Jan 20, 2010

Clomid - Ovulation Treatment

Clomid ( clomiphene citrate ) was first synthesized in 1956 and introduced for clinical trials in 1960. Since then, Clomid has been widely used as a "first line" treatment to induce and regulate ovulation. Clomid is typically administered on either day's three to seven or day's five to nine of the menstrual cycle with "day one" defined as the first day of normal menstrual flow.
Clomid works at the hypothalamus, a small gland at the base of the brain. Clomid stimulates the production of gonadotropin releasing hormone ( GnRH ), which stimulates the pituitary gland to produce follicle stimulating hormone ( FSH ). FSH stimulates the development of the ovarian follicles which contain the eggs.
Clomid is taken orally and should be taken at the same time each day. The "fertile time," or the time of ovulation usually occurs five to eight days after the last Clomid tablet is taken. Sometimes Clomid is given to stimulate ovulation for intrauterine insemination.

The physician determines how Clomid cycles should be monitored. Early in treatment, patients usually take clomiphene for five days each month and return for a follow - up examination after three months of therapy if they do not become pregnant. Sometimes, the physician may wish to monitor the Clomid cycles more closely. A combination of ovulation predictor kits and / or ultrasounds may be used to determine the number of follicles present, their rate of growth, and to help pinpoint the time of ovulation.

Clomid has been used for many years and is considered a safe and effective medication. It does, however, have risks and occasionally there may be side - effects. Clomid side - effects can include abdominal discomfort often described as "fullness and / or soreness," hot flashes, moodiness, or visual disturbances. Acetaminophen ( Tylenol ) can help with these symptoms. In a few patients, Clomid can cause enlargement of an ovary; if this occurs, a patient is advised to seek an internal examination by her physician.

Clomid is associated with a 10% incidence of multiple births, but the vast majority of these multiple births are twins. If Clomid has not produced a pregnancy within three to six months, alternate modes of treatment should be pursued. The literature strongly supports that using Clomid beyond six months is unlikely to result in pregnancy.

Dec 23, 2009

Clomid ( Clomiphene Citrate )

Clomid is frequently prescribed by generalists as a beginning in ovulation induction therapy. Clomid is a drug of the category called Selective Estrogen Receptor Modulators (usually called SERM). Its first use was as a fertility medicine for women and later to men also.


Clomid represents the beginning in the ovulation treatment and stimulate regular ovulation. Clomiphene is comercialised in the United States by Aventis Laboratories as “Clomid” and by Serono Laboratories as “Serophene”. There are some other fake or legit Clomid alternatives produced and offered for sale by some underground labs.


The destination of Clomiphene citrate therapy in handling infertility is to establish regular ovula

tion instead of causing the growing of numerous eggs. If ovulation is made, there’s no benefit to increase the dosage further. A lot of reports indicate that pregnancy typically comes on the first 3 months of infertility therapy and treatment after 6 months isn’t recommended.

Clomid could cause side effects such as ovarian hyper stimulation, visual disturbances, sickness, decreased quality of the cervical mucus and a few others.


When should we have intercourse if I am using Clomid?


Clomid is generally taken from the fifth day till the ninth day in a woman’s cycle. The possible ovulation time would be around the 13 -14th day. It could be earlier or later too.


What time of day should I take Clomid?


You can take Clomid every day, at the same hour of the day but is preferred in the evenings. Why is this the best time to take Clomid?

Because this medicinal drug could cause nausea and visual disturbances, it’s not suggested for example to take Clomiphene in the morning and after that drive to work.

Clomid is for sure a very safe drug, even out if it's used for long periods of time in the clinical treatment of low testosterone levels. Some studies showed that it was used for up to 4 months with no adverse side effects and this is enough for people running a Post Cycle Therapy.


Dec 9, 2009

Clomid, Clomiphene Citrate

Clomid is often a first line treatment to induce regular ovulation. Clomid works at the level of the hypothalamus where it competes for estrogen binding sites. When these "sites are occupied" by Clomid, the hypothalamus responds by producing more GnRH which then stimulates the pituitary to produce FSH. Remember, in a normal cycle healthy follicles produce estrogen, which signals the hypothalamus to reduce production of FSH. Clomiphene is marketed in the United States by Aventis Laboratories as Clomid and by Serono Laboratories as Serophene.

Clomid- Goals of Therapy

The goal of Clomid therapy in treating infertility is to establish normal ovulation rather than cause the development of numerous eggs. Once ovulation is established, there is no benefit to increasing the dosage further. Numerous studies show that pregnancy usually occurs during the first three months of infertility therapy and treatment beyond six months is not recommended. Clomid can cause side effects such as ovarian hyperstimulation (rare), visual disturbances, nausea, diminished "quality" of the cervical mucus, multiple births, and others.

