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I read that having PCOS may cause high concentrated levels of LH in your blood throughout the month. Most women have LH peak about mid-cycle, so a Fertility Monitor picks that up. If your LH levels are constant, you may not pick up a surge. Clomid may also distort the ability for the monitor to work as with HCG shots. I have PCOS, and use the monitor, however, based on blood levels, my LH remains at normal levels throughout the month for the last several months. I have always gotten a peak LH surge with my monitor, despite taking clomid (last month). So I guess everyone is different.
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