Clinical and experimental obstetrics & gynecology 2012-01-01

Modified repeated intracyclic clomiphene citrate therapy after conventional clomiphene therapy.

M Kawamura, A Suzuki, R Kanda, H Kiseki, Y Tsukahara, N Hashimura

Index: Clin. Exp. Obstet. Gynecol. 39(3) , 317-20, (2012)

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Abstract

We compared modified repeated intracyclic clomiphene citrate therapy (RICCT) to gonadotropin therapy to determine whether this modified regimen was an effective alternative after conventional clomiphene therapy.Patients with ovulation disorder received treatment with modified RICCT and gonadotropin, and ovulation, pregnancy, total drug cost, and adverse effects were compared.Among a total of 16 patients, 14 successfully ovulated after modified RICCT and 11 ovulated after gonadotropin therapy; two did not respond to either therapy. The total drug cost was US $36.3+/-17.9 for modified RICCT, which was significantly lower than the cost of gonadotropin therapy, US $213.9+/-100.4 (p=0.0001).Because modified RICCT does not require the discomfort of daily injection and has excellent ovulation-inducing effects, it is a useful treatment after conventional clomiphene therapy.