What is the likelihood of achieving pregnancy for a patient with PCOD who, during an ovulation induction cycle using Clomiphene Citrate (Siphene) 100 mg, Metformin, and Myo-inositol, shows endometrial thickening but no dominant follicle development on serial follicular scans from cycle days 10 to 19?
In this specific cycle, because no dominant follicle developed by day 19, the likelihood of achieving pregnancy is very low, as ovulation is unlikely to occur. However, please don't lose heart. This is a common challenge with PCOD, and it simply means this particular dosage or medication (clomiphene citrate/Siphene) may need adjustment. Your doctor can explore options like increasing the dose, trying letrozole, or adding other treatments while continuing metformin and myo-inositol. This is just a step in your journey, and many women find success with a modified approach.