Besides Bill Robert, I cannot find a single study that clomiphene citrate decreases estorgen in our body.
Both clomiphene citrate and tamoxifen are estrogen receptor blockers that have been suggested as empiric treatments for male infertility. By preventing the important negative feedback of estrogens to the pituitary and hypothalamus, LH/FSH pulsatile release and GnRH stimuli are augmented. Since FSH is important for spermatogenesis, it is possible that increased FSH release may further enhance sperm production. Increased LH release also results in higher serum testosterone levels that are converted peripherally as well as in the liver to estrogens. Since men with idiopathic infertility have normal testosterone levels, by definition, the increased FSH, LH and testosterone that result from clomiphene or tamoxifen treatment may boost testosterone and estrogen levels above normal levels. This increased estrogen production may be detrimental to normal sperm production and should be avoided. Therefore, all patients considered for empiric therapy should be counselled to have early and frequent testosterone and estradiol levels to monitor treatment.
More importantly, the effect of anti-estrogens on fertility for men with idiopathic subfertility are unimpressive. A partial list of series of patients treated in controlled series with clomiphene citrate is presented below. Although sperm concentration may increase on treatment, little to no effect on sperm motility or pregnancy rates occurs. A significant number of patients may have a dramatic decline in sperm production on empiric therapy. Patients should be aware of these minimal benefits and possible risks prior to treatment. Common side effects of clomiphene citrate include visual disturbances, weight gain or loss, changes in libido, gastrointestinal or neurological disturbances as well as skin changes. Initial doses should probably be only 12.5-25 mg/day if this treatment is chosen, to avoid excessive serum testosterone levels.
I have even found studies that clomid after binding to selective estrgen site, the brain will even trigger more estorgen release due to clomid tricking the brain to think it is not enough estorgen in our system.
I find I even bloat up more on clomid, more water retenion.
Both clomiphene citrate and tamoxifen are estrogen receptor blockers that have been suggested as empiric treatments for male infertility. By preventing the important negative feedback of estrogens to the pituitary and hypothalamus, LH/FSH pulsatile release and GnRH stimuli are augmented. Since FSH is important for spermatogenesis, it is possible that increased FSH release may further enhance sperm production. Increased LH release also results in higher serum testosterone levels that are converted peripherally as well as in the liver to estrogens. Since men with idiopathic infertility have normal testosterone levels, by definition, the increased FSH, LH and testosterone that result from clomiphene or tamoxifen treatment may boost testosterone and estrogen levels above normal levels. This increased estrogen production may be detrimental to normal sperm production and should be avoided. Therefore, all patients considered for empiric therapy should be counselled to have early and frequent testosterone and estradiol levels to monitor treatment.
More importantly, the effect of anti-estrogens on fertility for men with idiopathic subfertility are unimpressive. A partial list of series of patients treated in controlled series with clomiphene citrate is presented below. Although sperm concentration may increase on treatment, little to no effect on sperm motility or pregnancy rates occurs. A significant number of patients may have a dramatic decline in sperm production on empiric therapy. Patients should be aware of these minimal benefits and possible risks prior to treatment. Common side effects of clomiphene citrate include visual disturbances, weight gain or loss, changes in libido, gastrointestinal or neurological disturbances as well as skin changes. Initial doses should probably be only 12.5-25 mg/day if this treatment is chosen, to avoid excessive serum testosterone levels.
I have even found studies that clomid after binding to selective estrgen site, the brain will even trigger more estorgen release due to clomid tricking the brain to think it is not enough estorgen in our system.
I find I even bloat up more on clomid, more water retenion.