Clomid Dosage: What You Need to Know

If you’re trying to get pregnant, chances are you’ve heard of Clomid (clomiphene citrate). It’s a pill that helps the ovaries release an egg. The big question most people ask is – how much should I take? Below we break down the typical dose, how doctors tweak it, and some practical tips to make the process smoother.

Typical starting dose

The usual first prescription is 50 mg taken once a day for five days, starting on either day 3 or day 5 of your menstrual cycle. Most clinics pick day 5 because it lines up with natural hormone changes and makes timing easier.

Adjusting the dose

If the first round doesn’t produce an egg, doctors usually increase the dose by 50 mg for the next cycle – up to a maximum of 150 mg per day. Some people respond well at 75 mg; others need the full 150 mg. Your doctor will monitor your ovarian response with ultrasounds and hormone tests before deciding on the next step.

It’s important not to skip doses or take extra pills hoping for a better result. Over‑stimulating the ovaries can lead to uncomfortable side effects and, in rare cases, a condition called ovarian hyperstimulation syndrome (OHSS).

When to start taking Clomid

You’ll usually begin on day 3 or day 5 of your period. If you start on day 3, take the pill at the same time each morning for five straight days. If you’re on a day 5 schedule, wait until the fifth day of bleeding and then start.

Consistency matters because the drug works by tricking your brain into thinking estrogen levels are low, which triggers an increase in follicle‑stimulating hormone (FSH). This boost helps your ovaries mature follicles.

Monitoring and timing intercourse

During the Clomid cycle, your doctor will schedule ultrasounds around day 10–12 to see how many follicles are growing. When a follicle reaches about 18‑20 mm, you’ll likely get an injection of hCG or another trigger shot. That’s the signal that ovulation is about to happen.

Plan intercourse (or intrauterine insemination) for the 24‑36 hour window after the trigger. Some people prefer timed intercourse every day during this period, while others opt for a single well‑timed attempt.

Common side effects and how to handle them

Most women experience mild hot flashes, mood swings, or bloating. These usually fade once the medication stops. If you notice severe abdominal pain, rapid weight gain, or shortness of breath, call your doctor right away – those could be signs of OHSS.

Staying hydrated, eating balanced meals, and getting enough rest can ease many of the lighter side effects. Avoid alcohol during the cycle as it may worsen hot flashes.

Tips for a smoother Clomid experience

• Take the pill at the same time each day to keep hormone levels steady.
• Keep a simple diary of your symptoms, temperature spikes, and any side effects. It helps your doctor fine‑tune the dose.
• Wear comfortable clothing during ultrasounds – you’ll be lying on a table for a while.
• Ask about supplement support. Some clinics recommend prenatal vitamins early in the cycle to boost overall health.

Remember, Clomid doesn’t guarantee pregnancy, but it’s one of the most tried‑and‑true tools for ovulation induction. Working closely with your fertility specialist and following the dosage plan will give you the best chance of success while keeping risks low.