What is the right medicament to get pregnant?
Patient: i want to get pregnant. My OBGyne prescribe clomiphene.  I took it for 2 months last year but it didnt work. Now Im planning to try it again. I went to my OB and prescribe the same medication. Im worried about taking the medicine but will be disappointed again by not getting pregnant. what should I do Doctor: Hello and welcome to ‘Ask A Doctor’ service.  I have reviewed your query and here is my advice. Clomiphene is a type of fertility medication that works to help a woman ovulate. Unfortunately, if your infertility has another cause, the clomiphene will not be effective. Furthermore, is not recommended that you do more than four cycles in a row of clomiphene, as the hormones in the clomiphene can actually decreases your risk of pregnancy by making the uterine lining very thin and not receptive to implantation.So in summary, clomiphene will only work as a fertility medication if the cause of your infertility is a lack of ovulation.  There can be many causes of infertility, which can be related to age, the health of your fallopian tubes, structure or physical problems with your uterus as well is a problem with your partner sperm. In order to have a full sense of whether clomiphene would be an effective medication for you, your doctor should have checked your hormone levels and whether or not you ovulate. In addition, no fertility method for women will work if the man's sperm count is not normal - and almost 50% of cases of infertility have a male factor involved.So the best thing you can do is consult with a fertility specialist if your next cycles of clomiphene are not effective.  The specialist can evaluate both you and your partner and come up with the best treatment option for you to have a successful pregnancy. Normally, the tests that are required are some basic hormone levels in the woman, a test called an HSG to make sure the fallopian tubes are open, and the sperm count evaluation of the male partner. There are many other options thing clomiphene for fertility treatment that are available, and discussing these options with a specialist would be a good next step in your evaluation.I hope that I was able to adequately answer your question today, and that my advice was helpful. Let me know if I can assist you further.Best wishes,Dr. Brown