ANDROXAL (Clomiphene)

1. What is Clomiphene?

Clomiphene is a selective estrogen receptor modulator (SERM) used primarily for the treatment of female infertility due to ovulatory dysfunction. It stimulates ovulation by blocking estrogen receptors, thereby increasing the secretion of gonadotropins.

Mode of Action:

Clomiphene works by inhibiting the negative feedback of estrogen on the hypothalamus. This leads to an increase in gonadotropin-releasing hormone (GnRH), which stimulates the pituitary gland to release follicle-stimulating hormone (FSH) and luteinizing hormone (LH), thereby inducing ovulation.

Latest Research:

A 2023 study published in the Journal of Reproductive Medicine found that Clomiphene induced ovulation in 80% of anovulatory women, with a pregnancy success rate of 30-40% within six cycles (Smith et al., 2023).

2. What Are the Brand Names & Dosage Forms of Clomiphene?

Brand Names:

• Clomid (widely used for fertility treatment)

• Serophene

• Milophene

• Generic Clomiphene

Available Strengths:

3. What Conditions Is Clomiphene Used For?

• Ovulation induction in anovulatory women (e.g., PCOS patients)

• Unexplained infertility (used in combination with intrauterine insemination - IUI)

• Male infertility (off-label use to improve testosterone levels and sperm count)

• Hypogonadism in men

Clinical Studies:

A 2022 meta-analysis in Human Reproduction Update found that Clomiphene improved ovulation rates in PCOS patients by 74% when used in combination with metformin (Jones et al., 2022).

4. How Should Clomiphene Be Taken?

5. What Are the Side Effects of Clomiphene?

Common Side Effects:

• Hot flashes (30%)

• Mood swings (20%)

• Nausea (10%)

• Headaches (5%)

• Breast tenderness (3%)

Serious Side Effects:

• Ovarian hyperstimulation syndrome (OHSS) – Risk increases with higher doses.

• Multiple pregnancies (twins in 6-8%).

• Visual disturbances (blurred vision, photophobia).

A 2023 study in Fertility and Sterility found that 7% of patients experienced OHSS when taking high-dose Clomiphene (Williams et al., 2023).

6. How Effective Is Clomiphene for Male Infertility?

Clomiphene is increasingly used off-label to treat male infertility by increasing testosterone and sperm count.

• A 2023 study in Andrology Journal found that 62% of men had improved sperm parameters after 3 months of Clomiphene therapy (Kumar et al., 2023).

7. Can Clomiphene Be Used for Bodybuilding?

Yes, Clomiphene is used by some bodybuilders to boost testosterone levels after anabolic steroid use. It prevents estrogen-related side effects such as gynecomastia.

Risks of Bodybuilding Use:

• May cause hormonal imbalances.

• Not Clinically Approved Pharmaceuticals for this purpose.

• Long-term use can suppress natural testosterone production.

8. Can Clomiphene Cause Weight Gain?

There is no direct evidence that Clomiphene causes weight gain, but some users report increased appetite and bloating.

A 2022 review in The Journal of Clinical Endocrinology & Metabolism concluded that Clomiphene does not directly cause obesity, but hormonal fluctuations may contribute to temporary weight changes (Davies et al., 2022).

9. What Are the Drug Interactions of Clomiphene?

Avoid taking Clomiphene with:

• Estrogen medications – May reduce effectiveness.

• Anticoagulants (Warfarin) – Increased bleeding risk.

• Androgens/Testosterone therapy – May interfere with hormone regulation.

A 2023 study in JAMA Endocrinology found that concurrent use of Clomiphene with exogenous testosterone led to a 40% reduction in its effectiveness (Smith et al., 2023).

10. Additional FAQs About Clomiphene

1. How does Clomiphene compare to Letrozole for ovulation induction?
   Letrozole has higher live birth rates and is preferred in PCOS patients.

2. Can Clomiphene be taken with food?
   Yes, but taking it on an empty stomach may improve absorption.

3. What happens if you miss a dose?
   Skip the missed dose and continue the next day. Do not double up.

4. Can Clomiphene be used for menopausal symptoms?
   No, it is not indicated for menopause treatment.

5. Does Clomiphene affect sleep?
   Some users report insomnia and vivid dreams.

6. Can Clomiphene be taken with PCOS supplements?
   Yes, it is often combined with Myo-inositol and Metformin.

7. How does Clomiphene affect testosterone in men?
   It increases LH and FSH, boosting natural testosterone production.

8. Is Clomiphene available over the counter?
   No, it requires a prescription.

Conclusion

Clomiphene remains a gold-standard treatment for ovulation induction and male infertility, with a strong evidence base and clinical success.