovarian reserve parameters.
131:
anovulation (Class 1), normogonadotropic normoestrogenic anovulation (Class 2), and hypergonadotropic hypoestrogenic anovulation (Class 3). Apart from the three classes, hyperprolactinemic anovulation is also identified as one of the etiologies.
299:
receptors (ERs), receptor recycling is interfered. This inhibits hypothalamic ERs and hence interrupts normal estrogenic negative feedback. As a result, Gonadotropin-releasing hormone pulsation occurs which induces the release of pituitary
2332:"Metformin Effects on Clinical Features, Endocrine and Metabolic Profiles, and Insulin Sensitivity in Polycystic Ovary Syndrome: A Randomized, Double-Blind, Placebo-Controlled 6-Month Trial, Followed by Open, Long-Term Clinical Evaluation" 662:
and gonadotropin signaling, which is associated with follicle maturation. Multiple researches have indicated that myoinositol supplementation in poor ovarian responders can improve fertilization rate and ovarian sensitivity index (OSI).
2444:
Abdalmageed OS, Farghaly TA, Abdelaleem AA, Abdelmagied AE, Ali MK, Abbas AM (October 2019). "Impact of Metformin on IVF Outcomes in Overweight and Obese Women With Polycystic Ovary Syndrome: A Randomized Double-Blind Controlled Trial".
97:
The first recombinant human follicle-stimulating hormone (r-hFSH) received EU approval in 1995, followed by the approval of recombinant human luteinizing hormone (rhLH) and recombinant human chorionic gonadotropin (rhCG) in 2000.
1933:
Tatsumi T, Jwa SC, Kuwahara A, Irahara M, Kubota T, Saito H (January 2017). "No increased risk of major congenital anomalies or adverse pregnancy or neonatal outcomes following letrozole use in assisted reproductive technology".
126:
Ovulatory disorders result in infrequent ovulation (Oligoovulation) or absent ovulation (anovulation) which causes infertility. The World Health Organisation (WHO) has classified anovulation into three main classes, which are
2741:
Dogansen SC, Cikrikcili U, Oruk G, Kutbay NO, Tanrikulu S, Hekimsoy Z, et al. (July 2019). "Dopamine Agonist-Induced Impulse Control Disorders in Patients With Prolactinoma: A Cross-Sectional Multicenter Study".
455:
and anovulatory infertility in recent years. It is stated that letrozole therapy leads to greater birth rates compared to clomiphene in a randomized trial and meta-analysis with large sample of anovulatory women.
1775:
Crew KD, Greenlee H, Capodice J, Raptis G, Brafman L, Fuentes D, et al. (September 2007). "Prevalence of joint symptoms in postmenopausal women taking aromatase inhibitors for early-stage breast cancer".
1667:
Buzdar AU, Robertson JF, Eiermann W, Nabholtz JM (November 2002). "An overview of the pharmacology and pharmacokinetics of the newer generation aromatase inhibitors anastrozole, letrozole, and exemestane".
1512:
Monfort A, Jutras M, Martin B, Boucoiran I, Ferreira E, Leclair G (September 2021). "Simultaneous quantification of 19 analytes in breast milk by liquid chromatography-tandem mass spectrometry (LC-MS/MS)".
510:. Regarding breastfeeding, metformin does not show obvious association with adverse outcomes. In addition, metformin is not associated with a raised chance of major birth abnormalities in female with PCOS. 423:
Common side effects include bone fracture due to bone mineral density loss, ischemic cardiovascular events like angina pectoris, acute myocardial infarction, and musculoskeletal effects for instance
2369:
Yang PK, Hsu CY, Chen MJ, Lai MY, Li ZR, Chen CH, et al. (March 2018). "The Efficacy of 24-Month Metformin for Improving Menses, Hormones, and Metabolic Profiles in Polycystic Ovary Syndrome".
259:
Gonadotropin therapy can be given to female who have ovulatory failure and irregular ovulation as second-line treatment. It can be given to female who has normal ovulation but fails to conceive by
2999:"The premenstrual syndrome, premenstrual mastodynia, fibrocystic mastopathy and infertility have often common roots: effects of extracts of chasteberry (Vitex agnus castus) as a solution" 101: 407:. Hence, Letrozole inhibits the synthesis of estrogen. The hypoestrogenic state boosts the release of gonadotropin-release hormone and raises the synthesis of FSH in pituitary gland. 2063:
Legro RS, Barnhart HX, Schlaff WD, Carr BR, Diamond MP, Carson SA, et al. (February 2007). "Clomiphene, metformin, or both for infertility in the polycystic ovary syndrome".
2674:
Verhelst J, Abs R, Maiter D, van den Bruel A, Vandeweghe M, Velkeniers B, et al. (July 1999). "Cabergoline in the treatment of hyperprolactinemia: a study in 455 patients".
2295:
Cassina M, DonĂ  M, Di Gianantonio E, Litta P, Clementi M (2014-05-25). "First-trimester exposure to metformin and risk of birth defects: a systematic review and meta-analysis".
395:
Among all aromatase inhibitors, Letrozole is commonly used for improving female fertility. It works by inhibiting aromatase which is an enzyme that catalyses the conversion of
1359:
Schlegel PN, Sigman M, Collura B, De Jonge CJ, Eisenberg ML, Lamb DJ, et al. (January 2021). "Diagnosis and treatment of infertility in men: AUA/ASRM guideline part II".
362:, post-oral contraceptive amenorrhea, and secondary amenorrhea of unidentified cause. Serum estrogen should be measured prior to therapy which rules out primary pituitary or 1993:
American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Gynecology (June 2018). "ACOG Practice Bulletin No. 194: Polycystic Ovary Syndrome".
592:
is a dopamine 2 receptor agonist which is also an ergot derivative. It functions similarly to bromocriptine but with higher selectivity and affinity than bromocriptine.
86:(hCG) was launched, which marked the first emergence of female fertility agents. Subsequently, clomiphene citrate was discovered in 1951, which was then approved by the 2897:"Pretreatment with coenzyme Q10 improves ovarian response and embryo quality in low-prognosis young women with decreased ovarian reserve: a randomized controlled trial" 235:
due to several enlarged follicles. The enlarged ovaries will lead to severe abdominal pain, vomiting, clotting in the lungs and legs along with fluid imbalance.  
2406:"Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility" 2812:
Ricci E, Parazzini F, Motta T, Ferrari CI, Colao A, Clavenna A, et al. (2002). "Pregnancy outcome after cabergoline treatment in early weeks of gestation".
552:
Dopamine agonists, cabergoline and bromocriptine bind to specific dopamine receptors to block the secretion pathway of prolactin and shrink the size of tumor (
451:
Besides being a first-line medication for hormone receptor-positive breast cancer, it also acts as an off-label agent for ovulation induction in patients with
2028:
Misso ML, Wong JL, Teede HJ, Hart R, Rombauts L, Melder AM, et al. (2012-03-19). "Aromatase inhibitors for PCOS: a systematic review and meta-analysis".
