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Comparison of efficacy of letrozole and clomiphene citrate in ovulation induction in Indian women with polycystic ovarian syndrome.
Arch Gynecol Obstet. 2012 Mar; 285(3):873-7.AG

Abstract

OBJECTIVES

The objective of this study was to compare the efficacy of letrozole versus clomiphene citrate as an ovulation induction drug in polycystic ovarian syndrome (PCOS) patients of Indian origin.

METHOD

One hundred and forty seven infertile PCOS patients were randomly given letrozole (2.5 mg) (n = 69) or clomiphene (100 mg) (n = 78) from day 3 to day 7 of menstrual cycle, followed-up with transvaginal serial folliculometry from day 9. 10,000 IU of human chorionic gonadotropin (hCG) was administered when at least 1 ovarian follicle was ≥ 18 mm in size.

RESULTS

The pertinent results of the study are as follows: on the day of hCG injection, mean E2 level was significantly higher in the clomphene citrate group (817 ± 286.70 pg/ml) in comparison with letrozole group (444.03 ± 85.42 pg/ml). Mean endometrial development was 8.72 ± 1.41 mm in the letrozole and 8.78 ± 1.16 mm in the clomiphene group (P = 0.004).

CONCLUSION

Letrozole has beneficial effect on endometrium, thereby potentially increasing pregnancy rates after successful ovulation induction in women with PCOS.

Authors+Show Affiliations

KPC Medical College, Kolkata, India. amitabh.r@rediffmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial, Phase III
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

21984038

Citation

Banerjee Ray, Payal, et al. "Comparison of Efficacy of Letrozole and Clomiphene Citrate in Ovulation Induction in Indian Women With Polycystic Ovarian Syndrome." Archives of Gynecology and Obstetrics, vol. 285, no. 3, 2012, pp. 873-7.
Banerjee Ray P, Ray A, Chakraborti PS. Comparison of efficacy of letrozole and clomiphene citrate in ovulation induction in Indian women with polycystic ovarian syndrome. Arch Gynecol Obstet. 2012;285(3):873-7.
Banerjee Ray, P., Ray, A., & Chakraborti, P. S. (2012). Comparison of efficacy of letrozole and clomiphene citrate in ovulation induction in Indian women with polycystic ovarian syndrome. Archives of Gynecology and Obstetrics, 285(3), 873-7. https://doi.org/10.1007/s00404-011-2091-7
Banerjee Ray P, Ray A, Chakraborti PS. Comparison of Efficacy of Letrozole and Clomiphene Citrate in Ovulation Induction in Indian Women With Polycystic Ovarian Syndrome. Arch Gynecol Obstet. 2012;285(3):873-7. PubMed PMID: 21984038.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of efficacy of letrozole and clomiphene citrate in ovulation induction in Indian women with polycystic ovarian syndrome. AU - Banerjee Ray,Payal, AU - Ray,Amitabh, AU - Chakraborti,P S, Y1 - 2011/10/07/ PY - 2011/05/31/received PY - 2011/09/12/accepted PY - 2011/10/11/entrez PY - 2011/10/11/pubmed PY - 2012/7/3/medline SP - 873 EP - 7 JF - Archives of gynecology and obstetrics JO - Arch Gynecol Obstet VL - 285 IS - 3 N2 - OBJECTIVES: The objective of this study was to compare the efficacy of letrozole versus clomiphene citrate as an ovulation induction drug in polycystic ovarian syndrome (PCOS) patients of Indian origin. METHOD: One hundred and forty seven infertile PCOS patients were randomly given letrozole (2.5 mg) (n = 69) or clomiphene (100 mg) (n = 78) from day 3 to day 7 of menstrual cycle, followed-up with transvaginal serial folliculometry from day 9. 10,000 IU of human chorionic gonadotropin (hCG) was administered when at least 1 ovarian follicle was ≥ 18 mm in size. RESULTS: The pertinent results of the study are as follows: on the day of hCG injection, mean E2 level was significantly higher in the clomphene citrate group (817 ± 286.70 pg/ml) in comparison with letrozole group (444.03 ± 85.42 pg/ml). Mean endometrial development was 8.72 ± 1.41 mm in the letrozole and 8.78 ± 1.16 mm in the clomiphene group (P = 0.004). CONCLUSION: Letrozole has beneficial effect on endometrium, thereby potentially increasing pregnancy rates after successful ovulation induction in women with PCOS. SN - 1432-0711 UR - https://www.unboundmedicine.com/medline/citation/21984038/Comparison_of_efficacy_of_letrozole_and_clomiphene_citrate_in_ovulation_induction_in_Indian_women_with_polycystic_ovarian_syndrome_ L2 - https://dx.doi.org/10.1007/s00404-011-2091-7 DB - PRIME DP - Unbound Medicine ER -