Climbing the stairs to fertility

RoccoStar · May 2013

Just had my first US after our first round of clomid at 50mg.

The bad news: my one follie was only at about 13mm i think thats the right unit of measurement

The good news: its on my right ovary which is the side with the "good" tube, and at least i had some response

The plan: four days of 100mg of Clomid combined with estrogen suppositories. of course i am going to be traveling next Sunday when they want me to come back in for a US, so that is pushed to Monday and i'll monitor with OPKs and dtd anyway just in case.

Would love to know if i should expect anything out of the ordinary with these little vag pills . .

Durham1008 · May 2013

Not really sure why you need to take more Clomid. 13 mm isn't that far off from being mature. I've *never* been ready for trigger on my first follie check. They just have me come back in a few days...without taking more meds. I'm just a slow grower.

RoccoStar · May 2013

Durham1008:
Not really sure why you need to take more Clomid. 13 mm isn't that far off from being mature. I've never been ready for trigger on my first follie check. They just have me come back in a few days...without taking more meds. I'm just a slow grower.

Wow, i just figured it sounded like it was going to take a lot more clomid to get me to mature a follicle the RE said she wanted it to be at least 18mm. I'm also not sure how the estrogen will affect the follicle growth, but she said its mostly for the thin lining of my uterus.

ttuprincess · May 2013

I don't have any advice... Just wanted to say good luck!

katib77 · May 2013

Yes, the estrogen is for thinned lining (a side effect of clomid). If it's the little blue pill I refer to those as "smurf cootch pill" because it causes your CM to be blue when you wipe. As for stair stepping, I have not advice since I've never had to do that.

babydreams13 · May 2013

Just wanted to say good luck. I took Clomid for 3 cycles but never took it for a second time in a cycle. I had 3-4 follicles each cycle. If this cycle doesn't work maybe your RE can start you off on a higher does of Clomid. I never took the vag pills....but I do take progesterone suppositories which are messy. Best of luck!

RoccoStar · May 2013

katib77:
Yes, the estrogen is for thinned lining (a side effect of clomid). If it's the little blue pill I refer to those as "smurf cootch pill" because it causes your CM to be blue when you wipe. As for stair stepping, I have not advice since I've never had to do that.

Why yes they are! And, why yes they do! Definitely a new experience for me, thanks for the heads up - not used to seeing smurf blue anywhere down there.

Part of me feels excited about today's RE appt. I feel like although I may not be KU at least I can think about loving this follicle . .

kristi&p · May 2013

This is my first cycle stair stepping with clomid. I was on 100mg CD3-CD7, I had nothing that could be measured on either side. I started 150mg clomid CD10-CD14 I just went for my ultrasound, I had one follie that measured at 19.5mm no other measurements. Docotors were happy with the response to clomid with the stair stepping.

Good Luck to you

jschwind22 · May 2013

I'm confused as to why you need more Clomid. I'm not an expert, but I've typically only seen the stair step used when there are no measurable follies at the initial monitoring appointment. A follie typically grows 1-2mm per day, so if you have a follie that is 13 mm it should be mature in 3-5 days. What CD was your monitoring appointment on?

Glad to hear that your response is on your good side. I hope things work out ok. Good luck!

RoccoStar · May 2013

jschwind22:
I'm confused as to why you need more Clomid. I'm not an expert, but I've typically only seen the stair step used when there are no measurable follies at the initial monitoring appointment. A follie typically grows 1-2mm per day, so if you have a follie that is 13 mm it should be mature in 3-5 days. What CD was your monitoring appointment on?
Glad to hear that your response is on your good side. I hope things work out ok. Good luck!

The monitoring appt was on CD13. However, keeping track of my CDs is getting tricky because I think I am supposed to consider yesterday CD3 again due to restarting Clomid. I didn't know that about follies growing 1-2mm per day. Maybe my follies don't grow without drugs because of PCOS and I'm usually annovulatory (except for this one miracle time after Provera).

Basically, I don't know enough here yet so I really appreciate the feedback from all of you. Since it was the "vacation RE sub" yesterday who put me on Clomid part 2 I'm going to email my RE and just do a double check on the logic here. I actually have another question about something the vacation RE said but I'm going to make another thread.

Climbing the stairs to fertility

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