506:
Metformin reduces intestinal absorption of vitamin B12 and also serum vitamin B12 concentration, thus patients are recommended to monitor B12 deficiency with
1183:
Wu HM, Chang HM, Leung PC (January 2021). "Gonadotropin-releasing hormone analogs: Mechanisms of action and clinical applications in female reproduction".
2948:"The effect of Myo-inositol on fertility rates in poor ovarian responder in women undergoing assisted reproductive technique: a randomized clinical trial" 192:. It is noticed that the number of follicles reduces rapidly after the age of 37 when close to menopause, resulting in a natural decline in fertility. 94:
and later proved effective in treating prolactinemia-related infertility. As a breakthrough, hMG/hCG protocols for pre-IVF treatment were introduced.
574:
possesses both dopamine 2 receptor agonistic and dopamine 1 receptor antagonistic properties. It is an ergot derivative, which directly binds to the
1022: 2857:"Cabergoline versus bromocriptine in the treatment of hyperprolactinemia: a systematic review of randomized controlled trials and meta-analysis" 324:
and visual abnormalities. Long-term use may raise risk of ovarian cancer, such that long-term therapy (more than 6 cycles) is not recommended.
118:
Female infertility can be caused by multiple factors, such as ovulatory disorders, structural abnormalities in reproductive organs and aging.
3142: 832: 2777:
Schade R, Andersohn F, Suissa S, Haverkamp W, Garbe E (January 2007). "Dopamine agonists and the risk of cardiac-valve regurgitation".
1280: 2225:
Niafar M, Hai F, Porhomayon J, Nader ND (February 2015). "The role of metformin on vitamin B12 deficiency: a meta-analysis review".
536: 321: 232: 526:
Metformin is often used as second-line treatment especially in PCOS patients are contraindicated to treatment of combined estrogen-
1813:"Prospective characterization of musculoskeletal symptoms in early stage breast cancer patients treated with aromatase inhibitors" 247:
when compared to clomiphene and aromatase inhibitors. Multiple pregnancy may increase the risks of preterm birth and decreased
267:
is required. Discontinuation of the therapy is required if more than three large follicles are detected in pelvic ultrasound.
1399:"Predicting and preventing ovarian hyperstimulation syndrome (OHSS): the need for individualized not standardized treatment" 128: 87: 83: 604:. Other adverse effects for instance impulse-control disorder and valvular heart disease are less frequently resulted. 2650: 2260:
Glueck CJ, Wang P (March 2007). "Metformin before and during pregnancy and lactation in polycystic ovary syndrome".
518: 452: 355: 527: 183: 149: 601: 212: 859:
Franik S, Eltrop SM, Kremer JA, Kiesel L, Farquhar C, et al. (The Cochrane Collaboration) (May 2018).
1453:
Smithson DS, Vause TD, Cheung AP (July 2018). "No. 362-Ovulation Induction in Polycystic Ovary Syndrome".
532: 260: 216: 171: 367: 1099:"Gonadotropin therapy in assisted reproduction: an evolutionary perspective from biologics to biotech" 960: 498: 2821: 2146: 1970:"Risk of foetal harm wit letrozole use in fertility treatment: a systematic review and meta-analysis" 507: 166:, either blockage or injuries will prevent fertilization and/or implantation. Besides, anomalies in 1307:
Diamond MP, Legro RS, Coutifaris C, Alvero R, Robinson RD, Casson P, et al. (September 2015).
717:
Vander Borght M, Wyns C (December 2018). "Fertility and infertility: Definition and epidemiology".
557: 371: 105:
History of development of Clomiphene citrate, aromatase inhibitor, Metformin & dopamine agonist
91: 1488: 490:, indigestion, nausea and vomiting which are reversible by dosage adjustment and discontinuation. 162:
Structural abnormalities in female reproductive organs will lead to infertility. Abnormalities in
32: 3147: 2135:"Metformin suppresses gluconeogenesis by inhibiting mitochondrial glycerophosphate dehydrogenase" 693: 677: 1583:
Cole PA, Robinson CH (November 1990). "Mechanism and inhibition of cytochrome P-450 aromatase".
556:), which subsequently treat infertility caused by elevated level of prolactin.(See also : 3118: 3069: 3020: 2979: 2928: 2872: 2837: 2794: 2759: 2718: 2691: 2632: 2574: 2538: 2497: 2462: 2421: 2386: 2351: 2312: 2277: 2242: 2207: 2172: 2133:
Madiraju AK, Erion DM, Rahimi Y, Zhang XM, Braddock DT, Albright RA, et al. (June 2014).
2115: 2080: 2045: 2010: 1951: 1915: 1877: 1842: 1793: 1757: 1721: 1685: 1649: 1600: 1565: 1530: 1470: 1430: 1376: 1338: 1251: 1200: 1160: 1128: 1079: 980: 941: 890: 790: 734: 264: 51: 1618:
Requena A, Herrero J, Landeras J, Navarro E, Neyro JL, Salvador C, et al. (2008-09-29).
3108: 3100: 3059: 3051: 3010: 2969: 2959: 2918: 2908: 2864: 2829: 2786: 2751: 2683: 2622: 2612: 2566: 2530: 2489: 2454: 2413: 2378: 2343: 2304: 2269: 2234: 2199: 2162: 2154: 2107: 2072: 2037: 2002: 1943: 1907: 1869: 1832: 1824: 1785: 1749: 1713: 1677: 1639: 1631: 1592: 1557: 1522: 1462: 1420: 1410: 1368: 1328: 1320: 1241: 1231: 1192: 1118: 1110: 1069: 1059: 972: 931: 921: 880: 872: 780: 770: 726: 575: 2482:"Metformin treatment before and during IVF or ICSI in women with polycystic ovary syndrome" 1969: 578:
dopamine 2 receptors of anterior pituitary cells and inhibits the secretion of prolactin.
396: 363: 248: 2863:, vol. 14, no. 3, Centre for Reviews and Dissemination (UK), pp. 259–265, 1811:
Henry NL, Giles JT, Ang D, Mohan M, Dadabhoy D, Robarge J, et al. (September 2008).
2825: 2150: 3113: 3088: 3064: 3039: 2974: 2947: 2923: 2896: 2627: 2600: 2167: 2134: 1837: 1812: 1644: 1619: 1425: 1398: 1333: 1308: 1246: 1219: 1123: 1098: 1074: 1047: 936: 909: 885: 860: 785: 758: 440: 317: 244: 163: 2833: 2331: 2330:
Moghetti P, Castello R, Negri C, Tosi F, Perrone F, Caputo M, et al. (Jun 2000).
