• Zugelassene ÄrzteLicensed doctorsMédecins agréésBevoegde artsen
  • Rezept nach ärztlicher PrüfungPrescription after medical reviewOrdonnance après évaluation médicaleRecept na medische beoordeling
  • Kostenloser, diskreter VersandFree, discreet deliveryLivraison gratuite et discrèteGratis, discrete verzending
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Treatment area: Fertility

Desire to have children despite absent ovulation

If ovulation does not occur, the prescription medication clomiphene can stimulate the maturation of an egg. Our doctors will review your questionnaire to determine if treatment under gynecological supervision is suitable for you.

  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Overview of treatments

All medications require a prescription, and after making your selection, you will complete a medical questionnaire. A doctor will then decide whether a treatment is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

What might be a good fit?

  1. 1 If you have been medically diagnosed with a lack of ovulation Clomiphene may be an option if a gynecologist or fertility clinic monitors each cycle with examinations and ultrasounds. The doctor will decide whether the treatment is suitable.
  2. 2 If the cause of childlessness has not yet been investigated Before starting treatment, the fallopian tubes, hormone levels, and sperm quality of the partner should be checked. A gynecologist's office or a fertility clinic is the right place to go for this. The doctor will then decide whether treatment is suitable.
  3. 3 If you have already had cycles with Clomid A maximum of six treatment cycles are planned, and clomiphene will not be taken again if visual disturbances occur during treatment. Please provide complete information about previous cycles and any symptoms in the questionnaire. The doctor will decide.
  4. 4 For hormone-sensitive breast cancer after menopause Letrozole may be suitable for continuing treatment according to the oncology team's plan. It is not intended for use if you wish to have children. The doctor will decide.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Diese Präparate verordnen wir nur für Frauen: Clomifen.We only prescribe these medicines for women: Clomifen.Nous ne prescrivons ces médicaments qu’aux femmes : Clomifen.Deze middelen schrijven wij alleen voor aan vrouwen: Clomifen.

Ovulation trigger

Tablets that stimulate the maturation of an egg cell in cases of absent ovulation and are monitored by a gynecologist.

Clomiphene RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Clomifen

Tablet to trigger ovulation in women trying to conceive but experiencing anovulation.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Whether ovulation occurs is checked in the same cycle.
WirkdauerDurationDurée d’actionWerkingsduur
One treatment cycle, maximum 6 cycles in total.
FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Clomiphene occupies estrogen receptors in the brain. This causes the pituitary gland to produce more FSH and LH, the hormones responsible for egg maturation and ovulation. It is only effective if the ovaries are functioning properly.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have been diagnosed with a lack of ovulation as the cause
  • If a gynecologist's office or a fertility clinic accompanies the treatment
  • If other causes, including those related to the partner, have already been ruled out.
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: One or at most two tablets daily for 5 consecutive days per cycle, as prescribed by a doctor, usually starting on the 5th day of the cycle, with gynecological check-up before each cycle.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 50 mg

Pregnancy must be ruled out before each cycle. If you experience visual disturbances or severe lower abdominal pain, stop taking the medication and inform your doctor.

abfromà partir devanaf 107,77 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Aromatase inhibitors

According to the product information, letrozole is used to treat hormone-sensitive breast cancer after menopause and not to trigger ovulation.

letrozole RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Letrozol

Aromatase inhibitor tablet for hormone-sensitive breast cancer after menopause, according to an oncological treatment plan.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Stable blood levels after 2 to 6 weeks
WirkdauerDurationDurée d’actionWerkingsduur
Take once daily
FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Letrozole inhibits the enzyme aromatase, which is used to produce estrogen after menopause. This lowers estrogen levels, and hormone-sensitive breast cancer cells receive fewer growth stimuli.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you are being treated for hormone-sensitive breast cancer
  • If your menopause has been medically confirmed
  • If an oncological treatment plan includes taking it
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: One film-coated tablet once daily, with or without food, for the duration specified in the treatment plan, often several years.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 2,5 mg

Do not take before menopause, during pregnancy or breastfeeding, and do not use to induce ovulation. Letrozole can reduce bone density, therefore regular checkups are necessary.

abfromà partir devanaf 66,67 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
Optionen wählenChoose optionsChoisir une optionOpties kiezen

RatgeberGuideGuideGids

What you should know about ovulation

A lack of ovulation is a common cause of infertility. However, treatment with tablets does not replace examinations and ultrasound scans at a gynecologist's office.

