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Since the coronavirus first hit the United States, doctors at a number of hospitals have noticed a pattern. The majority of patients who are going to respond will respond to the first course of therapy, and 3 courses should constitute an adequate therapeutic trial. If ovulatory menses have not yet occurred, the diagnosis should be re-evaluated. Treatment beyond this is not recommended in the patient who does not exhibit evidence of ovulation.

Long-term cyclic therapy. Not recommended. Special Populations. Special care with lower dosage or duration of treatment is particularly recommended if unusual sensitivity to pituitary gonadotrophin is suspected, such as in patients with polycystic ovary syndrome See Section 5. Abnormal uterine bleeding: Clomid 50mg Tablets 50mg Tablets is contraindicated in patients with hormone-dependent tumours or in patients with abnormal uterine bleeding of undetermined origin.

Ovarian cyst: Clomid 50mg Tablets 50mg Tablets 50mg Tablets should not be given in the presence of an ovarian cyst, except polycystic ovary, since further enlargement of the cyst may occur. Patients should be evaluated for the presence of ovarian cyst prior to each course of treatment. General: Good levels of endogenous oestrogen as estimated from vaginal smears, endometrial biopsy, assay of urinary oestrogen, or endometrial bleeding in response to progesterone provide a favourable prognosis for ovulatory response induced by Clomid 50mg Tablets.

Clomid 50mg Tablets therapy is ineffective in patients with primary pituitary or primary ovarian failure. Clomid 50mg Tablets therapy cannot be expected to substitute for specific treatment of other causes of ovulatory failure, such as thyroid or adrenal disorders. For hyperprolactinaemia there is other preferred specific treatment. To minimise the hazard of the abnormal ovarian enlargement associated with Clomid 50mg Tablets therapy, the lowest dose consistent with expectation of good results should be used.

Maximal enlargement of the ovary may not occur until several days after discontinuation of the course of Clomid 50mg Tablets. Some patients with polycystic ovary syndrome who are unusually sensitive to gonadotropin may have an exaggerated response to usual doses of Clomid 50mg Tablets. The patient who complains of abdominal or pelvic pain, discomfort, or distension after taking Clomid 50mg Tablets should be examined because of the possible presence of an ovarian cyst or other cause.

If abnormal enlargement occurs Clomid 50mg Tablets should not be given until the ovaries have returned to pre-treatment size. Most of these patients should be managed conservatively.

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