Clomid

LW0605

Hi ladies,

I've recently been to my doctor for all my testing.  My blood work and HSG came back good, but my progesterone level was very low.  My DH had his SA today so we won't get those results for awhile.  My doctor is now going to put me on Clomid.  I keep reading that you need to be monitored while on Clomid--what exactly does that consist of and why?  Thanks!!

sueann911

Monitoring consists of cd 3 scan and BW, a mid cycle scan or two or three depending on how you respond, and progesterone BW at 7dpo.

That's what mine consisted of.

You need the first scan to make sure there are no cysts. Mid cycle is to judge follie growth and number of follies. If you over stim the cycle should be cancelled. P4 BW is to test progesterone level and strength of O. Even on meds your p4 could be lower than desired and meds may need to be upped. The scans will tell you follie size and when you should O or trigger. It will also look at your lining. If its too thin the embryo won't implant or it may harm your lining permanently.

Cysts, lining, HOM, and OHSS are real threats from Clomid. That's why monitoring is very important. Any doctor who doesn't do it is stupid and should never be used.

MrsH7707

I had CD3 blood work back around the same time of my HSG.  Now that I am on Clomid, I have to call into the center a few times during my cycle so that they can document everything.  I have to call on CD1, then when I have my surge on a digital OPK and I think one more time.  They gave me a "worksheet" explaining what I need to do on each CD.  I also will have a follow up with my RE in Sept.

Allison7

The monitoring will be different depending on your RE and what the goals are for using clomid. I am unexplained IF, so I had to call on CD1 and then use OPKs starting on CD11. The day of positive OPK was b/w and an ultrasound to check the number and size of follicles. That is it for me! I will either call them with a positive hpt or on CD1. Because you have low progesterone, you might have more b/w to check levels during your cycle.

LW0605

Thank you ladies for clarifying!