Infertility

Clomid help, please...

Hi all...I think I need a little help here.  My DH and I have been trying to conceive #2 for about a year now.  #1 was actually a pleasant surprise so all this is really confusing me!  My cycles are usually around 28 days and I've been using the CBEFM for a couple months and supposedly my peak days are usually around 19-21.  This month I was put on Clomid days 5-9 and had my progestin level drawn yesterday, day 21.  They called today and said my level was a 2, but because I may have ovulated late, to come in for a redraw on day 27.  Does that make any sense?  Out of a 28ish day cycle?  Any advice?

Re: Clomid help, please...

  • Clomid can make you ovulate later, so it makes sense that they are having you come in for another check.  If you ovulated later, then your cycle will be longer than 28 days.  They want to see your p4 at at least 15 for a medicated cycle to indicate that you ovulated, so if yours stays that low, it means you didn't ovulate.  Also, if your peak days are usually 19-21 and your cycle is 28 days, then that means your LP is pretty short.  It needs to be at least 10 days for implantation to occur.  I hope that helps, and I hope when you go back in on day 27 that you get a nice high number.  GL
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  • If you didn't O until day 21, then getting your prog. blood draw on CD21 is not going to give you the info you are looking for.  You have to get your blood draw at 7DPO (so for a CD 21 O, you would want to get your blood draw on CD 28).  If you O on CD 21 & only have a 28 day cycle, that means your luteal phase is only 7 days (which is obviously not enough time for a fert. egg to implant).  I would guess your cycle is really more like 33 or 35 days long (so a 12-14 day luteal phase).  Hope this helps.  Sounds like your Dr.'s office is on the right track.
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  • If you're normally ovulating around CD21, a P4 drawn on that day wouldn't be very informative. They're probably working off of that date even though you are on Clomid this cycle, and want to check again in case you are still ovulating later.

    Since you're on Clomid, your LP will also likely be longer, so they may be thinking that you'll get your period later than CD28.

    Get busy and good luck!

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