908:
Faure M, Bertoldo MJ, Khoueiry R, Bongrani A, Brion F, Giulivi C, et al. (2018).
861:"Aromatase inhibitors (letrozole) for subfertile women with polycystic ovary syndrome" 730: 600:
The major side effects of dopamine agonists include nausea, vomiting , arrhythmia and
3136: 2570: 2347: 1911: 1372: 1114: 697: 571: 428: 404: 2481: 2405: 154: 2493: 2417: 1220:"The Development of Gonadotropins for Clinical Use in the Treatment of Infertility" 759:"The Development of Gonadotropins for Clinical Use in the Treatment of Infertility" 643: 553: 400: 301: 292: 220: 2190:
Bouchoucha M, Uzzan B, Cohen R (April 2011). "Metformin and digestive disorders".
1620:"Use of letrozole in assisted reproduction: a systematic review and meta-analysis" 1218:
Lunenfeld B, Bilger W, Longobardi S, Alam V, D'Hooghe T, Sunkara SK (2019-07-03).
808: 188:
Female fertility declines with aging due to the decreased quantity and quality of
2203: 2006: 1196: 757:
Lunenfeld B, Bilger W, Longobardi S, Alam V, D'Hooghe T, Sunkara SK (Jul 2019).
681: 589: 2964: 2856: 2710: 2601:"The Mechanism and Pathways of Dopamine and Dopamine Agonists in Prolactinomas" 1548:
Anderson PO, Sauberan JB (July 2016). "Modeling drug passage into human milk".
1526: 1466: 1152: 3015: 2998: 2913: 2868: 2238: 1828: 976: 876: 487: 424: 415: 359: 288: 3024: 2861:
Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews
2617: 2458: 2404:
Tang T, Lord JM, Norman RJ, Yasmin E, Balen AH (2010-01-20), Balen AH (ed.),
2355: 2273: 1789: 1717: 1236: 984: 926: 775: 251:, which are associated with fetal complications and higher infant mortality. 3104: 2946:
Mohammadi S, Eini F, Bazarganipour F, Taghavi SA, Kutenaee MA (April 2021).
2534: 2308: 2111: 2041: 1947: 1873: 1860:
Niravath P (June 2013). "Aromatase inhibitor-induced arthralgia: a review".
1753: 1635: 1415: 1064: 535:
pretreatment, the number of retrieved oocytes is greatly lowered. Moreover,
334: 313: 140: 41: 3122: 3073: 2983: 2932: 2876: 2841: 2798: 2763: 2722: 2695: 2687: 2636: 2578: 2542: 2501: 2466: 2425: 2390: 2316: 2281: 2246: 2211: 2176: 2119: 2098:
Ferrannini E (October 2014). "The target of metformin in type 2 diabetes".
2084: 2049: 2014: 1955: 1919: 1881: 1846: 1797: 1761: 1725: 1689: 1653: 1569: 1534: 1474: 1434: 1380: 1342: 1255: 1204: 1164: 1132: 1083: 945: 894: 794: 738: 563: 346: 21: 2755: 2382: 1604: 1324: 3040:"Female infertility and herbal medicine: An overview of the new findings" 2895:
Xu Y, Nisenblat V, Lu C, Li R, Qiao J, Zhen X, et al. (March 2018).
2790: 2076: 999:"World Health Organization classification of anovulation - Uptodate Free" 998: 655: 296: 2599:
Liu X, Tang C, Wen G, Zhong C, Yang J, Zhu J, et al. (2019-01-22).
2480:
Tso LO, Costello MF, Andriolo RB, Freitas V (2009-04-15), Tso LO (ed.),
2158: 1596: 967:. Gynaecology, Obstetrics, and Reproductive Medicine in Daily Practice. 630: 581: 1681: 659: 3055: 1893: 1891: 1392: 1390: 961:"WHO-classification of anovulation: background, evidence and problems" 459: 377: 275: 189: 167: 1561: 1309:"Letrozole, Gonadotropin, or Clomiphene for Unexplained Infertility" 613:
of inducing congenital deformity, miscarriage and premature birth.
1898:
Tiboni GM (April 2004). "Aromatase inhibitors and teratogenesis".
629: 580: 562: 517: 497: 458: 414: 376: 345: 274: 153: 139: 486:
Common side effects are gastrointestinal discomfort, for example
90:(FDA) in 1967. In 1978, bromocriptine gained FDA approval for 15: 2488:(2), Chichester, UK: John Wiley & Sons, Ltd: CD006105, 2412:(1), Chichester, UK: John Wiley & Sons, Ltd: CD003053, 871:(5). Chichester, UK: John Wiley & Sons, Ltd: CD010287. 658:
is a naturally existing substance that is involved in both
46: 36: 2855:
Nunes Vd, Dib RE, Boguszewski CL, Nogueira CR (2011),
2744:
The Journal of Clinical Endocrinology and Metabolism
2676:
The Journal of Clinical Endocrinology and Metabolism
2651:"Bromocriptine - an overview | ScienceDirect Topics" 2371:
The Journal of Clinical Endocrinology and Metabolism
833:"Bromocriptine - an overview | ScienceDirect Topics" 243:
Gonadotropin therapy has a higher tendency to cause
