Hello there, If you're trying to become pregnant, you may need a medication to help you ovulate. Clomiphene is an oral anti-estrogen medication that you take in the first part of your menstrual cycle. If clomiphene alone isn't effective, your doctor may add metformin to help induce ovulation. If you don't become pregnant using clomiphene and metformin, your doctor may recommend using gonadotropins — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) medications that are administered by injection...Consult Gynecologist for further evaluation and treatment...