Normoprolactinemic anovulation nonresponsive to clomiphene citrate: ovulation induction with bromocriptine

Fertil Steril. 1990 Jan;53(1):50-5.

Abstract

Ovulation under bromocriptine was studied in 14 women with normoprolactinemic amenorrhea (5 primary, 9 secondary), unresponsive to clomiphene citrate (CC). On bromocriptine alone, ovulation occurred in 4 (28.6%). In the same subjects, bromocriptine was subsequently associated with CC. Seven patients ovulated (50.0%), including 3 that had responded to bromocriptine alone. Ovulation occurred once or twice in 6 of the 9 cases of secondary amenorrhea (66.6%). In several occasions, when ovulation induction failed, luteinized unruptured follicles were found under ultrasonographic monitoring. Four patients who had a negative response to progestin challenge did not ovulate with the treatment. Women with plasma prolactin in the upper normal range had a greater probability of achieving ovulation induction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Amenorrhea / drug therapy
  • Anovulation / drug therapy*
  • Anovulation / metabolism
  • Bromocriptine / pharmacology
  • Bromocriptine / therapeutic use
  • Clomiphene / pharmacology
  • Clomiphene / therapeutic use*
  • Female
  • Humans
  • Ovulation / drug effects
  • Ovulation Induction
  • Prolactin / metabolism*

Substances

  • Clomiphene
  • Bromocriptine
  • Prolactin