Treating female infertility and forcertain conditions as determined by your doctor.
Clomiphene is an ovulatory stimulant. It works by helping to produce more hormones that cause your ovaries to release 1 or more eggs.
Do NOT use Clomiphene if:
you are allergic to any ingredient in Clomiphene
you are pregnant
you have abnormal vaginal bleeding
you have ovarian cysts (small growths on the ovaries) or enlargement not due to polycystic ovarian syndrome
you have or have ever had blockage of blood vessels (blood clots) in the legs, lungs, or other parts of the body
you have liver problems, uncontrolled thyroid or adrenal gland problems, or a brain lesion (eg, pituitary gland tumor)
Contact your doctor or health care provider right away if any of these apply to you.
Before using Clomiphene :
Some medical conditions may interact with Clomiphene. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are planning to become pregnant or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have depression, endometriosis, polycystic ovarian syndrome, or uterine fibroids
Some MEDICINES MAY INTERACT with Clomiphene. However, no specific interactions with Clomiphene are known at this time.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Clomiphene may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Clomiphene :
Use Clomiphene as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Clomiphene may be taken with or without food.
Properly timed sexual intercourse is important for good results. Ovulation usually occurs 5 to 10 days after a dose of Clomiphene.
If pregnancy has not been successful after 3 courses of treatment, further treatment is not recommended. Long-term use of Clomiphene is not recommended.
If you miss a dose of Clomiphene , contact your doctor for instructions.
Ask your health care provider any questions you may have about how to use Clomiphene.
Important safety information:
Clomiphene may cause dizziness, lightheadedness, or vision disturbances, including blurring, spots, and flashes. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Clomiphene. Using Clomiphene alone, with certain other medicines, or with
alcohol may lessen your ability to drive or perform other potentially
dangerous tasks.
Enlargement of the ovaries may happen during or shortly after taking Clomiphene. Call your health care provider if you experience any stomach or pelvic pain, weight gain, pain, or stomach enlargement or discomfort while taking Clomiphene.
LAB TESTS, including pregnancy tests, will be needed while you are taking Clomiphene. Be sure to keep all doctor and lab appointments.
Use Clomiphene with caution in the ELDERLY because they may be more sensitive to its effects.
Clomiphene is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
Pregnancy with more than 1 fetus (eg, twins) is possible while you are taking Clomiphene. Be sure you have discussed the potential complications and hazards of multiple pregnancy.
PREGNANCY and BREAST-FEEDING: Do not use Clomiphene if you are or become pregnant. If you suspect that you could be pregnant, contact your doctor; it is important to not take Clomiphene while pregnant. It is unknown if Clomiphene is excreted in breast milk. Do not breast-feed while taking
Clomiphene.
Possible side effects of Clomiphene :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Blurred vision or vision problems (spots or flashes); breast tenderness; dizziness; enlarged breasts; enlargement of the ovaries; flushing; headache; hot flashes; lightheadedness; mood change; nausea; pelvic pain or bloating; stomach pain; vomiting.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue)increased risk of cancer of the ovaries; over stimulation of the ovaries; spontaneous abortion.
The drug information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines you are taking or would like more information, check with your doctor, pharmacist or other healthcare professional.
A HUNGRY AND HURTING: EMOTIONAL AND PHYSICAL ABUSE (MARTHA’S STORY)
MARTHA: "I didn't have a clue about how to connect with people."
Martha, a thirty-seven-year-old Jewish lesbian mother, links the onset of her compulsive eating to emotional abuse she suffered as a child, abuse that made her feel "disconnected from the world." She never learned the basic lesson of "connecting with other people" that she believes comes from allowing children to be themselves and trust others and nurturing them emotionally and physically. Martha describes herself in terms characteristic of abused children, portraying herself as a lost soul who lacked direction, roots, and a sense of belonging to anyone, including herself.4 She was almost always alone when she was a child. She has almost no memories of the time before she was eleven.
Martha grew up in a home in which she was deprived of basic physical and emotional care. There was no touching; she sometimes pretended to be asleep so her father would pick her up and carry her to bed, providing at least a moment of physical contact. Her father was rarely home because he worked nights. One of Martha's sisters treated her as if she were the family's maid. Another was emotionally cruel to her, keeping Martha from her friends and simultaneously telling Martha that any friends she had were a result of her sister's popularity.
Nor did Martha know how to reach out for attention or friends at school. When she made her first friend, in eighth grade, and told her mother about it, her mother said, "Don't get too excited because as high as you will be is as far as you will fall. These people will hurt you." It was a slap in the face, a punch in the chest. Martha cried as she told me the story: "I opened my heart a little and she pulled it down. A lot of emotional abuse and neglect.
The family labeled Martha overly sensitive and teased her incessantly. She cannot remember ever eating a meal with her family when she did not break down and cry because of the teasing. She watched between ten and twelve hours of television each day, even on school days. She knows she was a bright child because she was able to do well in school even though she never studied. There were no books in the house, and she didn't know how to seek them out. She was mildly dyslexic but no one realized it when she was growing up. She was repeatedly told by the members of her family that she was fat and ugly and had no personality. She had no sense of her body size or whether or not she was attractive.
Her mother controlled what Martha and her sisters ate. Even though her sisters were fat and her mother was obese and a compulsive eater, Martha was the one considered to have the biggest problem with food. She was always served last and castigated for eating. Her mother took her to a diet doctor when Martha was eleven and continued to limit her food. Yet her mother also participated in Martha's bingeing. Martha remembers being told by her mother that she could have three cookies each day when she got home from school. Martha would eat three cookies, want more, think about it, and then have more. Then she would struggle to decide whether' to get more and usually did, typically stopping after finishing a dozen cookies. Her mother would come home and ask her how many she ate. Martha would lie and say three. Her mother never questioned this openly, although she was the one who filled the cookie jar every day. Although Martha was obviously compulsively eating and lying, no one said anything.
Eating compulsively was how Martha comforted herself from the pain of not feeling connected to any person or to the rest of the world. Bingeing calmed her, leaving her feeling drugged and dazed. When I asked her if she thinks she ate compulsively out of fear of her feelings, she said it wasn't as if she had feelings and then ate to get rid of them. That would assume she had feelings to begin with. That would assume some connection. She ate from disconnection. No specific feelings triggered eating. Simply being triggered her desire to eat. She ate, felt numb, and watched television. And no one seemed to care.
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