Otherwise known as Clomiphene Citrate
Why would you be taking clomid?
Clomid is generally the first fertility drug that women use and has been in use. It is (relatively) inexpensive as fertility drugs go, it is easily taken (orally rather than by injection) and it is the first line drug used for ovulation induction in patients with PCOS and other ovulatory disorders. It has been used for patients with luteal phase defect.
When used to induce ovulation, Clomid is taken for approximately five days early in the menstrual cycle. This may be either days 3-7 or days 5-9. Some women who do ovulate also use clomid to induce a 'stronger' ovulation.
Most women begin with 50 mg and this is increased if ovulation does not occur. Once ovulating, most pregnancies occur in the first 6 cycles of treatment. Clomid is said to be able to induce ovulation in as much as 85% of the women who use it, though only half of those will actually become pregnant. Most authorities agree that continuing for more than 6 ovulatory cycles in not likely to increase the chances of success.
What to expect
The most common side effects of clomid are hot flashes, multiple births (most commonly twins. There is a 7% chance vs. 2% in the general population), minor GI symptoms, visual symptoms, headache, ovarian hyperstimulation (OHSS), cysts, breast discomfort, weight gain, moodiness, stronger PMS symptoms--bloated, cramps, sore breasts, etc, allergies, rash, cervical mucus changes, and tubal pregnancy.
Problems that might arise and ways to troubleshoot
Many people advise on taking clomid at night--this way they say that the hot flashes are less severe and generally do not interrupt their sleep. I get dizzy and feel 'stoned' while on clomid and find that I actually like to take it in the morning. For me, those side effects don't get too bad until the afternoon. Also, the hot flashes at night are an annoyance but don't bother me as much as the other side effects. I think the 'stoned' effect of clomid lasts for me for the time while I am taking it until a day or two after finishing the pills. I usually get very weepy after taking the last pill. I always get very bad PMS while taking clomid too.