6600 Charing St, Jacksonville, FL 32216
P: 904-674-0022  |  F: 844-656-2483
www.fullcirclejax.com

Femara (Letrozole) Cycle Instructions

About Femara (Letrozole)

Femara (Letrozole) is an oral medication commonly used to stimulate ovulation in women who do not ovulate on their own.

Common Side Effects

Abnormal uterine bleeding
Hot flashes
Stomach upset
Breast tenderness
Bloating
Headache
Abdominal / pelvic fullness
Dizziness
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Stop the medication immediately if you experience changes in your vision or eye pain, and seek medical help right away.

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Ovarian Hyperstimulation Syndrome (OHSS) is a rare but serious condition that may occur. Seek immediate medical help if symptoms develop.

Using Femara also increases the risk of multifetal pregnancy. Approximately 5–10% of pregnancies conceived with Femara are twin pregnancies (normal risk is about 1%).

It is not recommended to do more than six (6) rounds of treatment with Letrozole.

Your Cycle Instructions

  • CD 1

    Your first day of menses is Cycle Day (CD) 1.

  • CD 3–7

    Take Femara on Cycle Days 3 through 7.

  • CD 9

    Begin using Ovulation Predictor Kits (OPK) starting on Cycle Day 9.

  • OPK +

    When you have a positive OPK, have intercourse within 24 hours.

  • CD 25–35

    Take a pregnancy test daily starting on Cycle Day 25 through 35.

If Negative

Repeat the Femara cycle.

If Positive

Call the office to schedule your confirmation of pregnancy.

Gynecology

Frequently Asked Questions

Why are patient appointments booked so far in advance?


As the premier OB/GYN practice in the county, our providers are in high demand. Unlike other practices, we never double-book appointments, ensuring you receive the personalized attention you deserve. Unless an unexpected emergency arises on our end, 95% of our patients are seen on time, every time. We deeply respect your time, just as we do our own.

When should I schedule my first gynecological visit, and how often after that?


Most guidance points to an initial visit between ages 13 and 15, often just a conversation rather than an exam, with annual visits afterward. ACOG recommends that every woman aged 21 and older have an annual well-woman visit with her obstetrician-gynecologist, regardless of whether cervical cancer screening is performed.

These visits are essential for assessing overall health, providing preventive care, and discussing lifestyle factors.

What's the difference between a Pap smear and a pelvic exam, and how often do I need one?


These are often confused, but they are not the same thing. A Pap smear screens for changes in the cells of the cervix and is typically recommended at intervals based on your age and health history. A pelvic exam is a broader physical exam of the reproductive organs and may be performed more frequently, depending on your individual needs.

Contact our office to discuss the screening schedule that's right for you.

Is what I'm experiencing with my period normal?


Contact our office to schedule a problem visit where we will discuss irregular cycles, heavy bleeding, severe cramping, or symptoms that are causing you discomfort or concern.

Why is my pelvic pain happening, and when should I be concerned?


Pelvic pain is discomfort in the area below your belly button and between your hips. It may feel sharp, stabbing, or burning. If your pain is severe or affecting your daily life, contact our office to schedule a problem visit.

Full Circle Women's Care