New to this board! Ovidrel question... Update (ultrasound this morning)

ann324

Hi all!

I am new to this board -- actively trying for two years.  I've been lurking for some time and learning new things as I go through this (stressful) journey.

I do have a question:  I am starting my second round of Clomid/ovidrel with timed intercourse.  Last month I did this with an ultrasound on cd12 and got the ok for the ovidrel injection.  My OBGYN office doesn't do ultrasounds for the second or third cycle, but uses the information from the last month.  Is this weird or standard?

When I called to make an appointment for the ovidrel injection for Friday which is day cd 12 again -- the nurse said typically they do cd 15 (standard protocol) but if I am more comfortable with cd12 to go ahead with that.  I feel so weird deciding this... Last month I did my clomid in the morning but this month I am doing it at night (not sure if this makes a difference).  Has anyone been in this situation before?  I'm afraid that cd 12 is too early or that cd 15 will be too late...

Ann

Hi -

I never updated a post before - so I hope this works.  I did have an ultrasound this morning and I am glad I scheduled one.  I didn't end up getting the ovidrel shot because they found a large cyst.  If I didn't have this ultrasound I would have had the injection and this cycle probably wouldn't have been successful.  I have a follow up appointment with my OBGYN about the cyst this week.  Super frustrating, but glad I had the ultrasound.  Has anyone ever had cysts due to clomid?  I'm guessing that may be the reason...  They did not find any cysts on my last ultrasound. 

Thanks

Ann

sundaybrunch

Yes, this is weird.  Your body can respond very differently each cycle so it's rather disconcerting that they only do monitoring on the first cycle.  However, you are seeing an OBGYN and they aren't infertility specialists.  I would advocate HEAVILY for monitoring this cycle an make an appointment with an RE.  You really need to see a specialist and get the full suite of testing completed as well.

tumbleweed123

princesskatie22 said! 

CandaceC1020

Exactly what Katie said.  When you take clomid, you should have monitoring appointments.  You should have an ultrasound and bloodwork at a minimum.  I do not believe there is a way to tell if your body is even responding to the medicine without bloodwork and an ultrasound.

ann324

I agree with you guys completely.   I did call and talked to my nurse about  scheduling a v-ultrasound for Friday. 

I want to have the "ok" for the ovidrel and know how many/sizes follies I have (if any).  I don't want to be scared to have intercourse because I don't have the information I need.  I won't be referred to a specialist until I do this process three times.... Hopefully this cycle will take. 

Thanks again for the responses!

Ann

jencity9

Yes, they should still monitor you the same like the girls above said. As I learned today at my monitoring appointment (which I posted about) for Letrozole, even though your body responds a certain way in one or two or three cycles, that still doesn't mean the next cycle will be the same. Every cycle is different.

Welcome, though, and good luck!!

ttuprincess

I'll just echo what everyone else said.  There is no point in triggering if you don't know if you even have any mature follies.  Or worse, you have too many mature follies and end up with HOM.  Glad you called about an u/s.  Good luck. 

ann324

I agree! I want a baby...but septuplets might be a bit much.

fzwduck

This is very weird! My RE won't give clomid without scheduling an appointment for an ultrasound. The clomid can hyper stimulate your ovaries you can release several eggs at once. You can produce so many that it becomes dangerous for your ovary. I think it might be time for a new RE!

DharmaChick

Welcome!  I hope that you find the support you need here.

Yes, this is weird, and I agree with the other comments here.  My cycles have varied dramatically from month to month.  In fact, if I didn't have my ultrasounds this month, I wouldn't have known that I didn't respond at all to the Clomid this time around.  Triggering and IUI would have been a huge waste, because there were no mature follies there.

For each cycle, I have consistently had an u/s on CDay3, before starting Clomid (for me, that is day 5-9) and on CDay12, then it has been every few days to check on follie progress and to ensure that there are no cysts.  For me, even in cycles where I have shown a response, CDay12 would have been way too early to trigger, because my follie growth has been slower.

I would definitely push for monitoring, or find an RE.