Patient: I am 33 years old, I had my first menstruation at the age of 14, and I have always had a cycle of more than 40 days, I am very fat (80 kg), and I have gained weight since I started menstruating. The effect of progesterone is not long-lasting. 2 years ago, the summer also did not, see a Chinese doctor said polycystic ovarian disease, the symptoms are consistent with (hairy, high testosterone), from August 07 to eat Chinese medicine, basal body temperature measurement (low 36 degrees to 36.5 degrees and a single), February March 08, menstruation for 2 months (the amount of small), but later did not come. In July 2008, I started to see a Western doctor, and the test results are attached (08.7.19). I took Daing 35 for 3 months, and had withdrawal bleeding, with high volume and sometimes clots. I went to consult my doctor and was told to get clomiphene, but I couldn’t buy it at that time and didn’t take it in time, but I didn’t get my period last month. I am looking forward to your help, thank you! 08.7.19 Results: Serum: PRL 189.20 FSH 4.96 LH 9.69 E2 30.15 PROG 0.34 Testosterone T 0.49 Ultrasound: small anterior uterus, anterior-posterior diameter about 2.8cm, myometrial echogenicity homogeneous, mucosa centered. The right ovary is 4.0*2.9*2.8cm and the left ovary is 3.7*2.5*2.5cm, both of which appear to have multiple small cystic echogenicity. 08.10.29 Serum: FSH 4.9 LH 9.57 E2 47.15 Testosterone T 0.73 Ultrasound: both ovaries were full in shape and several small cystic echoes were detected within them, the larger one was about 0.4*0.5cm. no obvious dominant follicles were detected. (This result was checked one week after menstruation.) Regularity of menstruation: No Age of first menstruation: 14 Number of days per period: 7 Average number of days of menstrual cycle: 40 Menstrual volume, color, abdominal pain: low volume, dark color, back pain and abdominal distension Date and status of last menstruation: Age at marriage with medication: 31 Number of pregnancies: 0 Number of miscarriages: 0 Number of births: 0 Doctor: Weight loss will be your first priority and its The effect is as important as medication, sometimes even more than medication, plus you have been in a situation where you lost weight and your period became normal, so it is strongly recommended to start losing weight now. The intake must be reduced, but the nutrition medicine is balanced, and at the same time increase the activity. For now you can have an ultrasound to observe the thickness of the lining to determine if you will have your period in the near future. It is also recommended that you take Chinese herbal medicine to help restore your ovarian function. Patient: Thank you, I feel that you are a doctor with high medical ethics through your short but valuable answers. One more question: Do I need to take clomiphene after the cycle adjustment with Da Ying 35? If so, how many months of dalin 35? (I took 4 months of dalin 3 3 months ago) Doctor: You can add clomiphene