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This article was co-written by Carrie Noriega, MD. Dr. Noriega is a licensed obstetrician and gynecologist in Cporado. She specializes in women’s health, rheumatology, pulmonary, infectious diseases and digestive diseases. She received her MD from Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Missouri – Kansas City in 2005.
There are 13 references cited in this article that you can view at the bottom of the page.
This article has been viewed 15,051 times.
Clomid, also known as clomiphen citrate, is a FDA-approved medication that has been used to stimulate egg maturation and ovulation in women for over 40 years. If you are infertile and it is caused by not ovulating, Clomid may be a good choice for you. [1] X Trusted Source Mayo Clinic Go to the source Your doctor will explain how Clomid should be used and assess if it is the right medication for you.
Steps
Preparation Before Using Clomid For Infertility
- Chances are your doctor will ask your husband or partner to come with you for a fertility test. [2] X Research Source
- They also schedule follow-up visits for blood tests or ultrasounds to continuously monitor your health and reproductive organs.
- If you don’t get your period on your own, your doctor will prescribe progesterone to stimulate your period.
- It is important that you contact your doctor early as they need an ultrasound to get background information about the cyst before starting a treatment cycle.
- This procedure should be done for the duration of treatment because ovarian cysts may have developed after the last Clomid administration. [5] X Research Sources
Using Clomid for Infertility Treatment
- If you are unable to conceive, your doctor will increase your dose of Clomid so that you can start taking it during your next period. [7] X Trusted Source Mayo Clinic Go to Source
- You must take the medicine exactly 5 days as required without missing a day. If you have trouble remembering to take your medication, write a sticky note somewhere visible, or set a reminder on your phone to take your medication at the same time each day.
- If you miss a dose, take it as soon as you remember. However, if you remember it is almost time for your next dose, you should call your doctor for instructions. Do not take two doses in a row.
- Then you mark the days you need to take Clomid, the days you need to have sex, the days you take the fertility pill, the days you have IVF, and all the days you have to have blood tests or ultrasounds as planned. [8] X Research Sources
- Instead, your doctor may ask you to self-monitor your response to the medication using an ovulation predictor kit. You need to inform them of the results achieved.
- If your body is not responding to the medication, and your follicles are not developing properly, your doctor may stop the treatment cycle. They will increase the dose of Clomid in the next cycle.
- They ask you to take your temperature at the same time every morning. If the body temperature rises by about 0.3 degrees Celsius, it is a sign that the egg is about to be released within the next two days.
- Your doctor may also recommend that you use an ovulation predictor kit, which is available at drugstores. This device looks like a pregnancy test but is used to check for the presence of corpus luteum-stimulating hormone (LH). LH hormone peaks around 24-48 hours before ovulation, and you are most fertile during this time and two days after.
- Instead of using an ovulation predictor, your doctor can use an ultrasound to check if an egg is ripe or ovulating.
- They also measure progesterone levels after you have been taking Clomid for 14 to 18 days. An increased level of progesterone is a sign of ovulation and that it is time to conceive. [10] X Research Source
- After the injection, the predicted time of ovulation is about 24-48 hours.
- If the treatment plan includes IVF, it will be scheduled around 36 hours after the Ovidrel injection. [11] X Research Source
- If an ovulation-stimulating injection is available, your doctor will tell you which days you need to have intercourse to have the best chance of conceiving. [12] X Research Source
- If you still haven’t had your period 15 days after the peak of LH hormone, then your doctor will ask you to come back for a pregnancy test.
- Treatment with Clomid may be stopped after the test results show that you are pregnant.
- Your doctor may increase your dose of Clomid or suggest a different treatment.
- In general, treatment with Clomid should not be longer than 6 cycles. [15] X Research Sources If you are still unable to conceive after 3 or 6 cycles, you should discuss another treatment option with your doctor.
Understanding Clomid
- The hormone FSH promotes the growth of the follicles, which are the storage places for eggs in the two ovaries. [16] X Research Source
- Polycystic ovary syndrome (PCOS) is also a common condition that requires Clomid to treat. Symptoms of PCOS include irregular periods, excessive body and facial hair, and male pattern baldness. This condition can also give rise to cysts on the ovaries. Many different medications are commonly used to treat PCOS symptoms, but Clomid is the drug used first in the treatment of infertility caused by PCOS. [17] X Trusted Source PubMed Central Go to source
- Do not use Clomid while you are pregnant. Your doctor will usually have to take a pregnancy test before prescribing Clomid for you.
- Treatment may change from cycle to cycle, especially when there is no improvement in ovulation.
- Do not increase or decrease the dose on your own. You should always follow your doctor’s instructions in this regard. [18] X Research Sources
- In more severe cases, the drug can lead to ovarian hyperstimulation syndrome (OHSS), which occurs during or after the treatment cycle. Although quite serious, OHSS is rare. OHSS syndrome causes dangerous problems such as fluid accumulation in the abdomen and chest. Seek immediate medical attention if you experience severe pain or swelling, rapid weight gain, nausea or vomiting. [19] X Research Source
- You must also contact your doctor right away if you have severe vision problems, large swelling in your abdomen, or shortness of breath. [20] X Research Sources[21] X Research Sources
- Ovarian cysts can develop from ovarian hyperstimulation, so your doctor must do an ultrasound to check for ovarian cysts before starting the next cycle of Clomid treatment.
- Long-term use of clomiphen, the active ingredient in Clomid, may increase the risk of ovarian cancer, but recent studies do not support this view. [22] X Research Source
Advice
- You should remember that there are many causes of inability to conceive, many of which cannot be resolved with Clomid.
This article was co-written by Carrie Noriega, MD. Dr. Noriega is a licensed obstetrician and gynecologist in Cporado. She specializes in women’s health, rheumatology, pulmonary, infectious diseases and digestive diseases. She received her MD from Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Missouri – Kansas City in 2005.
There are 13 references cited in this article that you can view at the bottom of the page.
This article has been viewed 15,051 times.
Clomid, also known as clomiphen citrate, is a FDA-approved medication that has been used to stimulate egg maturation and ovulation in women for over 40 years. If you are infertile and it is caused by not ovulating, Clomid may be a good choice for you. [1] X Trusted Source Mayo Clinic Go to the source Your doctor will explain how Clomid should be used and assess if it is the right medication for you.
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