3038:Akbaribazm M, Goodarzi N, Rahimi M (October 2021). 3093:Open Access Macedonian Journal of Medical Sciences 1489:"Clomiphene and Breastfeeding | InfantRisk Center" 809:"Clomiphene Citrate | Embryo Project Encyclopedia" 304:to boost follicular growth and trigger ovulation. 1515:Journal of Pharmaceutical and Biomedical Analysis 543:5. Dopamine agonist—Cabergoline and Bromocriptine 354:Clomiphene is initiated for use in patients with 312:Common side effects include ovarian enlargement, 2717:, Treasure Island (FL): StatPearls Publishing, 1159:, Treasure Island (FL): StatPearls Publishing, 316:, abdominal distention, breast discomfort, and 1023:"Diagnosing and Treating MĂĽllerian Anomalies" 854: 852: 622:efficacy and fewer side effects like nausea. 8: 1455:Journal of Obstetrics and Gynaecology Canada 2997:Seidlova-Wuttke D, Wuttke W (2017-03-22). 680:improve premenstrual symptoms, especially 82:In 1931, the first commercially available 3112: 3087:Desmawati D, Sulastri D (February 2019). 3063: 3014: 2973: 2963: 2922: 2912: 2626: 2616: 2166: 1836: 1643: 1424: 1414: 1332: 1245: 1235: 1122: 1073: 1063: 935: 925: 884: 784: 774: 3089:"Phytoestrogens and Their Health Effect" 100: 2486:Cochrane Database of Systematic Reviews 2410:Cochrane Database of Systematic Reviews 865:Cochrane Database of Systematic Reviews 709: 439:Letrozole raises concern regarding its 2952:Reproductive Biology and Endocrinology 2901:Reproductive Biology and Endocrinology 2336:Obstetrical & Gynecological Survey 1550:Clinical Pharmacology and Therapeutics 1403:Reproductive Biology and Endocrinology 1052:Journal of Human Reproductive Sciences 1046:George K, Kamath MS (September 2010). 2594: 2592: 2590: 2588: 1448: 1446: 1444: 1354: 1352: 1302: 1300: 1275: 1273: 1271: 1269: 1267: 1265: 1146: 1144: 1142: 7: 1817:Breast Cancer Research and Treatment 752: 750: 748: 522:Procedures of In-vitro Fertilization 174:will cause failure in implantation. 2779:The New England Journal of Medicine 2100:The New England Journal of Medicine 2065:The New England Journal of Medicine 1397:Fiedler K, Ezcurra D (April 2012). 1313:The New England Journal of Medicine 910:"Metformin in Reproductive Biology" 567:Chemical structure of Bromocriptine 1097:LeĂŁo Rd, Esteves SC (April 2014). 634:Chemical structure of Coenzyme Q10 386:3. Aromatase Inhibitors: Letrozole 231:Gonadotropin treatment may induce 78:History of female fertility agents 14: 1153:"Physiology, Luteinizing Hormone" 731:10.1016/j.clinbiochem.2018.03.012 585:Chemical structure of cabergoline 537:ovarian hyperstimulation syndrome 322:ovarian hyperstimulation syndrome 233:ovarian hyperstimulation syndrome 2571:10.1016/j.fertnstert.2011.09.020 2348:10.1097/00006254-200006000-00019 1912:10.1016/j.fertnstert.2004.01.006 1906:(4): 1158–9, author reply 1159. 1373:10.1016/j.fertnstert.2020.11.016 279:Chemical structure of Clomiphene 20: 2227:Internal and Emergency Medicine 1185:Frontiers in Neuroendocrinology 463:Chemical structure of Metformin 381:Chemical structure of Letrozole 2494:10.1002/14651858.cd006105.pub2 2418:10.1002/14651858.cd003053.pub4 1585:Journal of Medicinal Chemistry 1: 2834:10.1016/s0890-6238(02)00055-2 2262:Expert Opinion on Drug Safety 965:International Congress Series 502:Table of complete blood count 295:. By occupying intracellular 158:Image of uterine malformation 3143:Drugs by target organ system 3044:Food Science & Nutrition 2204:10.1016/j.diabet.2010.11.002 2007:10.1097/AOG.0000000000002656 1778:Journal of Clinical Oncology 1706:Journal of Clinical Oncology 1151:Nedresky D, Singh G (2024), 676:The extracts of Chasteberry 129:hypogonadotropic hypogonadal 88:Food and Drug Administration 84:human chorionic gonadotropin 1197:10.1016/j.yfrne.2020.100876 696:) extracts contain several 320:. Rare adverse effects are 144:Animation of Fallopian tube 136:2. Structural abnormalities 3164: 2965:10.1186/s12958-021-00741-0 2709:Choi J, Horner KA (2024), 2605:Frontiers in Endocrinology 1527:10.1016/j.jpba.2021.114236 1467:10.1016/j.jogc.2017.12.004 1224:Frontiers in Endocrinology 1115:10.6061/clinics/2014(04)10 914:Frontiers in Endocrinology 763:Frontiers in Endocrinology 3016:10.1186/s40816-016-0038-z 2914:10.1186/s12958-018-0343-0 2869:10.1007/s11102-010-0290-z 2297:Human Reproduction Update 2239:10.1007/s11739-014-1157-5 2192:Diabetes & Metabolism 2030:Human Reproduction Update 1995:Obstetrics and Gynecology 1829:10.1007/s10549-007-9774-6 1624:Human Reproduction Update 1027:www.childrenscolorado.org 977:10.1016/j.ics.2004.12.028 877:10.1002/14651858.cd010287 698:phytoestrogenic compounds 453:polycystic ovary syndrome 356:polycystic ovary syndrome 350:Polycystic ovary syndrome 213:intrauterine insemination 2618:10.3389/fendo.2018.00768 2459:10.1177/1933719118765985 2274:10.1517/14740338.6.2.191 1790:10.1200/JCO.2007.10.7573 1718:10.1200/JCO.2005.05.4882 1237:10.3389/fendo.2019.00429 927:10.3389/fendo.2018.00675 776:10.3389/fendo.2019.00429 419:Example of tenosynovitis 184:Age and female fertility 150:Tubal Factor Infertility 3105:10.3889/oamjms.2019.086 2814:Reproductive Toxicology 2559:Fertility and Sterility 2535:10.1111/1471-0528.12070 2112:10.1056/nejmcibr1409796 1900:Fertility and Sterility 1416:10.1186/1477-7827-10-32 1361:Fertility and Sterility 1065:10.4103/0974-1208.74152 682:premenstrual mastodynis 201:1. Gonadotropin therapy 71:Female fertility agents 35:, as no other articles 2688:10.1210/jcem.84.7.5810 959:Dhont M (April 2005). 