I'm 30 years old and I'm on my 4th cycle of clomid for PCOS. I had a miscarriage after my 2nd cycle of clomid what would you recommend as the next treatment? My husband has been tested and has no problems.
Our Expert's Answer
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Using clomid for ovulation induction is the gold standard first line treatment in PCOS if you are not ovulating. If you conceive with clomid you have a good chance of conceiving again. Unfortunately miscarriage is a common outcome however I would advise a pelvic ultrasound examination if this has not been done in the last 12 months. I would also recommend a scan during your cycle with clomid to check your response and a day 21 progesterone blood test to monitor your luteal phase. You could check your prolactin level, thyroid function and full blood count. If all these are normal I would suggest you carry on with clomid for another 4 cycles.