Clomiphene or clomiphene citrate is a class of medication called a selective estrogen receptor modifier. It is a very fancy name, but essentially, its purpose is to fool the body into thinking that there isn’t a very high level of estrogen.
When the estrogen level is low at the very beginning of a menstrual cycle, the brain responds to that by encouraging the ovary to produce eggs using a hormone called the deficit or follicle-stimulating hormone.
When the brain can’t sense that a follicle is growing, it continues to produce FSH, which stimulates the whole freeze a little bit more than it would if it could sense that follicles grow.
So Clomiphene is a mild stimulant that can produce one, two, or three follicles typically in order to get them to eventually ovulate. It can be used in women who don’t want hog relate ever as sometimes as a way of provoking ovulation.
In some women who do ovulate, it can be used to get additional eggs to increase the probability of successful pregnancy at the end of that cycle.
Typically, depending on the age of the patient, doctors will offer between three and six months of Clomiphene treatment. If it hasn’t worked after about third or fourth months of treatment, then the number of additional women who can expect to become pregnant in the fifth or sixth months it’s actually quite small.
Thus, for women who are older, it makes very little sense to continue giving them Clomiphene if there are additional treatments that have more success associated with them.