What to Do if Letrozole is Not Working
If you've tried round after round of letrozole—and maybe even increased the dosage—but you're still not ovulating or getting pregnant, it may be time to ask a different question: Why aren't you ovulating in the first place?
In this episode of the Nourished Fertility Podcast, Victoria breaks down how letrozole works, when it may be an appropriate fertility treatment, and why it may not work when low estrogen, hypothalamic amenorrhea, certain PCOS presentations, or ovulatory dysfunction are part of your fertility picture.
You'll learn why looking beyond your hormone levels matters, what functional fertility labs can reveal about your thyroid, minerals, gut health, metabolism, and stress response, and how addressing the root cause can support your body in restoring ovulation—whether you're hoping to conceive naturally or are also pursuing fertility treatment.
In this episode, you'll learn:
How letrozole works and why it's commonly prescribed for infertility
Why low estrogen may change the conversation around letrozole
The difference between PCOS and hypothalamic amenorrhea
How ovulatory dysfunction can show up even if you technically ovulate
The functional fertility labs Victoria considers when letrozole isn't working
Why nutrition, minerals, gut health, thyroid health, stress, and nervous system support can all matter for fertility
What to do next when you're ready to dig deeper into why you're not ovulating
Resources mentioned:
→ 14-Day Fertility Jump Start (only $27)
→ Free Training: How to Get Pregnant When You're Not Ovulating
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