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Rationale for Aromatase Inhibitors in Ovulation Induction
Interferes with inappropriate estrogen feedback at the hypothalamus
Corresponding rise in FSH secretion from the pituitary gland
Shorter half life than clomiphene
Less early pregnancy exposure and cumulative effects
Favovable Reproductive Effects (No ER Antagonism) vs. Clomiphene
More monofollicular ovulation More favorable endometrial effects
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