If a patient does not ovulate after three attempts with Clomid, the next step is typically to move to gonadotropins like FSH.

“So the you get um no ovulation. Yeah. Okay. Three times no ovulation. We're not going to waste her time anymore. But she's still young. So what what's your next step in the algorithm? Typically, so assuming we've tried higher doses and different medication like Clomid or whatever, still not responding, then we typically move on to a class of medication called gonadotropins or essentially FSH or follical stimulating hormone.”