Every year the problem of infertility gets more and more acute. Millions of couples around the world spend years fighting for their right to become parents. One of the most common obstacles for them to give birth to a child is anovulation in women. Clomid is an effective treatment applied by doctors dealing with infertile couples. The drug stimulates ovulation thus giving these people a chance of getting pregnant.
Clomid active ingredient is called clomiphene. This drug belongs to the class of non-steroidal fertility medications. It has a double effect on women taking it. First, it stimulates the production and maturation of the eggs in the female ovaries. It happened due to the increase in the follicle-stimulating hormone levels. The second effect is targeted at the elevation of the levels of luteinizing hormone. Its task is to stimulate the ovulation so that the egg could get to the uterus and get fertilized.
A frequent side effect (if it can be called so) of Clomid intake is a concomitant production, maturation, and release of several eggs. It means that you can get a multiple pregnancy, which means not only more happiness but also more threats throughout the pregnancy. Therefore, you have to think such a probability over before you start taking Clomid.
Unfortunately, Clomid is not a panacea for all the health issues that may result in infertility. This medication can only be effective in a limited number of cases where anovulation is provoked by:
Intake of oral hormonal contraceptives;
Polycystic ovarian syndrome;
Secondary amenorrhea (absence of menstruation) of unknown cause;
The absence of menstruation because of some psychogenic factors;
No other reasons for anovulation will respond to the therapy with clomiphene.
Clomid is a drug affecting your hormones. Therefore, you should never take it without the doctors’ recommendation. Before women get a prescription for Clomid, they have to undergo a series of blood tests to determine the natural levels of sex hormones. Besides, a thorough physical examination is needed. Only if it will be proven that your inability to conceive is provoked by one of the problems we’ve listed above, you can be recommended to take this drug.
The scheme of intake of the medication is determined by the doctor. However, based on the recommendations of the manufacturer, the drug should be taken beginning from the fifth day of your menstrual cycle. The therapy should be completed on the tenth day of the cycle. On each of these days, you need to take one 50 mg pill of Clomid. If the treatment is chosen right, you’ll ovulate on the fifth – tenth day of the intake.
For most couples, one course of clomiphene is enough to successfully conceive. However, you shouldn’t fall in the spirit if the first attempt won’t be a success for you. Overall, you can go through three courses of therapy with Clomid. The second one can be started no sooner than 30 days after the previous one. Depending on your doctor’s decision, the daily dose of the drug can be increased to 100 mg or remain the same.
Despite its high efficiency in fighting certain types of anovulation-caused infertility, clomiphene is not recommended in women suffering from the following accompanying illnesses:
Tumor of the pituitary gland;
Ovarian cysts caused by the reasons other than PCOS;
Vaginal bleedings of unknown nature;
Uncontrolled thyroid disease;
Severe liver problems;
Adrenal glands disease.
Intake of this medication can lead to life-threatening consequences in patients suffering from the conditions from the above-mentioned list.
You should never take Clomid or any other medication containing clomiphene if you are pregnant. The effects induced by this medication will lead to miscarriage. For this reason, you have to pass a pregnancy test and undergo a physical examination at the doctor’s office before you start taking this drug. Only if in both cases (the test and the gynecological examination) it will be proven that you are not pregnant, you will be prescribed this drug.
The drug can also have a negative impact on the nursing baby. Therefore, mothers who need to take clomiphene should stop breastfeeding their babies.
All unwanted reactions to clomiphene can be divided into two categories – relatively safe (you need to inform your doctor about them) and dangerous (immediate medical attention is needed).
To the first category belong the following manifestations of Clomid adverse effects:
Vaginal spotting or light bleeding;
Contact your attending doctor and describe in detail all the unwanted symptoms you have. Usually, these are not reasons to stop the treatment. However, you should immediately stop taking Clomid and go to the nearest clinic if you notice the following health issues:
Heavy vaginal bleeding;
Difficulty passing the urine;
Vision changes, light sensitivity;
Changes in mood, anxiety, depression;
Trouble breathing, heart health issues;
Gastrointestinal side effects (stomach cramps, stomach upset, nausea, vomiting);
Unexplainable rapid weight gain.
Some of these symptoms may signal the problem all the women taking Clomid should be aware of – ovarian hyperstimulation syndrome. This condition, if left untreated, may lead to death. In extremely rare cases, women can develop a reaction of hypersensitivity, which shows through swelling of the throat, tongue, face, and lips. Besides, hives, rash, and difficulty breathing can occur.