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What is clomid used for in infertility
Medical contribution by, ryan Martin,.D. For over 50 years, clomiphene citrate (also known as clomiphene, Clomid, or Serophene) has been used to help treat infertility. Clomid is an oral medication prescribed for infertility, but unlike more advanced fertility what is clomid used for in infertility technologies, pregnancy rates with Clomid have not changed over time. Many people are aware of Clomid as a low-tech, lower-cost option than in vitro fertilization (IVF) and are happy to learn they can try this type of treatment with their existing OB/GYN or primary care physician. While many women are able to conceive with Clomid, for those who dont, the decision about when is the appropriate time to move on to a different treatment can be unclear. When IS clomid used FOR infertility? Clomid is most successful as the first line of treatment for women who experience irregular or absent menstrual cycles. Clomid can also be used for women who ovulate normally, but who have otherwise unexplained infertility. Clomid treatment generally results in a 10 percent pregnancy rate per what is clomid used for in infertility cycle, even when combined with intrauterine insemination (IUI). Women what is clomid used for in infertility who do not ovulate due to low body weight or hypothalamic amenorrhea (when menstruation stops for several months) rarely respond to Clomid. Clomid pregnancy rates, the goal of treatment with Clomid is to normalize or induce ovulation by taking a 50 mg dose per day on days 3 through 7 of the menstrual cycle. Eighty percent of women taking Clomid will successfully ovulate and 10 to 12 percent will conceive per cycle. Though Clomid is generally well tolerated by most people, in some cases it can lead to changes in a womans cervical mucus and have endometrial effects that can negatively what is clomid used for in infertility impact success rates. There is no evidence that shows increasing the dosage of Clomid will result in an increase in pregnancy rates. Increased dosages of Clomid may actually worsen the side effects. Another factor that limits the success of Clomid is that many people have other unknown infertility factors. A previous study showed that 87 percent of women who ovulated but failed to conceive with Clomid had an additional cause of infertility such as pelvic lesions, tubal disease, endometriosis, male factor infertility, or a combination of these factors. Diagnostic testing such as a hysterosalpingogram (HSG semen analysis, and ultrasound should be performed prior to Clomid treatment to rule out other fertility factors. Its important to note that a womans age plays a major role in pregnancy rate outcomes regardless of the diagnosis. Your physician may recommend you combine Clomid with intrauterine insemination (IUI) if Clomid alone does not result in a pregnancy. HOW many cycles OF clomid should YOU TRY before moving ON? There are several factors that may influence how many cycles of Clomid you should attempt before moving on to a more advanced line of treatment under the care of a reproductive endocrinologist. Patients with polycystic ovary syndrome (. Pcos anovulation, or irregular periods taking Clomid without ultrasound monitoring: Women under 38 should attempt no more than six cycles. Women 38 and over should attempt no more than three cycles. Patients taking Clomid with ultrasound monitoring: Women under 37 should attempt no more than three to four cycles. Women 37 or older should move on to more advanced treatment immediately.
Clomid is an ovulatory stimulating drug used to help women who have problems with ovulation. It is the clomid instructions most commonly used fertility drug. Because Clomid can be prescribed by a gynecologist and doesn't require a fertility specialist, it's also the very first fertility treatment tried for clomid instructions most couples. Clomid is taken as a pill. This is unlike the stronger fertility drugs, which require injection. Clomid is also very effective, stimulating ovulation 80 percent of the time. Clomid may also be marketed under the name Serophene, or you may see it sold under its generic name, clomiphene citrate. Note: Clomid can also be used as a treatment for male infertility. This article focuses on Clomid treatment in women. When Is Clomid Used? If a woman has irregular cycles, or anovulatory cycles (menstruation without ovulation Clomid may be tried first. Clomid is often used in treating polycystic ovarian syndrome (pcos) related infertility, it may also be used in cases of unexplained infertility or when a couple prefers not to use the more expensive and invasive fertility treatments. (However, it's important to remember that the more expensive treatment is sometimes the most appropriate.). Clomid may also be used during. IUI (intrauterine insemination) procedure. It is rarely used during. With IVF, injectable ovulation medications are more frequently chosen. When Is Clomid Not the Best Choice? Clomid may not be for you. Youre dealing with male infertility. (Unless were talking about, clomid for men. you have low ovarian reserves, either due to age or primary ovarian insufficiency (formerly known clomid instructions as premature ovarian failure). Your ovulation problems would be better solved by other treatments. (For example, in a woman with hyperprolactinemia, treating the hyperprolactinemia would be the preferred first step. you have a hormone-reactive tumor, which may grow with Clomid use, or you have a history of certain cancers. Youve reacted poorly to Clomid treatment in the past. Can Clomid Help You Get Pregnant Faster if You Have No Fertility Problems? If you have problems with ovulation, Clomid may help you ovulate. But what if you dont have ovulation problems? A study of over 1,000 women looked at whether Clomid could help women who were having trouble getting pregnant but were not having ovulation problems. When comparing women who took Clomid with women who received either a placebo or no treatment, researchers found that there was no improvement in pregnancy rates, even when Clomid was coupled with IUI treatment. (IUI is insemination.) Its not unheard of for a woman to lie to her doctor to get Clomid, thinking it will help her conceive faster. Not only will it likely not help her get pregnant faster, but now shes at risk for experiencing side effects. (Some of those side effects reduce your fertility. More on this below.) clomid instructions How Is Clomid Taken? You should follow the directions your doctor gives you. Every doctor has a slightly different protocol. With that said, the most common dosage of Clomid is 50 mg taken for five days, on Days 3 through 7 of your cycle. Some doctors prefer you take the pills on Days 5 through 9 of your cycle. Does it matter if your doctor suggests the Day 3 to 7 protocol or the Day 5 to 9 one? Ovulation clomid instructions and pregnancy rates have been shown to be similar whether the drug is started on day two, three, four, or five. Don't feel concerned if your doctor tells you a different protocol to follow than your friend. If 50 mg doesn't work, your doctor may increase the medication.