Clomid
clomiphene citrate
Clomid for BodyBuilding:
Clomid is a brand name for the drug
clomiphene citrate. Clomid is typically prescribed for women to
aid in ovulation. In men, the application of Clomid causes an elevation
of follicle stimulating hormone and luteinizing hormone. As a result,
natural testosterone production is also increased. This effect is obviously
beneficial to the athlete, especially at the conclusion of a cycle when
endogenous testosterone levels are subnormal.
To be more specific Clomid is chemically
a synthetic estrogen with both agonist/antagonist properties, and is very
similar in structure and action to Clomid. In certain target tissues
it can block the ability of estrogen to bind with its corresponding receptor.
Clomid's clinical use is therefore to oppose the negative feedback
of estrogens
For athletic purposes, Clomid does
not offer a tremendous benefit to women. In men however, the elevation
in both follicle stimulating hormone and (primarily) luteinizing hormone
will cause natural testosterone production to increase. This Clomid
effect is especially beneficial to the athlete at the conclusion of a
steroid cycle when endogenous testosterone levels are depressed. If endogenous
testosterone levels are not brought beck to normal, a dramatic loss in
size and strength is likely to occur once the anabolics have been removed.
This is due to the fact that without testosterone (or other androgens),
the catabolic hormone cortisol becomes the dominant force affecting muscle
protein synthesis (quickly bringing about a catabolic metabolism).
Dosage:
50 - 150 mg per day (depending on intensity of your cycle) for 10 days after your cycle.
Clomid for Pregnancy:
Clomiphene can help you conceive if you
ovulate irregularly or not at all, particularly if you have polycystic
ovarian syndrome (PCOS). (If you have PCOS and this treatment doesn't
seem to work for you, your doctor may also prescribe metformin, an insulin-sensitizing
drug that can help you respond to clomiphene.) You might also take clomiphene
(and other fertility drugs) before you undergo an assisted reproductive
technology (ART) treatment such as in vitro fertilization (IVF), to encourage
you to produce several eggs for the procedure.
Clomiphene can also help men with a hormonal imbalance (that originates
in the pituitary gland or hypothalamus) linked to a low sperm count, or
poor sperm quality or motility (its ability to move). (For more information
about fertility drugs for men, click here.)
Treatment: What to expect
Clomiphene is usually taken in pill form for one five-day cycle a month.
It helps you produce more of the hormones that trigger ovulation (follicle-stimulating
hormones (FSH)), prompting your ovaries to produce one or more mature
eggs, depending on how often you normally ovulate.
After you finish a cycle of clomiphene, your hypothalamus (the part of
your brain that regulates basic functions such as temperature) releases
luteinizing hormone (LH), which tells your ovaries to release your mature
egg or eggs into your Fallopian tubes. If an egg meets up with a healthy
sperm on its way to your uterus, you'll have a chance to conceive.
Length of treatment
If your period is regular, you'll start taking clomiphene three to five
days into your monthly menstrual cycle and continue taking it for about
five days. (To figure out when your next menstrual cycle will begin, use
our ovulation calculator.)
If your period is irregular or absent, your doctor will make sure you're
not pregnant and induce menstruation by prescribing a medication called
Provera (medroxyprogesterone acetate), so you can begin taking clomiphene.
You'll most likely ovulate five to 12 days after you take the last pill.
Your doctor will monitor you closely and often to see whether your ovaries
are getting ready to release an egg. Most women go through three to six
cycles of treatment at the most (it can take a month or two of drug therapy
for you to start ovulating regularly). Your chance of getting pregnant
doesn't improve if you take the drug longer, so if you don't succeed after
three cycles, your doctor may increase the dosage or suggest another treatment.
Dosage:
Treatment of the selected patient should begin with a low dose, 50
mg daily (1 tablet) for 5 days. The dose should be increased only in those
patients who do not ovulate in response to cyclic 50 mg clomiphene citrate
tablets USP. A low dosage or duration of treatment course is particularly
recommended if unusual sensitivity to pituitary gonadotropin is suspected,
such as in patients with potycystic ovary syndrome
Side effects:
Fertility drugs can cause a wide range of minor side effects, including
mild swelling of the ovaries, stomach pain, breast tenderness, insomnia,
nausea and vomiting, blurred vision, headaches, fatigue, irritability,
depression, weight gain, and, in rarer cases, ovarian cysts. (For tips
on handling these types of side effects, click here.)
You'll also have a 10 percent chance of conceiving twins with these fertility
drugs. (Women sometimes conceive triplets or more, but much less frequently.)
Though many couples consider this a blessing, multiple fetuses increase
your risk of miscarriage and other complications.
This treatment can also be a very hands-on, emotionally intense process,
since you'll have to go the doctor's office for frequent monitoring. Find
a willing friend, support group, or professional to talk to before, during,
and after your treatment. (To see therapists' top ten tips for coping
with a fertility problem, click here. To get support from others in your
same situation, visit our Clomid and Similar Fertility Drugs bulletin
board.)
Women who take clomiphene with other fertility drugs sometimes develop
ovarian hyperstimulation syndrome (OHSS), a condition signaled by weight
gain and a full, bloated feeling. Some patients also have shortness of
breath, dizziness, pelvic pain, nausea, and vomiting. OHSS occurs when
you respond too well to the drugs and produce too many eggs; your ovaries
rapidly swell to several times their size and leak fluid into your abdominal
cavity. Normally this resolves itself with careful monitoring by your
physician. But in rare cases it can be life threatening, and you have
to be hospitalized for more intense monitoring.
On the bright side, researchers who recently examined the results of
eight different studies conducted between 1989 and 1999 found that fertility
drugs don't increase a woman's risk of developing ovarian cancer, even
if she takes them for more than a year. Previously this issue was a major
source of controversy and concern.