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Brief Title: Combined Metformin and Clomiphene Citrate (CC) or Laparoscopic Ovarian Diathermy for Women With CC Resistant Polycystic Ovary Syndrome (PCOS)
Official Title: Combined Metformin and Clomiphene Citrate Versus Laparoscopic Ovarian Diathermy for Ovulation Induction in Clomiphene-resistant Women With Polycystic Ovary Syndrome
Study ID: NCT00969631
Brief Summary: The purpose of this study is to compare and determine the efficacy of combined metformin and Clomiphene citrate administration to that of laparoscopic ovarian diathermy (LOD) in infertile women with Polycystic ovary syndrome (PCOS) not responding to treatment with Clomiphene alone.
Detailed Description: All patients in the combined metformin-CC group received metformin HCl (Cidophage®;Chemical Industries Development,Cairo, Egypt), 500 mg thrice daily for 6-8 weeks. Then after the end of this period, they received 100 mg CC (Clomid®; Global Napi Pharmaceuticals,Cairo, Egypt) for 5 days starting from day 3 of menstruation (increased by 50 mg in the next cycle in case of anovulation ). Patients continued treatment for up to six cycles. Metformin was stopped only when pregnancy was documented. All patients in the control group underwent laparoscopic ovarian diathermy, then followed up for 6 months.
Minimum Age: 20 Years
Eligible Ages: ADULT
Sex: FEMALE
Healthy Volunteers: No
Mansoura University Hospitals, OB/GYN department, Mansoura, Dakahlia Governorate, Egypt
Name: Hatem Abu Hashim, MD. MRCOG
Affiliation: Mansoura University Hospital
Role: PRINCIPAL_INVESTIGATOR
Name: Naser El Lakany, MD
Affiliation: Mansoura University Hospital
Role: STUDY_DIRECTOR
Name: Lotfi Sherief, MD
Affiliation: Mansoura University Hospital
Role: STUDY_CHAIR