Algoritma Induksi Ovulasi

FSH & E2 Rendah

WHO I

rFSH + rLH

FSH and E2 normal

WHO II

Clomiphene citrate
50 150 mg/hr

Metformin 2 x 500 mg/hari

Dexamethason 2 mg/hari, (H2-H12)
Aromatase inhibitor
1 x 2.5 mg/hr

WHO III

Ovulasi

Tidak ovulasi

Resistansi CC

FSH tinggi
E2 rendah

Tidak hamil

FSH and E2 Normal

Hiperprolaktinemia
WHO IV

Agonis Dopamin

Hamil

Kegagalan clomiphene citrate

Gonadothropin
CC + rFSH (75 IU,hari 7,8,9)
Gagal

Dosis kronik rendah rFSH

rFSH 75 IU, 14-21 hari

IN VITRO FERTILIZATION