Our expert says:
The use of Clomid is specific to patients who have an underlying ovulatory disorder and therefore if you are spontaneously ovulating then the benefits of Clomid are questionable. It would be prudent to do a full a thorough investigation of other likely causes contributing to the fertility problem. This would include the evaluation of the male partner in terms of a sperm analysis and you will also require some form of investigation for tubal patency. Tubal patency can be accessed through an X-ray or an HSG or through a laparoscopy depending on circumstance and the findings of a routine gynaecological evaluation. In the rear situation of unexplained infertility i.e. where investigations are found to be normal but conception is not taking place then it would be feasible to use Clomid to try to enhance the number of eggs produced and in so doing to increase the likelihood of pregnancy. Continuous use of Clomid without monitoring or without success should be discourage as there are short term and long term consequence of Clomid abuse.
Answered by: Dr M.I. Cassim
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