Femara, with the generic name letrozole, is an aromatase inhibitor. 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. 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