Not everyone will respond to this medication. Women with primary ovarian insufficiency, or early menopause, and women with absent ovulation due to low body weight or hypothalamic amenorrhea are most likely to not ovulate when taking Clomid. Women with these conditions may need more intensive infertility treatment.
Clomid is usually covered by your health insurance, when other fertility medications may not be. If you do not have insurance coverage for your medication, or are having difficulty paying for it, speak with your doctor about your options. While this medication is generally pretty safe, there are some side effects that you should be aware of. They include:. There is a slightly higher risk of having a multiple pregnancy when taking Clomid.
This rate is around 7 percent for twins, and below 0. You should speak with your doctor about this risk and whether you are able to carry twins or other multiples.
They may suggest more aggressive monitoring if you are unwilling or unable to carry a twin pregnancy. Clomid can also reduce the amount and quality of your cervical mucus.
When exposed to estrogen, cervical mucus is thin and watery, which helps the sperm cells travel up to the fallopian tubes. When taking Clomid, estrogen levels are lower, causing the cervical mucus to be thicker than usual.
This can interfere with the ability of the sperm to get into the uterus and fallopian tubes. So far, there is no conclusive data that Clomid increases cancer risk in women. But there is some research suggesting a possible increase in endometrial cancer with the use of ovulation-inducing agents. To date, the research has not shown a significant risk for miscarriage, birth defects, or other pregnancy complications. You should speak with your doctor about any specific concerns.
It may just mean that you need a different form of treatment or that something additional is going on. You might be instructed to test for natural ovulation or might use an ovulation-inducing trigger shot instead. You will be notified to have timed intercourse or undergo intrauterine insemination. Your doctor might monitor your progesterone blood level. A pregnancy test is done about 14 days after ovulation.
Yes, there are other oral medications that can stimulate the ovaries by the gonadotropin-releasing effect. Some of them are Letrozole and Tamoxifen. They can be utilized instead of Clomid. In-fact, Letrozole has replaced Clomid as the first-line agent for ovulation induction in PCOS patients due to better success rates.
A more potent alternative is injectable fertility drugs, typically used in IVF. Your gynecologist or fertility doctor can provide you with a prescription.
Sometimes a general health practitioner can also provide you an order. We recommend seeing a fertility specialist whenever possible. Their expertise in female infertility can ensure that Clomid is the appropriate treatment for your condition. Fertility clinics are the best places to obtain and monitor Clomid treatment due to their highest expertise in infertility. Clomid is still considered low-tech fertility treatment and is typically a covered benefit by any primary health insurance, including HMO plans like Kaiser Permanente.
Kaiser patients with infertility issues can read more about the Kaiser Permanente fertility treatment options here. Transvaginal ovarian ultrasound monitoring is the best way to evaluate ovarian physiology. In limited circumstances, a diagnosis of ovulatory dysfunction can be made by patient history and presenting symptoms in a remote consultation with an experienced reproductive endocrinologist.
Blood tests can confirm this diagnosis, and Clomid therapy can be initiated remotely. Monitoring ovulation at home might be a challenge since a vast majority of patients with ovulatory dysfunction suffer from PCOS and might have increased baseline Luteinizing Hormone LH levels. Thus, detecting ovulation becomes somewhat tricky, but a patient can be guided on how to correctly interpret the results and, in some cases, use diluted urine specimens to improve the specificity of urine strip ovulatory tests.
Modern urinary fertility monitors further detect Estroneglucuronide, and this can alert the Clomid user of rising estrogen levels and a developing follicle. However, no home monitor can provide information on the number of developing follicles or thickness of the uterine lining. In general, unmonitored Clomid therapy might only be justified with patients with irregular or absent periods. Patients with regular periods seeking Clomid therapy are strongly encouraged to have monitored cycles only!
Clomid can be used for male infertility. It can be combined with HCG or used alone. It is vital to avoid hyperstimulation of the testicles, and you need an experienced fertility urologist or fertility specialist for a consultation.
Any fertility medication will only be successful if it can adequately address the underlying problem. If appropriately used, particularly in patients with anovulation, Clomid therapy can be hugely rewarding with a high pregnancy rate.
If used randomly with no clear rationale, it might induce ovarian cysts and further complicate female infertility treatments. Timing the ovulation with either ovulatory predictor kits OPK or artificial ovulation trigger in combination with timed intercourse or IUI can further improve the treatment success rates. It is best to contact an experienced reproductive endocrinologist who can provide you with guidance and proper assessment and ensure your Clomid Therapy Success.
Clomid Questions and Answers Infertility Treatment Drug since the s Clomid aka Clomiphene Citrate, Serophene, Cloramifen is widely used in infertility and has helped millions of women ovulate. Keeping in mind that this is a temporary problem can help ease your stress. Get diet and wellness tips to help your kids stay healthy and happy. Patient education: Ovulation induction with clomiphene Beyond the Basics.
American journal of obstetrics and gynecology. Use of ovulation predictor kits as adjuncts when using fertility awareness methods FAMs : a pilot study. Kumar P, Sait SF.
Luteinizing hormone and its dilemma in ovulation induction. Journal of human reproductive sciences. Fertility awareness-based methods: another option for family planning. Procreative sex in infertile couples: the decay of pleasure?
Health and quality of life outcomes. Clomid Drug Information Sheet. Updated September 24, Your Privacy Rights. To change or withdraw your consent choices for VerywellFamily. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification.
I Accept Show Purposes. Table of Contents View All. Table of Contents. Different Ovulation Periods. Clomid Protocols. Ovulation Predictor Tests. Charting Your Temperature. Clomid With Injectables. Have Sex All Month Long. Was this page helpful? Thanks for your feedback! Sign Up. What are your concerns? Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles.
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