You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Drug not given in PCOD in a 30-year-old lady with infeility? and explain in detail?
Ans: B. Tamoxifen(Ref: Jeffcott 6/e p205; Shaws 16/e p431-434, 15/e p371, 14/331-332, 13/353-354; Novak 's 15/e pl 076. Duna Gvnae 6/e p470)Drug not given in 30-year-old PCOD lady with infeility - Tamoxifen.Treatment of PCOD:Dexamethasone 0.5 mg at bedtime - Reduces androgen production.In Clomiphene failed group - Ovulation induced with FSH or GnRH analogues.DOC - Metformin - Treats root cause of PCOS, rectifies endocrine & metabolic functions and improves feility.Surgery (laparoscopic multiple puncture of cyst) - Reserved for failed medical therapy, hyperstimulation cases & GnRH analogue usage.