Who are candidates for Clomid?
Clomid is an oral fertility enhancing medication for patients with ovulatory problems (such as failure to ovulate or inconsistent ovulation). Some patients with ovulation difficulty have other medical conditions that require specific therapy (such a Synthroid for hypothyroidism). Clomid is offered to patients who have no known medical condition hindering ovulation and to patients whose medical treatment by itself fails to stimulate ovulation. Some terms for ovulation dysfunction are: PCOS (polycystic ovary syndrome), anovulation, irregular ovulation, luteal phase deficiency, and progesterone deficiency.
- History and physical in the office
- Semen analysis
- Progestin challenge (for those who are not having any periods): A progesterone-type hormone is prescribed to attempt to induce a period. Call us if you do not have a period beginning 2-7 days after you finish the prescription.
- Basic Blood work (done in the morning while fasting). This is done to evaluate you for medical conditions which could impair ovulation. Thyroid stimulating hormone (TSH)
Glucose, Insulin, or HgbA1C
Optional additional blood work: Insulin and/or glucose challenge test
Testosterone, DHEAS, and 17-OH progesterone levels (these currently are recommended only for women with evidence of masculinization)