friends Serophene It s frustrating when you re trying to start a family and have problems conceiving. You re not alone. Infertility is the inability to conceive after a year of having unprotected sex. With this definition, about 6% of young and middle-aged women fall in the United States are infertile. The reasons you might be infertile are varied. As you know, most women ovulate every month, meaning their ovaries release an egg into their fallopian tube where, if the conditions are right, the egg is fertilized by a sperm. One possible cause of infertility is lack of ovulation. Without the release of an egg, conception can t take place. Fortunately, there are now fertility medications that can help out when you aren t ovulating on a regular basis. One of the most common is called serophene. This medication is also called clomiphene or Clomid. If you re aren t ovulating, serophene can help your ovaries release an egg. Serophene has weak activity similar to the hormone estrogen and acts on your brain to set ovulation in motion. Hopefully, that egg will be fertilized and you ll soon be thinking about what to name your new family member! If your doctor prescribes serophene for you, you ll take the medication for five days beginning on the fifth day of your cycle. If it s successful, you ll ovulate between five and ten days after taking a course of serophene. Your doctor may want to monitor you closely to see if an egg is released. Sometimes they do this through a blood test or ultrasound. You can also use an ovulation predictor kit at home. By knowing when and whether an egg is released helps you time your sexual activity to increase the odds of conceiving. Clomiphene, or serophene, works best if you don t have another explanation for your infertility, like anatomical problems. It also works well for women with a health condition like polycystic ovary syndrome. Health professionals also sometimes prescribe serophene to tell your ovaries to produce an egg for in vitro fertilization. Of course, you wonder whether serophene is safe. It does have side effects, which are usually mild. Some of the most common include: . Headache . Hot flashes . Breast tenderness . Irritability or depression . Abdominal bloating . Visual changes . Nausea . Vaginal bleeding Rarely, you can develop a syndrome called ovarian hyperstimulation syndrome. This syndrome happens when your ovaries produce too many eggs. As a result, your ovaries swell and may leak fluid into your pelvic cavity. This can lead to weight gain and abdominal distension. If this happens, you will likely have to stay in bed and be closely monitored. There s also a higher risk of having twins or triplets. In fact, the chance of having twins on serophene is about 6%. Fortunately, most studies don t show that taking serophene increases the risk of pregnancy-related problems, like miscarriage, or birth defects. There is a slightly higher risk of ovarian cancer if you use clomiphene multiple times. Keep in mind that there are a number of reasons why you might not be conceiving. Serophene won t work in every case, only if your infertility is due to the fact that you don t ovulate regularly. If you take three cycles of clomiphene and fail to conceive, your doctor may recommend a more extensive workup of you and your partner to see why you aren t conceiving. References: Centers for Disease Control and Prevention. Infertility FAQs MedLine Plus. Clomiphene work out
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