Clomid, or clomiphene citrate, primarily works by blocking estrogen receptors in the hypothalamus. This disruption signals your brain to release more GnRH (gonadotropin-releasing hormone). Increased GnRH stimulates the pituitary gland to produce more FSH (follicle-stimulating hormone) and LH (luteinizing hormone).
Elevated FSH levels encourage multiple follicles in the ovaries to mature simultaneously. Each follicle contains an egg. The result? A greater chance of multiple eggs being released during ovulation, significantly increasing the probability of conceiving twins or even higher-order multiples.
The dosage of Clomid plays a key role. Higher doses generally lead to a higher chance of multiple births, although this also increases the risk of complications. Your doctor carefully considers your individual circumstances before determining the appropriate dose.
Remember: Clomid doesn’t guarantee twins; it simply increases the odds. The exact number of eggs released and fertilized is highly variable. Your doctor can provide a personalized risk assessment based on your medical history and response to the medication.
While a higher chance of twins is a possibility, always discuss the associated risks with your physician. They can guide you through potential complications like premature birth and other pregnancy challenges related to multiple gestation.
