Ovulating later on Clomid

Aera11

Hi! I am day 14 with symptoms of a possible O, but my u/s today only had follicles measuring at 11mm & 9mm. Is it possible to O late? My FF says I won't O for 2-3 more days & I got a my first flashing smiley on my opk yesterday & again today. I'm just wondering if I should get my hopes up or if I'll have to way until I see my RE in two weeks to see where we go. Hope you're all having a better start to your weekend!

bsckgb7

Your RE should be continuning to monitor you until O. 18mm iis consider a mature follicle, so it looks like you still have a bit to go before those are mature. Did you trigger (or are you)??

Aera11

Yeah, it's definitely not near 18 but it could grow if I don't O for 3-4 more days. In the past I've had 35 day cycles & O'd later...but they always do u/s on day 14. I just didn't know if I should rule myself out this cycle mentally & emotionally. I'm still temping & got another flashing smiley. No trigger since the follicles weren't large enough. Thanks for your input

emsmama15

Will you go back for more monitoring ultrasounds since you weren't ready?   My experience with Clomid without a trigger shot was that I ovulated at the same time I normally did without Clomid (CD19-20), so if your cycles are normally 35 days, you may not ovulate without a trigger shot before your normal O day.  

Aera11

No I'm not scheduled to go back. Is that weird? The nurse pretty much ruled me out for the cycle & I didn't see my RE; I'll go back day 28 for my clomid check & a follow up. Thanks!

emsmama15

Yeah, that's really weird.  I typically would have 2-3 monitoring ultrasounds and then be told to trigger and when to have TI.  I'd call for clarification.  

Aera11

Thanks @emsmama15! I'll give them a call tomorrow

Stepmomttcmy1

I usually have 34-37 day cycles non medicated and when I was temping, I ovulated around cd 16-19. My 3 Clomid IUI cycles were all monitored and I did trigger shots but the first one I didn't ovulate until cd 16. He upped my dose from 50mg to 100 mg and those next 2 cycles were both cd 14 ovulation.
I am surprised they wouldn't have you come back in another day or 2 to check for follicle growth. Are they doing bloodwork too or just ultrasound monitoring?

Aera11

No bloodwork yesterday but I do normally get it done, it's usually the day 28 appt.

bsckgb7

You need bloodwork around O time to check for mature follicles and another blooddraw 7DPO to check progesterone. Is this an RE or an OB who "specializes" in fertility??

Aera11

It's on RE! This is my 4th cycle of clomid and I haven't O'd except once which resulted in a BFP and then MC. So since I didn't O on the other rounds, maybe that's why I've never done 7dpo check? My routine has been day 28, RE examines me, blood work & then waiting for AF if there's no BFP. Then back in day 14 etc. hmmm, I'll call tomorrow & see.

bsckgb7

2 comments 

The only way to confirm is O is by temping and ultrasound/progesterone bloodwork. Most REs rely on ultrasound and bloodwork to confirm. It doesn't appear Clomid is working for you. I would be demanding another drug. Seems to be fairly common around that most OBs move onto a new protocol after 3 rounds (even if they worked well).

 I would consider the possibility of a new RE too.