Trouble TTC

my RE didn't say anything about monitoring

Hi everyone!

 

I finished my 12 day Provera last week, and I'm on day 2 right, told to start Clomid 50 mg day 5-9. Reading so much about monitoring while taking Clomid makes me more and more worried. My doc (a RE) told me to start taking it when the time comes, and good luck, and said he will tell me when to start taking the Provera when he has the test results from my bloodtest. He never mentioned to make an appointment. He told me that if I want I can come in to get a HSG done and gave me the information for my husband in case he wants to get checked. After reading more and more posts here, I feel that I start to get angry at the RE, specially since we had to pay a lot ourself when I went to see him, and it wasn't easy to get an appointment to begin with. What should I do? Should I just do what he said and take it and see what happens?

 

Thanks!

Married 11/08 started to see RE 6/10 6/10 50 mg Clomid no O cycle ends after CD18 7/10 HSG and SA done both good 7/10 50 mg Clomid O cycle ends after CD24 8/10 100 mg Clomid O cycle ends after CD29 9/10 100 mg Clomid 10/10 100 mg Clomid 11/10 150 mg Clomid finally monitoring and IUI 12/4/10 BFP 12/6/10 1st blood test 12/13/10 2nd blood test, HCG isn't rising like it should 12/17/10 I become an aunt for the first time 12/20/10 blood test and ultrasound, HCG still climbing but can't see anything in the ultrasound 12/21/10 biopsy to find out if it was an early m/c 12/22/10 blood test, later that day result from the biopsy, no sign of pregnancy in the uterus 12/23/10 blood test, ultrasound, 3cm ectopic pregnancy, emergancy surgery removal of the right tube... my baby was 6w6d due date would have been 8/12/11 12/27/10 lost my job, because my "priority" of trying to get pregnant is number one, and my boss doesn't want to be in the way... merry christmas! 3/11 150 mg Clomid + IUI 4/11 150 mg Clomid 4/28/11 1.Bloodtest HCG 8 5/2/11 2.Bloodtest HCG 57 after 2 more boodtests and 3 Ultrasounds we see a heartbeat BabyFetus Ticker

Re: my RE didn't say anything about monitoring

  • Okay, first of all you should have the SA and HSG done before you start the Clomid.

    Secondly you need to make sure that your RE is going to do u/s and b/w starting about a week (around CD12) after you start the meds to see if you are responding to the Clomid. If he is not going to do this for you, find a new RE.

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  • Hmmmm, I'd be looking for a new RE if I were you. Can you give him a call and see why he isn't monitoring you?
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  • It sounds like you RE is being a bit negligent, IMO.  He's just leaving you to your own devices without knowing if/how you will respond, when to have TI, etc.  I personally would be looking for a new RE right away.  Or at the very least asking him why he's not monitoring me more closely.
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  • I was pissed when my RE told me he was only going to monitor the first round. To go ahead with clomid without any monitoring at all? NO WAY. I will be demanding that my RE monitor ALL of my clomid cycles, and we aren't starting it until my DH's SA results come back (even though my RE said we could do it before that). From what I understand, there is only a certain number of clomid cycles that you can do in a lifetime before it can cause issues or become dangerous, so don't waste any cycles if you haven't had an HSG done, and if you don't know that there may be a male factor. I would not start Clomid without at LEAST the hsg, the SA, and the appropriate monitoring. Demand it!
  • Hi JSB!  Another NE Ohio girl here.  Where are you going, out of curiosity?
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  • Cleveland Clinics... the RE is in Beachwood, my OBGYN send me to him.
    Married 11/08 started to see RE 6/10 6/10 50 mg Clomid no O cycle ends after CD18 7/10 HSG and SA done both good 7/10 50 mg Clomid O cycle ends after CD24 8/10 100 mg Clomid O cycle ends after CD29 9/10 100 mg Clomid 10/10 100 mg Clomid 11/10 150 mg Clomid finally monitoring and IUI 12/4/10 BFP 12/6/10 1st blood test 12/13/10 2nd blood test, HCG isn't rising like it should 12/17/10 I become an aunt for the first time 12/20/10 blood test and ultrasound, HCG still climbing but can't see anything in the ultrasound 12/21/10 biopsy to find out if it was an early m/c 12/22/10 blood test, later that day result from the biopsy, no sign of pregnancy in the uterus 12/23/10 blood test, ultrasound, 3cm ectopic pregnancy, emergancy surgery removal of the right tube... my baby was 6w6d due date would have been 8/12/11 12/27/10 lost my job, because my "priority" of trying to get pregnant is number one, and my boss doesn't want to be in the way... merry christmas! 3/11 150 mg Clomid + IUI 4/11 150 mg Clomid 4/28/11 1.Bloodtest HCG 8 5/2/11 2.Bloodtest HCG 57 after 2 more boodtests and 3 Ultrasounds we see a heartbeat BabyFetus Ticker
  • WTF? Who puts you on Clomid without you already having an HSG or giving your husband an SA. Let's put it this way, if YH has MFI, you could take that clomid for nothing. This sucks dear, but I agree, you need a new RE. What a jerk!

