A 31-year-old woman with normal ovaries, a normal prolactin level, and an intact pituitary gland is undergoing initial pharmacologic treatment of anovulation. Which medication would the nurse anticipate being prescribed for this patient?

Question

Quizplus · Accepted Answer

Clomiphene citrate is a medication often used to induce ovulation in women with anovulation. It works by blocking the negative feedback of estrogen on the hypothalamus and pituitary gland, causing an increase in follicle-stimulating hormone (FSH) and luteinizing hormone (LH) secretion and ultimately inducing ovulation. Glucophage is primarily used in the treatment of type 2 diabetes but can be used off-label for anovulation in women with polycystic ovary syndrome. Human menopausal gonadotropins (hMGs) are a more aggressive form of ovulation induction therapy and are typically reserved for women who did not respond to clomiphene citrate. Bromocriptine is used to lower prolactin levels in women with hyperprolactinemia-induced anovulation, which is not the case for this patient.

A 31-Year-Old Woman with Normal Ovaries, a Normal Prolactin Level