My doctor switched me from Clomid (clomiphene) to tamoxifen. Is there the same increased chance for multiples with the tamoxifen?

Difficult to tell. Tamoxifen works very similarly to clomid (clomiphene). Because there is not a lot of published research on tamoxifen, it is difficult to compare the multiple birth rates. If you are 41 you indicated above, it is not a bad idea to see a specialist and consider more potent medications. Multiple births are not particularly common in 41 year olds, but pregnancy rates are lower.

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