635: 586: 568: 523: 503: 464: 420: 382: 351: 280: 261:in vitro fertilization 217:in vitro fertilization 170:, commonly caused by 159: 145: 122:1. Ovulatory disorders 106: 3003:Clinical Phytoscience 2756:10.1210/jc.2018-02202 2655:www.sciencedirect.com 2447:Reproductive Sciences 2383:10.1210/jc.2017-01739 2309:10.1093/humupd/dmu022 2042:10.1093/humupd/dms003 1948:10.1093/humrep/dew280 1874:10.1093/annonc/mdt037 1754:10.1093/annonc/mdr448 1636:10.1093/humupd/dmn033 1325:10.1056/NEJMoa1414827 837:www.sciencedirect.com 719:Clinical Biochemistry 633: 584: 566: 539:(OHSS) is prevented. 521: 501: 462: 418: 380: 368:endometrial carcinoma 349: 278: 157: 143: 104: 2791:10.1056/NEJMoa062222 2077:10.1056/NEJMoa063971 608:Fetal considerations 602:postural hypotension 508:complete blood count 494:Fetal considerations 435:Fetal considerations 328:Fetal considerations 239:Fetal considerations 2826:2002RepTx..16..791R 2711:"Dopamine Agonists" 2565:(6): 1384–1390.e4. 2159:10.1038/nature13270 2151:2014Natur.510..542M 1597:10.1021/jm00173a001 1048:"Fertility and age" 1003:pro.uptodatefree.ir 558:Hyperprolactinaemia 372:hyperprolactinaemia 172:MĂĽllerian anomalies 1936:Human Reproduction 1862:Annals of Oncology 1742:Annals of Oncology 1682:10.1002/cncr.10908 1493:www.infantrisk.com 694:Trifolium pratense 678:Vitex agnus castus 636: 587: 569: 524: 504: 465: 421: 383: 352: 281: 245:multiple pregnancy 160: 146: 107: 92:hyperprolactinemia 54:for suggestions. 44:to this page from 3056:10.1002/fsn3.2523 3050:(10): 5869–5882. 2453:(10): 1336–1342. 2145:(7506): 542–546. 2106:(16): 1547–1548. 1784:(25): 3877–3883. 1712:(22): 3629–3635. 1591:(11): 2933–2942. 1319:(13): 1230–1240. 531:administered for 265:pelvic ultrasound 68: 67: 3155: 3127: 3126: 3116: 3084: 3078: 3077: 3067: 3035: 3029: 3028: 3018: 2994: 2988: 2987: 2977: 2967: 2943: 2937: 2936: 2926: 2916: 2892: 2886: 2885: 2884: 2883: 2852: 2846: 2845: 2809: 2803: 2802: 2774: 2768: 2767: 2750:(7): 2527–2534. 2738: 2732: 2731: 2730: 2729: 2706: 2700: 2699: 2682:(7): 2518–2522. 2671: 2665: 2664: 2662: 2661: 2647: 2641: 2640: 2630: 2620: 2596: 2583: 2582: 2553: 2547: 2546: 2517: 2511: 2510: 2509: 2508: 2477: 2471: 2470: 2441: 2435: 2434: 2433: 2432: 2401: 2395: 2394: 2366: 2360: 2359: 2327: 2321: 2320: 2292: 2286: 2285: 2257: 2251: 2250: 2222: 2216: 2215: 2187: 2181: 2180: 2170: 2130: 2124: 2123: 2095: 2089: 2088: 2060: 2054: 2053: 2025: 2019: 2018: 2001:(6): e157–e171. 1990: 1984: 1983: 1981: 1980: 1974:academic.oup.com 1966: 1960: 1959: 1930: 1924: 1923: 1895: 1886: 1885: 1868:(6): 1443–1449. 1857: 1851: 1850: 1840: 1808: 1802: 1801: 1772: 1766: 1765: 1748:(6): 1474–1481. 1736: 1730: 1729: 1700: 1694: 1693: 1676:(9): 2006–2016. 1664: 1658: 1657: 1647: 1615: 1609: 1608: 1580: 1574: 1573: 1545: 1539: 1538: 1509: 1503: 1502: 1500: 1499: 1485: 1479: 1478: 1450: 1439: 1438: 1428: 1418: 1394: 1385: 1384: 1356: 1347: 1346: 1336: 1304: 1295: 1294: 1292: 1291: 1285:www.uptodate.com 1277: 1260: 1259: 1249: 1239: 1215: 1209: 1208: 1180: 1174: 1173: 1172: 1171: 1148: 1137: 1136: 1126: 1094: 1088: 1087: 1077: 1067: 1043: 1037: 1036: 1034: 1033: 1019: 1013: 1012: 1010: 1009: 995: 989: 988: 956: 950: 949: 939: 929: 905: 899: 898: 888: 856: 847: 846: 844: 843: 829: 823: 822: 820: 819: 805: 799: 798: 788: 778: 754: 743: 742: 714: 692:The red clover ( 667:Herbal medicines 293:the hypothalamus 63: 60: 49: 47:related articles 24: 16: 3163: 3162: 3158: 3157: 3156: 3154: 3153: 3152: 3133: 3132: 3131: 3130: 3086: 3085: 3081: 3037: 3036: 3032: 2996: 2995: 2991: 2945: 2944: 2940: 2894: 2893: 2889: 2881: 2879: 2854: 2853: 2849: 2811: 2810: 2806: 2776: 2775: 2771: 2740: 2739: 2735: 2727: 2725: 2708: 2707: 2703: 2673: 2672: 2668: 2659: 2657: 2649: 2648: 2644: 2598: 2597: 2586: 2555: 2554: 2550: 2519: 2518: 2514: 2506: 2504: 2479: 2478: 2474: 2443: 2442: 2438: 2430: 2428: 2403: 2402: 2398: 2368: 2367: 2363: 2329: 2328: 2324: 2294: 2293: 2289: 2259: 2258: 2254: 2224: 2223: 2219: 2189: 2188: 2184: 2132: 2131: 2127: 2097: 2096: 2092: 2062: 2061: 2057: 2027: 2026: 2022: 1992: 1991: 1987: 1978: 1976: 1968: 1967: 1963: 1932: 1931: 1927: 1897: 1896: 1889: 1859: 1858: 1854: 1810: 1809: 1805: 1774: 1773: 1769: 1738: 1737: 1733: 1702: 1701: 1697: 1666: 1665: 1661: 1617: 1616: 1612: 1582: 1581: 1577: 1562:10.1002/cpt.377 1547: 1546: 1542: 1511: 1510: 1506: 1497: 1495: 1487: 1486: 1482: 1452: 1451: 1442: 1396: 1395: 1388: 1358: 1357: 1350: 1306: 1305: 1298: 1289: 1287: 1279: 1278: 1263: 1217: 1216: 1212: 1182: 1181: 1177: 1169: 1167: 1150: 1149: 1140: 1096: 1095: 1091: 1045: 1044: 1040: 1031: 1029: 1021: 1020: 1016: 1007: 1005: 997: 996: 992: 958: 957: 953: 907: 906: 902: 858: 857: 850: 841: 839: 831: 830: 826: 817: 815: 807: 806: 802: 756: 755: 746: 716: 715: 711: 706: 690: 674: 669: 653: 641: 628: 619: 610: 598: 550: 545: 516: 496: 484: 475: 470: 449: 437: 413: 403:to estrogen by 397:androstenedione 393: 388: 364:ovarian failure 344: 330: 310: 286: 273: 257: 249:gestational age 241: 229: 208: 203: 198: 180: 138: 124: 116: 80: 64: 58: 55: 45: 42:introduce links 25: 12: 11: 5: 3161: 3159: 3151: 3150: 3145: 3135: 3134: 3129: 3128: 3099:(3): 495–499. 