Clomid is often prescribed by generalists as a "first line" ovulation induction therapy. Most patients should undergo the fertility "workup" prior to beginning any therapy. There could be many causes of infertility in addition to ovulatory disorders, including endometriosis, tubal disease, cervical factor and others. Also, Clomid therapy should not be initiated until a semen analysis has been completed.
Clomid and Other Ovulation Induction Drugs

If Clomid is not effective in 3-6 cycles, physicians may try Clomid intrauterine insemination; however; many specialists opt for FSH IUI because of its superior success rates.

In FSH stimulated IUI cycles, the patient self-administers subcutaneous injections of follicle stimulating hormone. Unlike Clomid, FSH directly stimulates the ovaries to develop multiple follicles, each of which contains an egg.

Patients must come to a linic for periodic monitoring of their follicular development via ultrasound and estradiol measurement. FSH stimulation comes with the risk of side effects such as hyperstimulation and multiple births. In general, FSH should only be administered by a reproductive endocrinologist thoroughly trained in its use.
Most fertility specialists will administer three to six cycles of FSH stimulated IUI. If pregnancy does not result, the patients are moved to the next treatment option which is often in vitro fertilization, IVF. The next treatment step depends of the causes (s) of each couples infertility

Nov 4, 2009

What is the success rate for Clomid?

Question: What is the success rate for Clomid?

If you're taking Clomid, you're probably eager to know what kind of success rate Clomid has. Will Clomid work for you?
Answer:

The good news is that the success rate for Clomid, in women with ovulatory problems, is pretty good. About 80% of women taking Clomid will ovulate during their first treatment cycle, and the chance of conceiving in that first month is 30%. If 30% sounds low, keep in mind that a couple with no problems getting pregnant has about a 25% chance of getting pregnant in any given month.

Of course, this assumes that all else is well with the couple. If there are additional problems besides irregular or absent ovulation or there are any male factor infertility issues that have not been addressed, success will be lower. It's questionable how successful Clomid therapy is for couples diagnosed with unexplained infertility.

Also, Clomid does not always work well in women who are dealing with age-related infertility, with low estrogen levels, or women with premature ovarian failure. It may also not work in women whose ovulation problems are caused by a thyroid issue. Women who are obese may have better success with Clomid if they lose weight.

About 40 to 45% of couples get pregnant within six months of treatment. Women are rarely treated with Clomid for more than six consecutive cycles.

If six months have passed and you're still not pregnant, your doctor will help you look in to alternative treatment options. There are a variety of fertility drugs and fertility treatments available. If Clomid doesn't work for you, don't fret. Something else may work better.

Sep 4, 2009

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Feb 2, 2009

Clomid - Fertility Female Medication


Many couples that have difficulty conceiving through natural methods choose to undergo various fertility treatments to increase their chances of becoming pregnant. One of the most popular medications used to heighten fertility is Clomid. Used for over 30 years to help induce and regulate ovulation, Clomid is often highly successful at producing a pregnancy. If you and your partner are experiencing troubles conceiving, you may want to ask your fertility specialist about this medication. Clomid is a fertility medication that is used to induce ovulation. Known as clomiphene citrate, the drug is sold under the brand names Clomid and Serophene, and is available throughout the United Kingdom. Specifically, Clomid works to stimulate a woman’s ovaries to mature an increased number of follicles every month. Because Clomid increases the number of mature follicles in the ovaries, the drug also increases the likelihood of ovulation and pregnancy.
Clomid is generally prescribed for couples facing female infertility, including:
- Anovulation
- PCOS
- irregular menstruation
Clomid is also used to increase the number of follicles available for IVF treatment procedures. The goal of clomiphene therapy in treating infertility is to establish normal ovulation rather than cause the development of numerous eggs. Once ovulation is established, there is no benefit to increasing the dosage further . Numerous studies show that pregnancy usually occurs during the first three months of infertility therapy and treatment beyond six months is not recommended. Clomiphene can cause side effects such as ovarian hyperstimulation (rare), visual disturbances, nausea, diminished "quality" of the cervical mucus, multiple births, and others.
Clomid is often prescribed by generalists as a "first line" ovulation induction therapy. Most patients should undergo the fertility "workup" prior to beginning any therapy. There could be many causes of infertility in addition to ovulatory disorders, including endometriosis, tubal disease, cervical factor and others. Also, Clomid therapy should not be initiated until a semen analysis has been completed.
Some physicians may still prescribe long-term therapy with Clomid even though it is highly unlikely that it will result in pregnancy. Clomid's use is sometimes associated with side effects and hormone imbalances such as elevated luteinizing hormone levels. Women receiving Clomid should have monthly examinations by their physicians.
When a physician specializes in infertility, it is no different than the evolution of other specialties. If you have heart disease you will probably seek care from a cardiologist rather than a family practitioner. Many studies show that pregnancy is more likely to result sooner when a reproductive endocrinologist, fertility specialist, renders treatment . To summarize:
- Clomid is an effective ovulation inducing agent.
- Clomiphene should not be used for more than 3-6 ovulatory cycles.
- Clomid has side effects and women must be examined monthly by their physicians.
Pregnancy is more likely to result from specialist care.