    Keep us updated!

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    FET #1- 3BB and 3B-B
    Beta #1 (4w0d)- 504
    Beta #2 (4w4d)- 4,577
    Beta #3 (6w0d)- 78,399 HB 115 bpm
    U/S #2 7w0d- HB 155 bpm

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  • imageJSB4681:
    Cleveland Clinics... the RE is in Beachwood, my OBGYN send me to him.

     

    Hey :)

    I don't know where you are located at, or what type of insurance you  have... But I have been going to Reproductive Gynecology, Inc in Akron. It is located right in Summa Hospital there. I  have been seeing Dr. Nash, but the whole team there seems to be great. They have done everything in the correct order with testing, SA, B/w, etc and do monitoring on clomid. I would look them up, and see if your insurance covers any of their work. If you have any other questions please feel free to PM.

    Image and video hosting by TinyPic Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker *First RE visit 5/10 *B/W & SA Normal! 6/10 *Laprascopy - Removed septum and cyst 7/10 *50 mg Clomid 8/21 +Trigger 9/1 = BFN *50 mg Clomid 9/17 = No response *100 mg Clomid 9/29 + Trigger 10/8= BFP!! *Beta 1= 297 *Beta 2= 612! *It's a Boy! EDD July 4th 2011 *Surprise!! Natural BFP! Beta 1=306, Beta 2= 1100! EDD Aug 18th 2012! IT's a BOY!
  • Your RE sucks, go elsewhere.  Cute beagle, though!  :)  Good luck!
    image
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  • imageBBColt78:

    WTF? Who puts you on Clomid without you already having an HSG or giving your husband an SA. Let's put it this way, if YH has MFI, you could take that clomid for nothing. This sucks dear, but I agree, you need a new RE. What a jerk!

    Keep us updated!

    Agree agree agree. I'm a perfect candidate for clomid. My husbands (unexpected, we thought the problem was with me) SA means that we get to do IVF instead.
    image
    Friends for 15 years. Married 8. TTC since January 2009
    2010 Diagnosis: Anovulation and Severe MFI
    2011 Treatment:
    IVF w/ICSI #1 Antagonist: 2 blasts - c/p - BFN 04.22
    FET #1: 1 blast/1 early blast - BFP 06.22 - m/c 06.30 @6w0d
    07-11 RPL: MTHFR C677T Heterozygous & Slightly elevated ACLA IgM
    FET #2: 1 morula - BFN: 9.02

    January '12: IVF #2
    Started BCP and Metformin (New!) 12-14 for stimming in January

    Dum spiro, spero.
    ?SAIF/PAIF/PgAL/PAL always welcome?
  • imageJSB4681:
    Cleveland Clinics... the RE is in Beachwood, my OBGYN send me to him.

    I am going to the same practice.  They are monitoring me, but I did have to ask for it.  If you don't mind me asking, which doctor are you seeing?  Feel free to send me a PM if you'd rather.

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