3079: 3030: 2989: 2938: 2887: 2847: 2820:(6): 791–793. 2804: 2769: 2733: 2701: 2666: 2642: 2584: 2548: 2529:(3): 267–276. 2512: 2472: 2436: 2396: 2377:(3): 890–899. 2361: 2342:(6): 365–366. 2322: 2303:(5): 656–669. 2287: 2268:(2): 191–198. 2252: 2217: 2182: 2125: 2090: 2071:(6): 551–566. 2055: 2036:(3): 301–312. 2020: 1985: 1961: 1942:(1): 125–132. 1925: 1887: 1852: 1823:(2): 365–372. 1803: 1767: 1731: 1695: 1659: 1630:(6): 571–582. 1610: 1575: 1540: 1504: 1480: 1461:(7): 978–987. 1440: 1386: 1348: 1296: 1261: 1210: 1175: 1138: 1109:(4): 279–293. 1089: 1058:(3): 121–123. 1038: 1014: 990: 951: 900: 848: 824: 813:embryo.asu.edu 800: 744: 708: 707: 705: 702: 689: 686: 673: 670: 668: 665: 652: 649: 640: 637: 627: 624: 618: 615: 609: 606: 597: 594: 549: 546: 544: 541: 515: 512: 495: 492: 483: 480: 474: 471: 469: 466: 448: 445: 441:teratogenicity 436: 433: 412: 409: 392: 389: 387: 384: 358:, psychogenic 343: 340: 329: 326: 318:hyperlipidemia 309: 306: 285: 282: 272: 269: 256: 253: 240: 237: 228: 225: 207: 204: 202: 199: 197: 194: 182:More refer to 179: 176: 164:Fallopian tube 148:More refer to 137: 134: 123: 120: 115: 112: 79: 76: 66: 65: 52:Find link tool 28: 26: 19: 13: 10: 9: 6: 4: 3: 2: 3160: 3149: 3146: 3144: 3141: 3140: 3138: 3124: 3120: 3115: 3110: 3106: 3102: 3098: 3094: 3090: 3083: 3080: 3075: 3071: 3066: 3061: 3057: 3053: 3049: 3045: 3041: 3034: 3031: 3026: 3022: 3017: 3012: 3008: 3004: 3000: 2993: 2990: 2985: 2981: 2976: 2971: 2966: 2961: 2957: 2953: 2949: 2942: 2939: 2934: 2930: 2925: 2920: 2915: 2910: 2906: 2902: 2898: 2891: 2888: 2878: 2874: 2870: 2866: 2862: 2858: 2851: 2848: 2843: 2839: 2835: 2831: 2827: 2823: 2819: 2815: 2808: 2805: 2800: 2796: 2792: 2788: 2784: 2780: 2773: 2770: 2765: 2761: 2757: 2753: 2749: 2745: 2737: 2734: 2724: 2720: 2716: 2712: 2705: 2702: 2697: 2693: 2689: 2685: 2681: 2677: 2670: 2667: 2656: 2652: 2646: 2643: 2638: 2634: 2629: 2624: 2619: 2614: 2610: 2606: 2602: 2595: 2593: 2591: 2589: 2585: 2580: 2576: 2572: 2568: 2564: 2560: 2552: 2549: 2544: 2540: 2536: 2532: 2528: 2524: 2516: 2513: 2503: 2499: 2495: 2491: 2487: 2483: 2476: 2473: 2468: 2464: 2460: 2456: 2452: 2448: 2440: 2437: 2427: 2423: 2419: 2415: 2411: 2407: 2400: 2397: 2392: 2388: 2384: 2380: 2376: 2372: 2365: 2362: 2357: 2353: 2349: 2345: 2341: 2337: 2333: 2326: 2323: 2318: 2314: 2310: 2306: 2302: 2298: 2291: 2288: 2283: 2279: 2275: 2271: 2267: 2263: 2256: 2253: 2248: 2244: 2240: 2236: 2233:(1): 93–102. 2232: 2228: 2221: 2218: 2213: 2209: 2205: 2201: 2197: 2193: 2186: 2183: 2178: 2174: 2169: 2164: 2160: 2156: 2152: 2148: 2144: 2140: 2136: 2129: 2126: 2121: 2117: 2113: 2109: 2105: 2101: 2094: 2091: 2086: 2082: 2078: 2074: 2070: 2066: 2059: 2056: 2051: 2047: 2043: 2039: 2035: 2031: 2024: 2021: 2016: 2012: 2008: 2004: 2000: 1996: 1989: 1986: 1975: 1971: 1965: 1962: 1957: 1953: 1949: 1945: 1941: 1937: 1929: 1926: 1921: 1917: 1913: 1909: 1905: 1901: 1894: 1892: 1888: 1883: 1879: 1875: 1871: 1867: 1863: 1856: 1853: 1848: 1844: 1839: 1834: 1830: 1826: 1822: 1818: 1814: 1807: 1804: 1799: 1795: 1791: 1787: 1783: 1779: 1771: 1768: 1763: 1759: 1755: 1751: 1747: 1743: 1735: 1732: 1727: 1723: 1719: 1715: 1711: 1707: 1699: 1696: 1691: 1687: 1683: 1679: 1675: 1671: 1663: 1660: 1655: 1651: 1646: 1641: 1637: 1633: 1629: 1625: 1621: 1614: 1611: 1606: 1602: 1598: 1594: 1590: 1586: 1579: 1576: 1571: 1567: 1563: 1559: 1555: 1551: 1544: 1541: 1536: 1532: 1528: 1524: 1520: 1516: 1508: 1505: 1494: 1490: 1484: 1481: 1476: 1472: 1468: 1464: 1460: 1456: 1449: 1447: 1445: 1441: 1436: 1432: 1427: 1422: 1417: 1412: 1408: 1404: 1400: 1393: 1391: 1387: 1382: 1378: 1374: 1370: 1366: 1362: 1355: 1353: 1349: 1344: 1340: 1335: 1330: 1326: 1322: 1318: 1314: 1310: 1303: 1301: 1297: 1286: 1282: 1276: 1274: 1272: 1270: 1268: 1266: 1262: 1257: 1253: 1248: 1243: 1238: 1233: 1229: 1225: 1221: 1214: 1211: 1206: 1202: 1198: 1194: 1190: 1186: 1179: 1176: 1166: 1162: 1158: 1154: 1147: 1145: 1143: 1139: 1134: 1130: 1125: 1120: 1116: 1112: 1108: 1104: 1100: 1093: 1090: 1085: 1081: 1076: 1071: 1066: 1061: 1057: 1053: 1049: 1042: 1039: 1028: 1024: 1018: 1015: 1004: 