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Clomiphene is a fertility drug that works by blocking estrogen receptors in the brain. This action prompts the hypothalamus to release gonadotropin-releasing hormone (GnRH), which then stimulates the pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). These hormones encourage the ovaries to release an egg, thereby stimulating ovulation. Clomiphene is classified as a centrally acting fertility drug and is used to help women who have difficulty becoming pregnant. It is also known as an antiestrogen because it interferes with the inhibitory feedback of estrogens on the pituitary gland.12

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