Enclomiphene citrate: A treatment that maintains fertility in men with secondary hypogonadism
This 2019 review evaluates enclomiphene citrate, the trans-isomer of clomiphene citrate, as a treatment for secondary hypogonadism in men desiring fertility preservation. Enclomiphene acts as a selective estrogen receptor modulator (SERM), antagonizing estrogen receptors in the hypothalamus and pituitary gland, thereby stimulating the hypothalamic-pituitary-gonadal axis to increase endogenous luteinizing hormone