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    Please take a moment and REGISTER to initiate your membership to the site and gain access to the members' only section of this site: member directory, business partner directory, document libraries, & more. where can i buy avodart Less common effects (1-10% of people) include visual symptoms (blurred vision, double vision, floaters, eye sensitivity to light, scotomata), headaches, vasomotor flushes (or hot flashes), light sensitivity and pupil constriction, abnormal uterine bleeding and/or abdominal discomfort. Clomifene can lead to multiple ovulation, hence increasing the chance of twins (10% of births instead of ~1% in the general population) and triplets. Some studies have suggested that clomifene citrate if used for more than a year may increase the risk of ovarian cancer. The incidence of fetal and neonatal abnormalities for patients on clomifene for fertility is similar to that seen in the general population. There is no data to suggest a higher rate of congenital anomalies or spontaneous abortions after using this drug. Compared to letrozole, another drug used for ovarian stimulation, a study found no significant difference in the rate of overall abnormalities, but found that congenital cardiac anomalies was significantly higher in the clomifene group compared to the letrozole group. Clomifene is a nonsteroidal SERM that inhibits estrogen receptors in the hypothalamus, inhibiting negative feedback of estrogen on gonadotropin release, leading to up-regulation of the hypothalamic–pituitary–gonadal axis.

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    Depending on your fertility issues or overall health, a doctor might prescribe drugs other than clomiphene. Clomiphene can help men who have a hormonal imbalance linked to low sperm count, or poor sperm quality or motility. Clomiphene treatment can be an emotionally intense process for some women because they're anxious about their body's response to the medication. Women taking clomiphene also have to go to the doctor's office frequently for monitoring. Here's how it works: It depends on how regular a woman's menstrual cycle is and how many times she has to try before she gets pregnant. It can take a month or two of drug therapy – with a dosage increase, if necessary – before ovulation begins. Once ovulation occurs, it can take three to six cycles of treatment. Most doctors don't recommend using clomiphene for more than six treatment cycles. If you don't succeed after three cycles, the doctor might add another medication or suggest a different treatment. Clomid, Infertility and Ovulation Induction Clomid (clomiphene, clomiphene citrate) is among the most well-know and frequently prescribed of all fertility drugs. Clomid is taken orally and is considered a "first line" prescription fertility drug for dealing with infertility issues. Clomid is so widely prescribed that you may even find a "Clomid Club" on many preconception forums and communities. Clomid is used predominately for inducing ovulation in women with ovulatory disorders like anovulation, PCOS, and other infertility symptoms. Clomid works by impacting hormonal production, by influencing the "fertility hormones" (estrogen, FSH, and LH) that precipitate ovulation. Like many prescription medications, Clomid works by "tricking the brain" into believing that estrogen levels in the body are low. Berger notes: "Structurally like estrogen, clomiphene binds to the sites in the brain where estrogen normally attaches, called estrogen receptors. This in turn encourages the brain to send signals to release more Gonadotropin Releasing Hormone (Gn RH), which causes the pituitary gland to produce more FSH (follicle stimulating hormone) and LH (luteinizing hormone). Once these receptor sites are filled up with clomiphene, they can't bind with natural estrogen circulating in the blood and they are fooled into thinking that the amount of estrogen in the blood is too low.

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