IVF and Fertility Specialists Clinic
Clomid Fertility Medication Treatment for Women That Already Ovulate and for Unexplained Infertility
Page author Richard Sherbahn MD
Clomid, or clomiphene citrate, or Serophene is a medication that is commonly used for the treatment of infertility. Clomid was originally developed for treatment of anovulation. The medication will often induce ovulation in women that do not develop and release an egg (ovulate) on their own, such as in women with polycystic ovaries.
In these cases the hope is that there will be an improvement in the chance for getting pregnant by increasing the number of follicles developing in the ovaries - and therefore the number of eggs releasing. This is called controlled ovarian hyperstimulation or superovulation.
What is the protocol for taking Clomid?
When will I ovulate on Clomid? Timing intercourse after Clomid treatment:
It is best to have intercourse on the day of ovulation if possible. Some women will prefer to use ovulation predictor kits which are urine tests that the woman can do at home. These kits are designed to detect the presence of the LH surge in the body. The LH surge in the blood begins approximately 36 hours before ovulation. The ovulation prediction test is usually done in the mornings. Sex on the day it turns positive or the next morning is best for fertility.
Ovulation is usually about 14 days prior to the start of the next menstrual period. Therefore, if the menstrual cycle length is known for a woman’s typical Clomid cycle, then sex can be timed to fall about 12 to 16 days prior to the “expected” date for the next period.
Clomid and artificial insemination, IUI
Can I conceive with Clomid treatment?
How many cycles of Clomid should be tried before moving on to other treatment options?
There is no set number of cycles of Clomid that should be done in women that already ovulate before moving on to more aggressive fertility treatments. Some important variables are:
The patient's own sense of urgency, financial considerations and other personal factors will often be part of the decision about when to move on to other fertility options.
When is it time to move on to IVF treatment?
Some couples will choose to do injectables and insemination before IVF and others will go straight from Clomid plus insemination treatments to IVF.
For women under 35 in our in vitro fertilization program we see pregnancy success rate statistics of about 65% for getting pregnant with one IVF attempt and about 55% for a live birth rate (miscarriages account for the difference).
Costs of Clomid medication and Clomid treatment cycles
Clomid is not expensive and will cost between about $10 and $100 per cycle depending on the dose and whether a brand name or generic clomiphene citrate is used.
Other related topics and pages on our site:
Clomid and twins - and higher order multiple pregnancies
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