Enclomiphene should be prescribed with laboratory and clinical monitoring. Your clinician will first establish that your hormone pattern is appropriate for a medication that stimulates LH and FSH; primary testicular failure, untreated pituitary disease, fertility concerns, or other endocrine conditions may change the plan. Possible side effects can include headache, mood changes, visual symptoms, acne or oily skin, changes in estradiol, and symptoms associated with higher testosterone. Monitoring commonly includes testosterone and other hormone markers, with additional labs based on the patient’s age and risk factors.