Clomid is an oral medication known as clomiphene citrate. It is a pill taken by mouth which influences hormones in order to stimulate ovulation. The medication works on the hypothalamus, which is the region of the brain responsible for controlling reproductive hormones. By blocking estrogen receptors, the body is tricked into thinking that estrogen levels are very low and responds by releasing high levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH). FSH stimulates the ovaries to produce eggs for fertilization and LH stimulates those eggs to be released during ovulation. For most women during a normal ovulation cycle only one egg is released. Release of multiple viable eggs increases the odds of successful fertilization occurring. Clomid can be beneficial for women who experience difficulty getting pregnant due to problems such as irregular ovulation, issues with the partner’s semen quality, and other complications.
Clomid must be prescribed by a physician after performing an initial evaluation to determine that it is a proper method of treatment. The typical Clomid treatment cycle consists of taking one to three tablets once daily for five days at the beginning of the menstrual cycle. The day on which you start the medication will be determined by the doctor based on his or her physical examination findings and your cycle history. Ovulation occurs approximately one week after taking the final dose. Ovulation can be confirmed by several methods, of which your physician can determine the most effective method for you. Side effects of Clomid can include hot flashes, mood swings, and sleep pattern changes. Due to hormonal changes during ovulation bloating or discomfort during intercourse may occur. As the changes in estrogen levels may result in thickening of cervical mucus, making it more difficult for sperm to migrate toward the egg, your physician may recommend intrauterine insemination (IUI). On rare occasions hyperstimulation of the ovaries may occur, resulting in severe pain and swelling of the abdomen. You should contact your doctor if you experience these symptoms, as well as any visual changes, hair thinning, dizziness, or hives. It is possible for multiple ovulations to occur as a result of hormonal influences of Clomid; this increases the rate of becoming pregnant with twins to 6 to 8%. The odds of becoming pregnant with triplets or other multiples is no greater than in women not taking Clomid. If you have known ovarian cysts or liver disease you should not use Clomid. There is currently no evidence that Clomid increases the risk of cancers of the reproductive tract, birth defects, or miscarriages. As with any medication you should contact your doctor with any specific concerns. Clomid should be taken for no more than six menstrual cycles, as studies indicate that the odds of pregnancy decrease with continued use. However, it may take several cycles for your physician to determine an effective dose for you, and the medication may be recommended for more than six cycles. Clomid may only be obtained via prescription from a physician or obstetrician/gynecologist. The prescription may be covered by health insurance. This makes it a cost-effective intervention compared to other treatments such as in-vitro fertilization.
Hello. I am a male health specialist from Perth, Australia. My main interest is treatment of erectile dysfunction.