Do I need to have a menstrual period induced before taking clomiphene?
In theory no, but in practice yes. If you knew for sure you had not ovulated and become very early pregnant, then inducing a menses would not be necessary. The reason most doctors give you progestins or progesterone to induce a menses is to make sure you have not recently ovulated or become pregnant. If you just ovulated, the progestins will usually not induce a menses until 14 days after ovulation. This protects you from inducing an ovulation on top of an ovulation or disrupting an ovulation and potential pregnancy with unneeded clomiphene. Another reason to induce a menses before Clomid® is to make sure the lining of the uterus is at the right phase for egg implantation. If a menses is induced, then the endometrial lining has had only 14 days of growth and stimulation at the time of ovulation. When no menses is induced, the endometrium has been growing and been stimulated for 30 or more days and may not be as receptive to egg implantation. Finally, if a menses is induced, the doctor
