Microsoft word - clomiphene.doc

Do a pregnancy test before starting clomiphene Multiple births occur. Clomiphene has caused even if your period seems normal. There is a one set of quadruplets, five triplets, and possibility of birth defects if clomiphene is taken uncounted twins in 36 years in my practice.
while you are pregnant and possibly if taken the Side effects such as mood swings, hot flashes, Take one prenatal vitamin every day all the time.
An exam or ultrasound (sonogram) can be done Increase to 5 mg of folic acid daily anytime you when there is pain, fullness or pelvic discomfort might be pregnant and until you are 8 weeks to check for a cyst. Clomiphene is stopped with pregnant to decrease the chance of birth defects.
a cyst. Cysts require hospitalization.
Days 14 to 30 days after ovulation are the most Clomiphene may interfere with mucus, the lining or hormones. Fertility may decrease when used Clomiphene is usually started on day 3 of a cycle but can be started from day 1 to 5 depending on There is an increased risk of ovarian cancer in The lowest dose of clomiphene that works is usually the best dose. Increasing the dose may clomiphene. Clomiphene may a marker or it may be part of the problem. Studies since 1989 have Ovulation tests and ovulation monitors are commonly used for timing sex. Clomiphene can children should be monitored closely, particularly cause false positive ovulation tests. Start testing at age 40 to 60, for evidence of ovarian cancer.
Adhesions and endometriosis may be part of the A PCT (post-coital test / Huhner’s test) is used to check mucus and sperm interaction. If the mucus is gummy, estrogen, Robitussin, estrogen or artificial insemination are considered.
Blood estradiol checks for ovarian production.
A sonogram at ovulation checks on ovarian egg Progesterone levels on day 21 and 24 can be There is an increased risk of uterine cancer in 85% of all pregnancies occur in the first three women who do not ovulate regularly and use ovulatory cycles. If you are not pregnant in three multiple cycles of clomiphene. An ultrasound, to six ovulatory cycles, plans need to be changed.
Other tests such as an X-ray of the tubes or Infertility is also associated with birth defects.
laparoscopy may be useful if not already done.
Clomiphene may increase the risk of hypospadias Intrauterine insemination (IUI) or in vitro fertilization (IVF) can be considered.
If you are concerned about other problems, be sure to ask as this is not an exhaustive list.
Althuis MD, et al. Uterine cancer after use of Mosgaard BJ, Lidegaard Ø, Kjaer SK, Schou G and clomiphene citrate to induce ovulation. Am J Andersen AN. Infertility, fertility drugs, and invasive ovarian cancer: a case-control study. FertilSteril 1997: 67:1005.
Brinton LA, et al. Causes of infertility as predictorsof subsequent cancer risk. Epidemiology. 2005 Ness, Robert B. Fertility Drugs and Cancer. Am J Brinton LA, et al. Ovarian cancer risk associated Piver MS, Recio FO: When is ovarian cancer with varying causes of infertility. Fertil Steril Seli E and Arici A. Ovulation induction with Brinton LA, et al. Ovarian cancer risk after the use clomiphene citrate. UpToDate 16.2 (May 08) of ovulation-stimulating drugs. Obstet Gynecol Shushan A; Laufer N. Fertility drugs and ovarian
Brinton LA, et al. Breast cancer risk associated with cancer: what are the practical implications of the ovulation stimulating drugs. Obstet Gynecol 103: ongoing debate. Fertil Steril 74:8-9, 2000.
Taymor ML: The use and misuse of ovulation- Chappel SC, Howles C: Reevaluation of the roles inducing drugs. Infertility and Reproductive of luteinizing hormone and follicle-stimulating Medicine Clinics of North America 1990; 1:165- hormone in the ovulatory process. Hum Reprod Woodall Cynthia C; Ke, Raymond W. Intrauterine Elizur SE, Tulandi T. Drugs in infertility and fetal insemination (IUI) for the treatment of infertility.
Gysler M, March CM, Mishell DR, Bailey EJ: Adecade's experience with an individualizedclomiphene treatment regimen including its effecton the postcoital test. Fertil Steril 1982; 37:161-166.
Hartge P, et al.: A case-control study of epithelialovarian cancer. Am J Obstet Gynecol 1989:161:10-16.
Hull MGR: Gonadotrophin therapy in anovulatoryinfertility. In Howles CM (ed): Gonadotrophins,Gonadotrophin-releasing Hormone Analogues andGrowth Factors in Infertility: Future Perspectives.
Proceedings of a meeting at The Royal BathsAssembly Rooms; Harrogate, England; April 29-30,1991:56-70.
Myers ER, et al. Effectiveness of assistedreproductive technology (ART). Evid Rep TechnolAssess (Full Rep) 167:1, 2008


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