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This oral drug usually treats breast cancer, but doctors discovered this medication can also help improve fertility in women with conditions like polycystic ovarian syndrome (PCOS) and anovulation, which is a problem with ovulation. By suppressing estrogen, the drug can help induce ovulation, increasing the chance of pregnancy. Doctors may prescribe the drug to women who want to conceive a child but are having fertility problems. This is usually due to conditions like anovulation, in which the women have ovulation problems, including polycystic ovarian syndrome (PCOS), in which hormones disrupt menstruation and ovulation. Sometimes doctors will prescribe this drug as an alternative to Clomid, generic name clomiphene citrate, which is one of the more common fertility drugs. Some women do not respond to Clomid, and some do ovulate while using Clomid but do not become pregnant. In these cases, doctors may choose to prescribe Femara for infertility instead, either on its own or in conjunction with in vitro fertilization (IVF) treatments. Femara is used in the treatment of breast cancers that require estrogen to grow and divide. It belongs to a class of drugs called aromatase inhibitors. Aromatase is an enzyme that is required for the production of estrogen in the body. Estrogen in turn is essential for the growth of hormone sensitive cancer cells. Hence the Femara drug essentially cuts off the supply of estrogen to these malignant cells and slows the progress of the disease. Since Femara or Letrozole lowers estrogen in the body, its treatment results in side effects associated with lowered estrogen levels. These include hot flashes, frequent sweating, stomach cramps and feeling of redness of the face. 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