A 28-year-old woman with PCOS and a BMI of 33 kg/m² attends the GP. She has been trying to conceive for 10 months. Her cycles occur every 60-90 days. ...

Question

A 28-year-old woman with PCOS and a BMI of 33 kg/m² attends the GP. She has been trying to conceive for 10 months. Her cycles occur every 60-90 days. Which is the single most important initial advice from the GP?

Accepted Answer

Advise weight loss to achieve a BMI

Answer

Commence letrozole immediately

Answer

Commence clomifene citrate immediately

Answer

Refer for IVF

Answer

Commence metformin for ovulation induction

uk-drcog MCQ (SBA): PCOS and Subfertility

A 28-year-old woman with PCOS and a BMI of 33 kg/m² attends the GP. She has been trying to conceive for 10 months. Her cycles occur every 60-90 days. Which is the single most important initial advice from the GP?