Clomid (clomifene-clomiphene) is commonly prescribed to induce ovulation. It’s taken at the start of the menstrual cycle from around day 2 at a dose of 50mg daily for 5 days. If a second course is prescribed the dose can be increased to 100mg. A course of 3 cycles is considered a course of treatment.
It is licensed for 6 months use and is not recommended for more than that as it can increase the risk of developing ovarian cancer, however some consultants will prescribe it up to 12 months (doctors should advise their patients of the risk). Clomid is sometimes combined with metformin to try and help regulate the menstrual cycle.
In Chinese medicine, clomid is hot in nature and gets the blood moving to the follicles. It’s suitable for women who feel cold (a deficiency of yang) but who don’t sweat at night (a deficiency of yin) and know the increased risk of having a child with birth defects. However, if the woman feels warm or hardly ever feels the cold and can sometimes sweat at night, then clomid is too warm and will damage yin, like being on a slow cook, it will burn and damage the body’s fluids, i.e. less cervical mucous. This can actually worsen a woman’s fertility. It has also been shown to reduce gland development in the uterus wall, thereby damaging implantation.
To partially offset this side effect, progesterone can be given from ovulation or acupuncture, which has been shown in research to stimulate the thickening of the uterus wall (uterine glandular development) thereby improving implantation. Acupuncture can be used to partially reduce some of clomid's side effects.
For more information on the side effects of clomid, please refer to the Centers for Disease Control and Prevention.
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