1000: 994: 991: 986: 982: 978: 974: 970: 966: 962: 955: 952: 947: 943: 938: 933: 928: 923: 919: 915: 911: 904: 901: 896: 892: 887: 882: 878: 874: 870: 866: 862: 855: 853: 849: 838: 834: 828: 825: 814: 810: 804: 801: 796: 792: 787: 782: 777: 772: 768: 764: 760: 753: 751: 749: 745: 740: 736: 732: 728: 724: 720: 713: 710: 703: 701: 699: 695: 687: 685: 683: 679: 671: 666: 664: 661: 657: 650: 648: 645: 638: 632: 625: 623: 616: 614: 607: 605: 603: 595: 593: 591: 583: 579: 577: 573: 572:Bromocriptine 565: 561: 559: 555: 547: 542: 540: 538: 534: 529: 520: 513: 511: 509: 500: 493: 491: 489: 481: 479: 472: 467: 461: 457: 454: 446: 444: 442: 434: 432: 430: 429:tenosynovitis 426: 417: 410: 408: 406: 405:hydroxylation 402: 398: 390: 385: 379: 375: 373: 369: 365: 361: 357: 348: 341: 339: 336: 327: 325: 323: 319: 315: 307: 305: 303: 298: 294: 290: 283: 277: 271:2. Clomiphene 270: 268: 266: 262: 254: 252: 250: 246: 238: 236: 234: 226: 224: 222: 218: 214: 205: 200: 195: 193: 191: 186: 185: 177: 175: 173: 169: 165: 156: 152: 151: 142: 135: 133: 130: 121: 119: 113: 111: 103: 99: 95: 93: 89: 85: 77: 75: 72: 62: 53: 48: 43: 39: 38: 34: 29:This article 27: 23: 18: 17: 3096: 3092: 3082: 3047: 3043: 3033: 3006: 3002: 2992: 2955: 2951: 2941: 2904: 2900: 2890: 2880:, retrieved 2860: 2850: 2817: 2813: 2807: 2785:(1): 29–38. 2782: 2778: 2772: 2747: 2743: 2736: 2726:, retrieved 2714: 2704: 2679: 2675: 2669: 2658:. Retrieved 2654: 2645: 2608: 2604: 2562: 2558: 2551: 2526: 2522: 2515: 2505:, retrieved 2485: 2475: 2450: 2446: 2439: 2429:, retrieved 2409: 2399: 2374: 2370: 2364: 2339: 2335: 2325: 2300: 2296: 2290: 2265: 2261: 2255: 2230: 2226: 2220: 2198:(2): 90–96. 2195: 2191: 2185: 2142: 2138: 2128: 2103: 2099: 2093: 2068: 2064: 2058: 2033: 2029: 2023: 1998: 1994: 1988: 1977:. Retrieved 1973: 1964: 1939: 1935: 1928: 1903: 1899: 1865: 1861: 1855: 1820: 1816: 1806: 1781: 1777: 1770: 1745: 1741: 1734: 1709: 1705: 1698: 1673: 1669: 1662: 1627: 1623: 1613: 1588: 1584: 1578: 1556:(1): 42–52. 1553: 1549: 1543: 1518: 1514: 1507: 1496:. Retrieved 1492: 1483: 1458: 1454: 1406: 1402: 1367:(1): 62–69. 1364: 1360: 1316: 1312: 1288:. Retrieved 1284: 1227: 1223: 1213: 1188: 1184: 1178: 1168:, retrieved 1156: 1106: 1102: 1092: 1055: 1051: 1041: 1030:. Retrieved 1026: 1017: 1006:. Retrieved 1002: 993: 968: 964: 954: 917: 913: 903: 868: 864: 840:. Retrieved 836: 827: 816:. Retrieved 812: 803: 766: 762: 722: 718: 712: 691: 675: 654: 644:Coenzyme Q10 642: 639:Coenzyme Q10 620: 617:Clinical use 611: 599: 596:Side effects 588: 576:postsynaptic 570: 554:prolactinoma 551: 525: 514:Clinical use 505: 485: 482:Side effects 476: 468:4. Metformin 450: 447:Clinical use 438: 422: 411:Side effects 401:testosterone 394: 353: 342:Clinical use 331: 311: 308:Side effects 302:gonadotropin 287: 258: 255:Clinical use 242: 230: 227:Side effects 221:luteal phase 209: 187: 181: 161: 147: 125: 117: 108: 96: 81: 70: 69: 56: 30: 672:Chasteberry 656:Myoinositol 651:Myoinositol 626:Supplements 590:Cabergoline 548:Drug action 528:progestogen 473:Drug action 391:Drug action 284:Drug action 206:Drug action 3137:Categories 2882:2024-04-07 2728:2024-04-07 2715:StatPearls 2660:2024-04-07 2507:2024-04-06 2431:2024-04-06 1979:2024-04-06 1521:: 114236. 1498:2024-04-06 1290:2024-04-07 1281:"UpToDate" 1191:: 100876. 1170:2024-04-07 1157:StatPearls 1032:2024-04-07 1008:2024-04-07 842:2024-04-08 818:2024-04-08 704:References 688:Red clover 488:flatulence 425:arthralgia 360:amenorrhea 338:evidence. 289:Clomiphene 215:(IUI) and 196:Medication 50:; try the 37:link to it 3148:Fertility 3025:2199-1197 2958:(1): 61. 2907:(1): 29. 2356:0029-7828 1409:(1): 32. 985:0531-5131 335:prolactin 314:hot flash 40:. Please 3123:30834024 3074:34646552 3009:(1): 6. 2984:33892722 2933:29587861 2877:21221817 2842:12401507 2799:17202453 2764:30848825 2723:31869150 2696:10404830 2637:30740089 2579:21982727 2543:23194199 2502:19370625 2467:29576001 2426:20091537 2391:29325133 2317:24861556 2282:17367265 2247:25502588 2212:21236717 2177:24847880 2120:25317875 2085:17287476 2050:22431566 2015:29794677 1956:27821708 1920:15066489 1882:23471104 1847:17922185 1798:17761973 1762:22003243 1726:16822845 1690:12404296 1654:18812422 1570:27060684 1535:34273657 1475:29921434 1435:22531097 1381:33309061 1343:26398071 1256:31333582 1205:33045257 1165:30969514 1133:24714837 1084:21234171 946:30524372 895:29797697 795:31333582 739:29555319 725:: 2–10. 297:estrogen 291:acts on 178:3. Aging 59:May 2024 3114:6390141 3065:8498057 2975:8063404 2924:5870379 2822:Bibcode 2628:6357924 2611:: 768. 2168:4074244 2147:Bibcode 1838:3081690 1645:2569859 1605:2231592 1426:3403873 1334:4739644 1247:6616070 1230:: 429. 