For women who are first beginning infertility treatment with Clomid, dosing typically starts at 50 mg once a day for five days. If ovulation does not occur, the amount can be increased up to 100 mg once daily for five days. Your healthcare provider will tell you when you should start Clomid during your menstrual cycle, when you may need a higher dose, and when you should stop taking the medication if it is not effective.
The dose of Clomid® (clomiphene citrate) your healthcare provider prescribes will vary, depending on a number of factors, including:
- Whether the medication has been unsuccessful in your previous cycles
- Other medical conditions you may have.
As is always the case, do not adjust your dosage unless your healthcare provider specifically instructs you to do so.
The starting Clomid dose is 50 mg once daily for five days, with the following instructions:
- If you have periods, or if your healthcare provider gives you another medication in order for you to have a period, Clomid should be started on or near the fifth day of your cycle (five days after your period starts). In some cases, your healthcare provider may suggest taking the Clomid earlier in your cycle.
- If you do not have periods, or if you have not had one in a long time, your healthcare provider will instruct you about when to start the medication.
- The Clomid dosage can be increased to 100 mg once daily for five days if ovulation does not occur at the lower dose. Your healthcare provider will help you determine if ovulation has occurred using basal body temperature charting, an ultrasound, or blood test. You can try this higher dose as soon as 30 days after the first dose, after making sure that you are not pregnant.
- If ovulation does not occur after three tries with Clomid, or if ovulation has occurred but you are still not pregnant, you should stop taking the drug and be reevaluated by your healthcare provider. It is not recommended to take doses more than 100 mg per day or to take more than six rounds (cycles) of Clomid.