A woman experiencing irregular menses and weight gain with low estrogen and progesterone levels wants to conceive. Which medication may be prescribed?

Clomiphene is often prescribed for women experiencing irregular menses and issues with ovulation, especially when they desire to conceive. This medication acts as a selective estrogen receptor modulator (SERM) that stimulates the release of hormones necessary for ovulation. By blocking estrogen receptors in the hypothalamus, Clomiphene prompts an increase in the secretion of gonadotropin-releasing hormone (GnRH), which subsequently leads to elevated levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This cascade of hormonal changes encourages the ovaries to produce and release eggs.

In the context of the scenario, the woman has low estrogen and progesterone levels, which may contribute to her irregular menstrual cycle and hinder her ability to conceive. Clomiphene can effectively address this issue by promoting regular ovulation, making it a suitable choice for women looking to get pregnant.

Other medications, while potentially useful in different scenarios, may not directly address the disruption in ovulation in this specific case. Metformin is generally prescribed for insulin resistance and polycystic ovary syndrome (PCOS) but is not primarily an ovulation inducer. Progestin may help in regulating menstrual cycles but does not stimulate ov