Clomiphene for ovulation.

Clomiphene and anti-oestrogens for ovulation induction in PCOS.

BACKGROUND Subfertility due to anovulation is a common problem in women. First-line oral treatment is with anti-oestrogens, for example clomiphene citrate, but resistance (failure to ovulate) may be apparent with clomiphene. Alternative and adjunctive treatments have been developed such as tamoxifen, dexamethasone, and bromocriptine. OBJECTIVES To determine the relative effectiveness of anti-...

Heterotopic pregnancy following induction of ovulation with clomiphene citrate

BACKGROUND Although heterotopic gestation is common in assisted reproductive techniques, it is very rare in natural conception and clomiphene induced pregnancy. Diagnosis and appropriate intervention of heterotopic pregnancy requires a high index of suspicious. CASE In this paper a case of heterotopic pregnancy in a 30-year old woman with hemoperitoneum from ruptured tubal pregnancy with live...

Ovarian Heterotopic Pregnancy after Ovulation Induction with Clomiphene Citrate

Background: An ovarian heterotopic pregnancy is a rare entity associated with life-threatening consequences in case of delayed diagnosis. Case: A 33-year-old nulliparous woman with idiopathic primary infertility underwent a cycle of ovulation induction using Clomiphene Citrate and intrauterine insemination. Although the patient was asymptomatic, the ultrasound demonstrated a missed abortion wit...

Ovulation induction with clomiphene citrate + gonadotropin + GnRH antagonist versus ovulation induction without clomiphene citrate in women submitted to assisted reproductive techniques

Successful induction of ovulation in normogonadotrophic clomiphene resistant anovulatory women by combined naltrexone and clomiphene citrate treatment.

Patients suffering from normogonadotrophic anovulation and infertility are initially treated with clomiphene citrate. Those who do not respond to clomiphene citrate usually receive gonadotrophin treatment which is labour-intensive, expensive, and associated with an increased risk of multiple pregnancies and ovarian hyperstimulation syndrome. We treated 22 patients with clomiphene resistant norm...