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Which is the most appropriate pharmacotherapy for this patient’s infertility? A 32-year old woman comes to the physician because she has not been able to conceive for 5 years. Previous fertility examinations of her husband showed no abnormalities. Menses occur at regular 28-day intervals. Her blood pressure is 110/70 mm Hg. Physical and pelvic examinations show no abnormalities. Hysterosalpingography shows normal findings. Her serum hormone concentrations are within the reference range.

This question is part of NBME 13 Section 2 (50 questions)
Asked by Chachelly, Last updated: Apr 02, 2020

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Chachelly

Chachelly

Answered Jan 20, 2019

Clomiphene

Clomiphene is a SERM that an Estrogen receptor antagonist in the hypothalamus, which stops negative feedback, and increases GnRH => increase LH, FSH => jumpstarting ovulation
 

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