Anovulatory infertility — MCCQE Part 1 MCQ

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ModerateInfertilityAnovulatory infertilityMCCQE Part 1

A 32-year-old woman with PCOS has tried to conceive for 18 months. Semen analysis is normal and tubal assessment is normal. Which of the following is the most appropriate ovulation-induction option?

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Correct answer: C — Letrozole

Letrozole is commonly recommended as first-line ovulation induction for anovulatory infertility in PCOS. Isotretinoin is teratogenic and not an infertility treatment. Evaluation should include both partners and tubal factors before attributing infertility solely to ovulation.

Reference: SOGC PCOS/infertility guidance