Femara

slinky0422

I'm reading tons of stuff about the monitoring for Clomid, even with first time use but does anyone have experience with Femara? Is it the same monitoring protocol?

slinky0422

They didn't mention anything about more than one US about day 21-23 and nothing about triggering.

BunnyBerry

CD21-23 is really late. Do you always ovulate so late on Femara? If you O that late normally, meds can actually push up O closer to the average, so you would want monitoring to make sure earlier in the cycle.

Monitoring is important before starting the med each cycle to make sure there are no large residual cysts, and mid-cycle before O or trigger to make sure you don't end up as the next octomom. If the first mid-cycle ultrasound shows that O is not imminent, then a follow-up is scheduled, usually for 2-3 days later, continuing as needed.

juneroses

@slinky0422‌ - thanks for asking this, I was wondering the same thing. I'm in my first cycle, and my RE did not line up a monitoring plan. I'm going to ask about it at my next appt.

slinky0422

Ok, so I have an appointment with a new OB on Wednesday. Can someone help me outline exactly what I need to be requesting as far as US's and trigger injections, and anything else that should be involved in this process? Obviously, my current OB has no idea what she is doing...that would help a lot!

slinky0422

Thanks! That helps a lot. I'm CD3 now and my appointment is on Wednesday so I will be CD6 by that point. Do you think I can ask for an US at that appointment to get some kind of idea where I am? or do they usually need a separate appointment for an US? I also have been doing some more digging on my current endo and I don't think she is a RE. But, there is one in the same building as my new OB. Do you always need a referral for the RE? With our insurance we can usually just make an appt. with a specialist.