Clomiphene Citrate Clomid is a medication to induce ovulation and then hopefully get you pregnant. Many women take Clomid and don't know what it does and how to take it.
The most important thing to know about Clomid is that it is a medication to induce ovulation. Nothing else, just ovulation. Not fertility. Not necessarily pregnancy. Ovulation.
Clomid is not a fertility medication. It will not get you pregnant in and by itself. All that Clomid is supposed to do (and it doesn't do it all the time) is that it is supposed to make you ovulate. Obviously, you can only get pregnant if you first ovulate and that is why women take Clomid, but first things first: Clomid is supposed to make you ovulate. Getting pregnant is much more complicated.
Before taking Clomid you should have some tests done to make sure you take it for the right reasons.
If you don't get pregnant on clomiphene that doesn't mean it did not work. It may have worked and it may have made you ovulate but pregnancy in and by itself is not the only measure that clomiphene worked.
Getting pregnant is more complicated than just ovulation. In order to get pregnant the following has to happen:
- 1. You need to ovulate and your egg quality has to be good
- 2. He has to have a sufficient quantity of good quality sperm.
- 3. At Least one of your fallopian tubes must be open for the sperm and egg to meet
So how do you know that Clomid has worked? (Hint: Read above. What is is supposed to do? Make you ovulate). You ovulate on Clomid that means it worked. You did not ovulate it did not work. Yes, it's that simple. In fact, not every woman will ovulate on Clomid and many women who ovulate will not get pregnant with or without Clomid.
Obviously if you get pregnant then you know that you ovulated, but let's not get ahead of this.
Women who take Clomid must first know if they ovulate or not.
So let's start at the beginning: You take Clomid for 5 days (usually cycle days 5-9 but you can start taking clomiphene as early as cycle day 2). Ovulation is then supposed to happen about 5-9 days later. Don't know exactly when?
How do you know you ovulate? There are several ways to find out if and when you ovulate:
- 1. Calculation: Ovulation and Fertility Charting and Calculator
- 2. Basal Body Temperature Charting (BBT)
- 3. Cervical Mucus Changes
- 4. Ovulation Pain: Mittelschmerz
- 5. Ovulation Predictor Kit (OPK)
- 6. Blood Progesterone Test (greater than 5 ng/ml)
- 7. Ultrasound Exams of Ovaries(showing free pelvic fluid and or a corpus lateral cyst in atleast one ovary)
Your menstrual period and ovulation
With or without Clomid, your menstrual period is supposed to come 14 days after ovulation. There are 3 scenarios you must know about when trying to get pregnant:
No matter how well Clomid works to make you ovulate, you will have difficulties getting pregnant unless you have good enough quality eggs, enough good quality sperm and your tube is open.
- Take home information regarding Clomid
- Approved for use in the USA in 1967
- Binds to estrogen receptors for long periods of time (weeks rather than hours)
- Acts as Anti-Estrogen in the uterus, cervix, and vagina
- 80% of anovulatory patients will ovulate
- Usually ovulate between 1 and 3 eggs
- Pregnancy rate / Ovulatory cycle = 10% -- 18%
- Multiple Rate – 3% -- 7%
- Maximum cycles recommended = 4 cycles per lifetime
Potential Complications with Clomid
- Cyst Formation
- Thinning of endometrium
- Thickening of cervical mucus
- Vasomotor flushes
- Abdominal distension, bloatedness, and pain
- Breast tenderness
- Visual symptoms
- Dryness or loss of hair