No withdrawal bleed after progesterone challenge. Progesterone and estrogen challenge. Drug regimen discussed below under medication heading. This differentiates patients with target organ outflow tract dysfunction from those with inadequate endometrial proliferation. Click here for pathophysiology of Polycystic Ovarian Syndrome Click here for Work up and Treatment of Polycystic Ovarian Syndrome Click here for Antepartum work up of pregnant woman.
Minimal therapy requires monthly administration of progesterone.
10 mg for 10 days each month. Low dose oral contraceptive pills Clomiphene citrate for women desiring pregnancy Treat for six months to counter unopposed estrogen effect on the endometrium. Then discontinue treatment and assess for return of regular menstrual periods. Hormone replacement therapy for perimenopausal women.