Which fertility medication is identified as a potential cause of esophageal burns?

Clomiphene is a fertility medication that can lead to esophageal burns, particularly when not taken with enough water, as it can cause irritation to the esophagus. Clomiphene works by stimulating ovulation and is commonly used in treating ovulatory dysfunction. Its mechanism involves the modulation of estrogen receptors in the hypothalamus, which leads to increased release of gonadotropins (FSH and LH) from the pituitary gland.

When taken, if a patient does not swallow the pill fully or does not drink sufficient fluids, the tablet can dissolve in the esophagus, leading to localized irritation or chemical burns. Therefore, it's critical for patients to be advised on proper administration techniques when using this medication to minimize such risks.

Although other medications listed may have their own side effects or complications, they are not typically associated with causing esophageal burns.