PlainPill

Enclomiphene vs Tamoxifen for hormones

Short answer: For hormones, more users report improvement with Tamoxifen — 98% of 49 reports, versus 90% of 137 for Enclomiphene.

Enclomiphene has 2 meta-analyses and 3 randomized trials on PubMed; Tamoxifen has 479 and 1,597.

Based on 545 reports about Enclomiphene and 298 about Tamoxifen. Not medical advice.

Enclomiphene
Medication
Tamoxifen
Medication
Users say it helped59%helped185 reports · high confidence64%helped75 reports · medium confidence
Verdict
Mixed
Mostly positive
ResearchBResearch: ModerateAResearch: Strong
Meta-analyses / RCTs2 / 3479 / 1,597
Mainly used for
Hormones
% reporting improvement
90% (137)98% (49)
Libido
% reporting improvement
70% (30)57% (7)
Mood
% reporting improvement
64% (22)0% (2)
Energy
% reporting improvement
77% (13)100% (5)
Performance
% reporting improvement
40% (5)50% (2)
Common side effectseye floaters, vision issues, mood swings, hair lossfatigue, depression, low libido, headache
Typical dose reportedNot listedNot listed
Enclomiphene
Latest review conclusion

SERM therapy is associated with significantly improved levels of TT, LH, and FSH in hypogonadal men compared to placebo, and significantly enhanced levels of LH and FSH compared to T gel. The findings suggest that SERM therapy effectively increases TT levels in men with functional hypogonadism and should be considered as an alternative to T gel therapy.

Arch Endocrinol Metab, 2025 ↗
What a user said
“I second Enclomiphene citrate. Been on 12.5mg per day sublingual pill and my test went from 430 to 950. No side effects other than being more horny.”
Full Enclomiphene profile →
Tamoxifen
Latest review conclusion

5 years of adjuvant tamoxifen safely reduces 15-year risks of breast cancer recurrence and death. ER status was the only recorded factor importantly predictive of the proportional reductions. Hence, the absolute risk reductions produced by tamoxifen depend on the absolute breast cancer risks (after any chemotherapy) without tamoxifen.

Lancet, 2011 ↗
What a user said
“This is now 2nd day on nolva and I swaer my balls are about back to normal. Energy is a bit better”
Full Tamoxifen profile →

Related comparisons

Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate