These are usually started day 3 to 5 of a cycle with a pregnancy test negative or with the temperature down.

An examination is done before starting clomiphene when there is pain, fullness, or pelvic discomfort to check for a cyst.  This exam can also be done routinely when there are no problems as some cysts cause no problems.  If there is a cyst, clomiphene is stopped until the cyst goes away.

Clomiphene can interfere with the mucus and sperm interaction.

Urinary ovulation tests can cross react with clomiphene.  Start testing 3 days after finishing clomiphene

All ovulation tests give similar monitoring information when they work.  However, vaginal mucus and urinary ovulation testing give better timing information for planning sex.

85% of all pregnancies occur in the first three ovulatory cycles.^1,2

 If not pregnant in three to six ovulatory cycles, more intensive techniques such as Pergonal, artificial insemination, or in vitro fertilization can be considered.

Mood swings and hot flashes are common.

 Patients seeing Dr. Martin have had one set of quadruplets, five sets of triplets, and uncounted number of twins on clomiphene in 30 years.

Ovarian cysts may cause pressure, pain or fullness; you should be checked if any one of these occur.  On rare occasion, these can require hospitalization.

There is a possibility of birth defects if clomiphene is taken while or shortly before you are pregnant.  This can happen if you are pregnant but having breakthrough bleeding which you think is your period.  Use pregnancy tests if you have any doubt.  Symptoms of pregnancy include breast tenderness, nausea and pelvic fullness. 

Interfere with sperm and mucus interaction,

Decrease the growth of the uterine lining and decrease success.  Sonograms may be useful in determining this.

Interfere with hormones that control ovulation, conception, and growth.

Decrease fertility with inseminations for male problems.