Abstract

Background: Polycystic ovary syndrome (PCOS) is the commonest endocrinopathy resulting in anovulatory infertility in young women as in recent years have seen a significant rise in women presenting with PCOS . Despite wide acceptance of clomiphene citrate (CC) as the first-line drug for ovulation induction in women with polycystic ovaries (PCOS), a significant proportion of women do not respond to this treatment. In addition, CC use is known to have several disadvantages, including a discrepancy between ovulation and conception rates. Recent studies have suggested that letrozole, an aromatase inhibitor, can be used for ovulation induction and is associated with higher pregnancy rates and less complications than CC treatment in women with PCOs.

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