Final answer:
If Clomiphene citrate is ineffective, alternatives include injectable fertility drugs such as hMG or FSH, or Leuprolide acetate. Surgical options or assisted reproductive technologies can be considered in cases of oviduct obstruction, while donor eggs or gestational carriers may be options when no viable eggs are available.
Step-by-step explanation:
If Clomiphene citrate does not yield the desired results in stimulating ovulation, there are alternative regimens that can be considered. One such alternative is the use of injectable fertility drugs such as human menopausal gonadotropin (hMG) or follicle stimulating hormone (FSH). These hormones are injected daily for about 6-10 days prior to the planned conception attempt. Another option is Leuprolide acetate (Lupron), which helps optimize the number of oocytes retrieved by blocking secretions of the pituitary gland.
For those with obstructions in the oviducts, hormonal therapy to prepare the environment for egg retrieval can also be used, followed by interventions such as surgical repair of the obstruction or assisted reproductive technologies like in vitro fertilization (IVF). In cases where no viable eggs are present, methods like donor eggs or even gestational carriers might be considered.