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AGenerally acceptableControlled studies in pregnant women show no evidence of fetal risk.
ClomiPHENE . citrate has no apparent progestationalandrogenicor antiandrogenic effects and does not appear to interfere with pituitary-adrenal or pituitary-thyroid function.
Women who still do not respond to clomiphene can be switched to a different class of medications such as an aromatase inhibitor or a gonadotropin.
4Other Impediments to PregnancyImpediments to pregnancy can include thyroid disordersadrenal disordershyperprolactinemiaand male factor infertility.
GenitourinaryEndometriosisovarian cystovarian enlargement or cysts couldas suchbe complicated by adnexal torsionovarian hemorrhagetubal pregnancyuterine hemorrhagereduced endometrial thickness.
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