Clomid, or its generic name, Clomiphene, is part of a class of hormonal medications that is intended to treat infertility in women. There are a number of causes of infertility in women, which range from physical to hormonal, to simply unexplained. It is critical for a woman to have a full medical workup with her doctor, and if that fails, with a specialist reproductive endocrinologist, before beginning treatment, as Clomid may not address issues like blocked fallopian tubes or issues with structure of the uterus like uterine fibroids or endometriosis that are preventing pregnancy.
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Generally, a doctor will ask that a woman try to become pregnant for one year naturally if she is under 35 and six months if she is over 35 before beginning infertility treatments as many women will eventually become pregnant on their own. After that, the doctor will do extensive blood tests and physical tests to see if the cause of the infertility has a known explanation. It is important to know that not all infertility is caused by issues with the woman, so the male partner must also be tested to see if he is producing sufficient sperm.
Clomid is an estrogen modulator, and it can have a number of helpful effects on women who have experienced infertility because they are not producing or releasing eggs through ovulation on their own, without medical assistance. This condition is called being anovulation and a women could still have regular or irregular menstrual cycles with the condition, they are simply unable to become pregnant. Anovulation can be caused by a number of factors, including polycystic ovarian syndrome (PCOS), hormonal disregulation or even certain mental illness that impact physical health such as eating disorders like anorexia nervosa.
Clomid will also cause a woman who does already ovulate to release more eggs, sometimes many more, through a process of follicle stimulation. This can significantly increase the chance of pregnancy, however it can also significantly increase the chances of multiple births. Clomid pregnancies are significantly more likely to result in twins or triplets.
Clomid is also used in women who are going through artificial insemination, regardless of whether they ovulate. This is because artificial insemination, usually the introduction of frozen sperm through a process of intrauterine insemination, is much less likely to result in a pregnancy than traditional intercourse for most women.
Clomid is generally started early in the menstrual cycle, with day one being the first day of bleeding. Clomid is usually begun on day three and taken through day seven or day five through day nine. No more than a certain number of menstrual cycles with Clomid are recommended due to risks and side effects.
Clomid has a number of side effects so it is critical that a woman undergoing treatments with this medication be closely monitored by her physician or specialist. These side effects can include relatively mild ones such as nausea, bloating, abdominal fullness, hot flashes, breast pain or tenderness, headaches, or dizziness. Symptoms like vomiting, bleeding or weight gain can be signs of more severe side effects and should be discussed with a doctor immediately. Clomid increases the risk of a stroke and of a painful and dangerous condition called Ovarian hyperstimulation syndrome (OHSS).
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Clomid requires a prescription in some countries, but in others, such as Australia, it can be obtained in some online pharmacies without a prescription. This can be helpful as Clomid treatments are very expensive and lower cost medications may be critical for some women seeking to become pregnant. Australia has a number of reputable online pharmacies, however it is critical to make sure the pharmacy is legitimate before purchasing Clomid.
I am self employed. General Practitioner in Melbourne, VIC. My special interest: male reproductive system.