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Other Stimulation Medications
Arimidex or Femara
Aromatase inhibitors, sold under brand names Arimidex or Femara, are oral medications that reduce estrogen levels. They are currently FDA approved for postmenopausal breast cancer, but have been used successfully for ovulation induction. These drugs are sometimes prescribed to women who do not respond to clomid.
Aromatase inhibitors suppress estrogen production, and encourage the production of leutinizing hormone (LH) and follicle stimulating hormone (FSH) to induce ovulation. Physicians typically prescribe the pills for five days starting on menstrual cycle day three, four or five.
Metformin, sold under the brand name Glucophage, is an insulin-sensitizing drug that can restore cyclic ovulation and menstruation in many women with polycystic ovary syndrome (PCOS). The drug is not currently approved by the FDA for this purpose.
Dostinex or Parlodel
Bromocriptine or cabergoline, sold under the brand names Dostinex or Parlodel, is used to suppress prolactin production in women whose pituitary glands secrete too much prolactin, which inhibits the release of FSH and LH. These medications are tablets that are taken orally. Bromocriptine can also be administered vaginally.