It depends on goals: The goal when infertility is the problem is to achieve a pregnancy, so Clomid (clomiphene) is used in the short term, to improve sperm count & T4. The goal when hypogonadism is the problem is to restore testosterone levels to normal for the long term. Clomiphene is not usually used long term because safety and effectiveness over years and decades have not been proven. Ask the Uro to explain the rationale.
Answered 11/28/2017
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