The nurse is discussing therapy with clomiphene (Clomid) with a husband and wife who are considering trying this drug as part of treatment for infertility. It is important that they be informed of which possible effect of this drug? a) Increased menstrual flowb )Increased menstrual crampingc) Multiple pregnancy (twins or more)d )Sedation

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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The nurse is discussing therapy with clomiphene (Clomid) with a husband and wife who are considering trying this drug as part of treatment for infertility. It is important that they be informed of which possible effect of this drug?
a) Increased menstrual flow
b )Increased menstrual cramping
c) Multiple pregnancy (twins or more)
d )Sedation

Expert Solution
Introduction

Infertility refers to the inability to attain pregnancy after one year of regular unprotected sexual intercourse without the use of contraceptive methods that involves a male and female sexual partner. Infertility may be treated with hormonal therapy, fertility drugs, and surgery.

Clomiphene or clomifene (Clomid) is a fertility drug used for the treatment of infertility in females who have problems with ovulation or anovulation. It is an ovulatory stimulant that works by stimulating the maturation of eggs in the ovaries and their release (ovulation).

 

Explanation-Answer

Clomiphene triggers the hypersecretion of FSH (follicle-stimulating hormone) and LH (luteinizing hormone) from the pituitary gland. It stimulates the development of the ovarian follicle and thereby initiates the release of an egg (ovulation) from the ovary.

The use of clomiphene requires assessment of the menstrual history of the patient. The assessment of reproductive and menstrual history is critical when using clomiphene for the treatment of infertility. Because it is associated with an increased risk of multiple pregnancies (twins or more). Hence the option c is correct.

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