When ovulation does not occur

Without ovulation, no egg cell matures into a fertilizable egg. Indications of this can include:

  • a very irregular or completely absent period
  • Cycles that last significantly longer than 35 days
  • no increase in waking temperature in the second half of the cycle

Common causes include polycystic ovary syndrome (PCOS), thyroid disorders, elevated prolactin (the milk-producing hormone), significant underweight or overweight, and very intensive exercise. If pregnancy does not occur after about a year of regular, unprotected intercourse, further investigation is advisable; for women over 35, this is recommended after about six months. Both partners are always examined.

How does clomiphene work?

Clomiphene stimulates the brain to produce the hormones FSH and LH. These hormones promote the maturation of an egg cell in the ovaries and trigger ovulation. This only works if the ovaries are functioning properly.

  • Intake: 5 days per cycle, usually starting on the 5th day of the cycle
  • Control: Gynecological examination and ultrasound before each cycle
  • Duration: A maximum of 6 cycles in total.

Clomiphene is ineffective in cases of premature menopause or ovarian insufficiency. Letrozole is indicated in this context for postmenopausal women with breast cancer and is not used to treat fertility issues.

Side effects and risks

Common side effects of clomiphene include hot flashes, lower abdominal pressure, nausea, headaches, and breast tenderness. Multiple pregnancies are more frequent, occurring in about 8 out of 100 pregnancies in studies, most often twins. The ovaries may enlarge or become overstimulated.

Clomiphene is not suitable in cases of liver disease, including a history of liver disease, coagulation disorders, unexplained vaginal bleeding, ovarian cysts outside of PCOS, hormone-dependent cancer, and during pregnancy and breastfeeding.

If visual disturbances occur while taking clomiphene, the medication should be stopped and not repeated.

When should you see a doctor immediately?

Some ailments require prompt assistance. Call emergency services immediately on 112 (Switzerland: 144) if:

  • Severe abdominal or pelvic pain with a swollen abdomen, shortness of breath, or low urine output may occur.
  • One-sided severe lower abdominal pain or bleeding may occur in the case of a possible early pregnancy.
  • One leg hurts and swells, or sudden shortness of breath or chest pain occurs.

If you experience blurred vision, flickering lights, or flashes of light, stop taking Clomiphene and have your eyes examined promptly. If your period is late, take a pregnancy test before a new cycle begins.

Well prepared

Know your own cycle

Treatment to induce ovulation follows a fixed schedule. Knowing your own cycle well makes it easier to plan appointments and provide your doctor with valuable information. A cycle calendar with your period, medication intake days, and ultrasound appointments provides a clear overview. After consulting with your doctor, you can also record your basal body temperature (WHBT). Your gynecologist will usually discuss the optimal time for intercourse based on the ultrasound scans.

  • Schedule ultrasound appointments early so that they fit within the timeframe of your cycle.
  • Discuss the usual intake of folic acid when trying to conceive with your doctor.
  • Quitting smoking and striving for a healthy body weight can both affect fertility.

The partner should also be examined, as in about half of all couples the reasons lie wholly or partly with the man. You can find support for quitting in our section: smoking cessation. Our online doctor answers general questions..

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about fertility treatment

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Do I need a prescription for Clomid?

Yes. Clomiphene is a prescription medication. A licensed physician will review your questionnaire to determine if a prescription is medically appropriate. This requires an examination, usually with ultrasound, before each cycle at a gynecologist's office or fertility clinic. These in-person examinations cannot be replaced by an online inquiry.

After a gynecological examination, the tablets are taken for five consecutive days, usually starting on day five of the menstrual cycle. The maturation of the egg is monitored via ultrasound, and the doctor discusses the optimal time for intercourse. If menstruation does not occur, a pregnancy test is performed. The doctor determines the dosage.

Multiple pregnancies are more common with clomiphene than without treatment. Studies have shown that this occurs in about 8 out of 100 pregnancies, most often twins. Ultrasound scans show how many eggs are maturing. You should discuss the risk of a multiple pregnancy with your gynecologist before starting treatment.

According to the product information, letrozole is indicated for postmenopausal women with hormone-sensitive breast cancer. It must not be taken before menopause or during pregnancy. Therefore, it is not prescribed to induce ovulation in these cases. A gynecologist or fertility clinic can answer questions about other treatment options.

In that case, no prescription will be issued, and you will receive a full refund of all payments made. For further evaluation, we recommend a visit to a gynecologist or fertility clinic near you. If you experience warning signs such as severe abdominal pain with shortness of breath or one-sided lower abdominal pain in early pregnancy, call emergency services immediately.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

Medically reviewed and accompanied fertility treatment

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