About half of couples who experience a problem with fertility, do so because of a fertility problem in the woman. Infertility is a common problem, defined as the inability to become pregnant after one year of attempting to become pregnant. Roughly 10 percent of women who attempt to become pregnant encounter problems with infertility.
Many women with fertility problems are prescribed Clomid (clomifene), a drug which makes you more likely to ovulate each month. It is a well established treatment and the most widely used fertility drug.
Clomid is one of the fertility medications with the highest success rates. Its active ingredient is Clomifene Citrate, an anti-oestrogen drug which is taken in pill form. It works by increasing levels of two hormones which cause stimulation of the ovaries and release of an egg.
You start taking Clomid about three to five days into your monthly menstrual cycle, and continue taking it for about five days. Ovulation generally occurs five to nine days after the last pill. Your doctor will usually monitor you for at least the first cycle of treatment using ultrasound to see whether your ovaries are preparing an egg follicle and releasing the egg into one of your fallopian tubes.
Most women will go through a maximum of three to six drug cycles: it can take a month or two of drug therapy to start ovulating regularly. If it doesn’t prove successful after six months, your doctor will probably start discussing other options with you.
Some women have virtually no side effects, while others will. Side effects are frequently related to emotions. They may include mood swings, hot flashes, breast tenderness. Some women may have some lower abdominal cramps in the 2nd half of the cycle. But most women do not have any symptoms from taking Clomid.