Final answer:
The first-line pharmacotherapy for PCOS patients wishing to conceive includes medications like clomiphene citrate to stimulate ovulation, and possibly metformin to address insulin resistance.
Step-by-step explanation:
For patients with Polycystic Ovary Syndrome (PCOS) who are trying to conceive, the first-line pharmacotherapy typically includes medications that stimulate ovulation. Among these, the drug clomiphene citrate is frequently recommended as the initial treatment to induce ovulation.
In addition, the diabetes medication metformin may also be prescribed to improve insulin resistance and lower testosterone levels in the body, which can lead to a more regular menstrual cycle and enhance fertility. It is essential for these patients to receive a comprehensive medical evaluation to tailor the treatment to their specific needs, potentially including lifestyle modifications and reproductive technologies if needed.