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Femaraletrozoleand Clomidclomipheneare fertility medications used for stimulating ovulationFemara is an anti-estrogen drug typically used for treating postmenopausal women with breast cancerSide effects of Femara and Clomid that are similar include nauseavomitingheadacheand muscle aches or painsSide effects of Femara that are different from Clomid include fatiguediarrheaconstipationchest painincreased cholesterol levelsand decreased bone mineral densitywhich increases the risk of osteoporosis and bone fracturesSide effects of Clomid that are different from Femara include ovarian enlargementflushingwarmthrednessor tingly feelingstomach discomfortbreast discomfortblurred visionabnormal heart beatsacneallergic reactionsand uterine bleeding.

Another group of fertility drugs which are administered as injections are called gonadotropinsGonal FFollistimThe gonadotropins are very efficient at inducing ovulation and have higher pregnancy rates than clomiphene citrateHowevergonadotropins are much more expensive than clomiphene citrate and the injectable route is uncomfortable for patients to administer and inconvenientThe risk for multiple pregnancies is also much higher with gonadotropins.

Letrozole is available through retail or mail order pharmacyYour oncology team will work with your prescription drug plan to identify an in-networkretail or mail order pharmacy for medication distribution.

In patients with advanced diseaseLetrozole therapy should continue until tumor progression is evident.

You will take letrozole once a day by mouth and imatinib mesylate twice a day by mouth until intolerable side effects occur or until your tumor grows furtherYou will stop the treatment if your tumor grows or intolerable side effects occur.

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