You may be prescribed Clomiphene (clomid) tablets if you do not produce eggs (ovulate) or ovulate unreliably. Clomiphene stimulates the ovaries to produce eggs.
Clomiphene is taken from day 2-6 of your cycle. 50mg per day is initially prescribed by your consultant. Day 1 of your cycle is the first full day that you start your period. You will need to contact the centre on day 1 of your period to arrange an ultrasound scan. As the clomid tracking clinic is only held on a Tuesday or Thursday afternoon your appointment may be before or after day 10 of your cycle.
Further scans may be required until a mature follicle is seen. You will be asked to have intercourse every 2-3 days. A blood test will be required to check ovulation approximately 7 days later. You will be asked to call the centre a few days after the blood test to check ovulation. The exact result will not be given, but you will be advised as to whether you have ovulated or not.
If ovulation has occurred you will continue on the same dose of clomiphene for up to 6 months. No further scans or blood tests are required.
If you have a positive pregnancy test, contact the centre and an early pregnancy scan will be arranged for you at around 6 weeks. If you are unsuccessful after 6 months of treatment, then a follow up appointment will be made for you to discuss your next options.
If your blood test indicated that you did not ovulate, then you will be advised to increase the dose of your clomiphene. The maximum dose for treatment is 150mg. If you do not ovulate on this dose then further treatment options will be discussed with you.
How to access the service
Your GP will need to refer you to the Infertility Clinic at the Gynaecology department for initial investigations, before being referred on to the Fertility Centre for clomid tracking.