Please share your wisdsom re clomid & REs

elenaforbusher

Good morning.  I have questions about Clomid and am not sure who to ask.  You all seem to be good sources of information.

My obgyn put me on clomid after doing some blood work and seeing that my progesterone levels were fairly low.  The only monitoring he's done is bloodwork at 21 days.  The instructions I've received from his office have been often inconsistent and confusing.  I took the second cycle last week, and called to see if I'm supposed to plan for more bloodwork soon.  The nurse seemed to think I didn't need any.  I asked her to please double check.

I love my obgyn (he stepped in when I was getting inadequate treatment from another gyn. who refused to diagnose my ectopic after 7 and a half weeks) but am having a hard time with the fact that everything I've read indicates there should be more follow up with the clomid than I believe that I am receiving.  Do you all think I should ask him for a referral to an RE?  Do REs deal with patients who are in the clomid phase, or is it too soon to see one?  Thanks for sharing any advice in this regard!

EMNTOM

IMHO I believe you should be monitored with ultrasound. Clomid can not only make you produce more follicles (a chance of high order multiples) and it can also thin your lining. Even if you are only doing TI and not an IUI you should still be monitored closely. Unfortunately many OBGYN's prescribe clomid without monitoring.

GL

Temp159135562506975

i'm sorry about your ectopic.

REs are the best to see when you have IF issues.  They will monitor properly - and they know the most - their one job is to get women pg all day long - OBGYNs don't deal with IF every day, and don't have as much training- and often, really don't know what they are doing and can put women at risk for more issues.

Clomid can ruin your uterine lining, cause cysts, decrease your CM, cause hyperstimulation, etc... it really needs to be monitored closely by US and BW.  Most REs will use it with IUI.

I got pg from my first cycle of clomid/met/IUI/trigger with my RE 2 yrs ago - we are TTC#2 now with the same protocol and in the 2ww.

my full success story is at the end of my bio - and my advice is to see an RE as soon as you can. You might not get an appt right away... but it can't hurt to make it now- and if you get pg this cycle you can cancel.

good luck!

elenaforbusher

Thanks ladies, for sharing your thoughts.  It is very helpful.  Oh and best of luck to you all in your journey as well.

Dr.Loretta

There are a couple of things going on that should be addressed. If you've been trying a year or more and are under 35, you definitely qualify to see an RE. Unless your dr. put you on Clomid after your first few cycles, you're good to go and see an RE.

Definitely ask for a referral. I saw an RE after 2 rounds of Clomid, so I don't think you'd be seeing one "too soon".

Many people go unmonitored on Clomid, but you don't want to be one of the minority who has issues with cysts, thinned lining, or hyperstimulation because you weren't monitored on Clomid. Plus an RE is going to try and get at the root of your problem in conceiving, at which point you can switch back to your ob/gyn for prenatal care and delivery.

Good luck.

sliz

I was prescribed clomid but only started using it under the watch of an RE. I had gorgeous follies, but my lining thinned out. The chance I will get pg this cycle is slim - even though I triggered 2 or 3 great follies and did TI just right. If I continued using clomid without monitoring, I might end up with a very thinned out lining and have to sit out several months for it to correct. My RE said maybe one more round with estrogen supplementation and if that didn't work then no more clomid for me. My ob was all for trying 6 rounds with no monitoring other than cd 21 bloodwork and a pre-clomid cyst check.

 

I am so glad I switched to an RE so we didn't waste time or cause more harm.