Tests Before Starting Clomiphene (Clomid)

Before starting Clomid you need to make sure there is no male
infertility, no ovarian cysts, and that FSH and liver functions are
normal.

Clomiphene (Clomid) is given to women who have problems ovulating and who want to get pregnant. Before giving Clomid, patients should be checked to make sure

1. Patient is not pregnant
2. Patient has no ovarian cysts (except if there is polycystic ovary syndrome)
3. Patient has no abnormal uterine bleeding (if there is abnormal bleeding a tumor should be ruled out)
4. Patient has no fibroids
5. Patient has no abnormal liver function (do a liver blood test).
6. There is no male infertility

Clomid works best in women who produce enough estrogen and who have a low CD3 FSH blood level.

The following tests should be done before Clomid is given:

• Pregnancy test
• Sperm count
• Estrogen levels
• CD 3 FSH levels
• Thyroid function tests
• Prolactin levels
• Liver function tests
• Endometrial biopsy
• Optional: Pelvic sonogram to check for fibroids and ovarian cysts

If a woman is menstruating, even if irregularly, clomiphene is usually effective. Women with irregular menstrual cycles ovulate infrequently. They are usually excellent candidates for clomiphene treatment since more frequent ovulation presents more opportunities to become pregnant.