1124:3971356 1103:Clinics 1075:3017326 971:: 3–9. 937:6262031 920:: 675. 886:6494577 786:6616070 769:: 429. 660:insulin 190:oocytes 3121:  3111:  3072:  3062:  3023:  2982:  2972:  2931:  2921:  2875:  2840:  2797:  2762:  2721:  2694:  2635:  2625:  2577:  2541:  2500:  2465:  2424:  2389:  2354:  2315:  2280:  2245:  2210:  2175:  2165:  2139:Nature 2118:  2083:  2048:  2013:  1954:  1918:  1880:  1845:  1835:  1796:  1760:  1724:  1688:  1670:Cancer 1652:  1642:  1603:  1568:  1533:  1473:  1433:  1423:  1379:  1341:  1331:  1254:  1244:  1203:  1163:  1131:  1121:  1082:  1072:  983:  944:  934:  893:  883:  793:  783:  737:  168:uterus 114:Causes 33:orphan 31:is an 3119:PMID 3070:PMID 3021:ISSN 2980:PMID 2929:PMID 2873:PMID 2838:PMID 2795:PMID 2760:PMID 2719:PMID 2692:PMID 2633:PMID 2575:PMID 2539:PMID 2523:BJOG 2498:PMID 2463:PMID 2422:PMID 2387:PMID 2352:ISSN 2313:PMID 2278:PMID 2243:PMID 2208:PMID 2173:PMID 2116:PMID 2081:PMID 2046:PMID 2011:PMID 1952:PMID 1916:PMID 1878:PMID 1843:PMID 1794:PMID 1758:PMID 1722:PMID 1686:PMID 1650:PMID 1601:PMID 1566:PMID 1531:PMID 1471:PMID 1431:PMID 1377:PMID 1339:PMID 1252:PMID 1201:PMID 1161:PMID 1129:PMID 1080:PMID 981:ISSN 969:1279 942:PMID 891:PMID 791:PMID 735:PMID 427:and 399:and 3109:PMC 3101:doi 3060:PMC 3052:doi 3011:doi 2970:PMC 2960:doi 2919:PMC 2909:doi 2865:doi 2830:doi 2787:doi 2783:356 2752:doi 2748:104 2684:doi 2623:PMC 2613:doi 2567:doi 2531:doi 2527:120 2490:doi 2455:doi 2414:doi 2379:doi 2375:103 2344:doi 2305:doi 2270:doi 2235:doi 2200:doi 2163:PMC 2155:doi 2143:510 2108:doi 2104:371 2073:doi 2069:356 2038:doi 2003:doi 1999:131 1944:doi 1908:doi 1870:doi 1833:PMC 1825:doi 1821:111 1786:doi 1750:doi 1714:doi 1678:doi 1640:PMC 1632:doi 1593:doi 1558:doi 1554:100 1523:doi 1519:204 1463:doi 1421:PMC 1411:doi 1369:doi 1365:115 1329:PMC 1321:doi 1317:373 1242:PMC 1232:doi 1193:doi 1119:PMC 1111:doi 1070:PMC 1060:doi 973:doi 932:PMC 922:doi 881:PMC 873:doi 781:PMC 771:doi 727:doi 560:) 533:IVF 3139:: 3117:. 3107:. 3095:. 3091:. 3068:. 3058:. 3046:. 3042:. 3019:. 3005:. 3001:. 2978:. 2968:. 2956:19 2954:. 2950:. 2927:. 2917:. 2905:16 2903:. 2899:. 2871:, 2859:, 2836:. 2828:. 2818:16 2816:. 2793:. 2781:. 2758:. 2746:. 2713:, 2690:. 2680:84 2678:. 2653:. 2631:. 2621:. 2607:. 2603:. 2587:^ 2573:. 2563:96 2561:. 2537:. 2525:. 2496:, 2484:, 2461:. 2451:26 2449:. 2420:, 2408:, 2385:. 2373:. 2350:. 2340:55 2338:. 2334:. 2311:. 2301:20 2299:. 2276:. 2264:. 2241:. 2231:10 2229:. 2206:. 2196:37 2194:. 2171:. 2161:. 2153:. 2141:. 2137:. 2114:. 2102:. 2079:. 2067:. 2044:. 2034:18 2032:. 2009:. 1997:. 1972:. 1950:. 1940:32 1938:. 1914:. 1904:81 1902:. 1890:^ 1876:. 1866:24 1864:. 1841:. 1831:. 1819:. 1815:. 1792:. 1782:25 1780:. 1756:. 1746:23 1744:. 1720:. 1710:24 1708:. 1684:. 1674:95 1672:. 1648:. 1638:. 1628:14 1626:. 1622:. 1599:. 1589:33 1587:. 1564:. 1552:. 1529:. 1517:. 1491:. 1469:. 1459:40 1457:. 1443:^ 1429:. 1419:. 1407:10 1405:. 1401:. 1389:^ 1375:. 1363:. 1351:^ 1337:. 1327:. 1315:. 1311:. 1299:^ 1283:. 1264:^ 1250:. 1240:. 1228:10 1226:. 1222:. 1199:. 1189:60 1187:. 1155:, 1141:^ 1127:. 1117:. 1107:69 1105:. 1101:. 1078:. 1068:. 1054:. 1050:. 1025:. 1001:. 979:. 963:. 940:. 930:. 916:. 912:. 889:. 879:. 867:. 863:. 851:^ 835:. 811:. 789:. 779:. 767:10 765:. 761:. 747:^ 733:. 723:62 721:. 431:. 374:. 370:, 366:, 223:. 3125:. 3103:: 3097:7 3076:. 3054:: 3048:9 3027:. 3013:: 3007:3 2986:. 2962:: 2935:. 2911:: 2867:: 2844:. 2832:: 2824:: 2801:. 2789:: 2766:. 2754:: 2698:. 2686:: 2663:. 2639:. 2615:: 2609:9 2581:. 2569:: 2545:. 2533:: 2492:: 2469:. 2457:: 2416:: 2393:. 2381:: 2358:. 2346:: 2319:. 2307:: 2284:. 2272:: 2266:6 2249:. 2237:: 2214:. 2202:: 2179:. 2157:: 2149:: 2122:. 2110:: 2087:. 2075:: 2052:. 2040:: 2017:. 2005:: 1982:. 1958:. 1946:: 1922:. 1910:: 1884:. 1872:: 1849:. 1827:: 1800:. 1788:: 1764:. 1752:: 1728:. 1716:: 1692:. 1680:: 1656:. 1634:: 1607:. 1595:: 1572:. 1560:: 1537:. 1525:: 1501:. 1477:. 1465:: 1437:. 1413:: 1383:. 1371:: 1345:. 1323:: 1293:. 1258:. 1234:: 1207:. 1195:: 1135:. 1113:: 1086:. 1062:: 1056:3 1035:. 1011:. 987:. 975:: 948:. 924:: 918:9 897:. 875:: 869:5 845:. 821:. 797:. 773:: 741:. 729:: 61:) 57:(

Index


orphan
link to it
introduce links
related articles
Find link tool
human chorionic gonadotropin
Food and Drug Administration
hyperprolactinemia

hypogonadotropic hypogonadal

Tubal Factor Infertility

Fallopian tube
uterus
MĂĽllerian anomalies
Age and female fertility
oocytes
intrauterine insemination
in vitro fertilization
luteal phase
ovarian hyperstimulation syndrome
multiple pregnancy
gestational age
in vitro fertilization
pelvic ultrasound

Clomiphene
the hypothalamus

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

↑