clomid and triggering

loveistpws · July 2009

i feel like i am missing something. i am seeing posts about taking clomid and than a trigger shot? my doctor never mentioned anything like that to me. i am just taking 50mg of clomid on cd5-9 and that's all. did my doctor not give me some other instruction about a trigger shot?

Mrs0815 · July 2009

Are you being monitored?

jenick · July 2009

There are different protocols with clomid. My first round of clomid I did not have a trigger, but the second I did and the 4th I will. I O'd each time I didn't trigger, we are just trying to get a stronger O. Are you being monitored while on clomid? By monitoring I mean u/s and possibly bloodwork.

loveistpws · July 2009

I thought my doctor has said she wanted to monitor me, however it appears i am not being monitored based on the definition of being monitored. well maybe i am? not sure. she asked me to go get bloodwork done on cd 20. but never mentioned anything about ultrasounds. and i don't actually have another appt with her until sept. should i be following up with her?

Kelly0615 · July 2009

They are checking CD 20 labs to make sure you ovulated based on your prog level.

There is the option to monitor before O for follicle development where they measure how many dominant follies you have. They can also check the thickness of your uterine lining.

My first Clomid cycle last year was not monitored. I only had CD 21 labs.

jenick · July 2009

Ok.....you are right, this is NOT monitoring. I'm going on the assumption that your OB is giving you clomid here.

Some people don't respond to clomid...some do... you don't know this without an u/s. Most OB's won't monitor. You have to go and see a RE to be monitored if your OB won't. In my case I see a NP that has a RE certification. While on clomid, you need to check your lining and check for cysts. Again, this can't be done without an u/s. And....CD 20 bloodwork is pointless because you may not even O till then. I have noticed that without a trigger, I don't O on clomid till then. You should be going in 7 dpo regardless what day in your cycle that is. You can monitor this with charting and OPK. Please please Please call your OB and ask to be monitored. You are your best advocate and you need to stick up for yourself. You could be wasting lots of time if you go unmonitored....also...has your DH had a SA? hope all this helps..

loveistpws · July 2009

this all really helps. thank for you taking the time to answer my questions. excuse my ignorance, but i have never really known what RE stood for, so I don't know how to get an RE. my dh has not had an SA. but we have thought about, just have never really put it into action.

ginger67 · July 2009

There are a lot of California girls on TTTC. If you need an RE maybe try posting over there for recomendations.

jenick · July 2009

That's ok.... a RE is a Reproductive Endocrinologist.

And depending on your insurance, you may need a referral from your OB. I would also check into the SA. It's an easy thing for DH to do and it will help you move into the direction best for your situation. If you have more questions you can also check out T-TTC. Good luck and remember..you have to be your own advocate. Being monitored gives me great peace of mind because I know exactly what is going on throughout my cycle. It's our bodies, we should!

alwyzbsy · July 2009

All of my cycles on clomid were monitored, but I did not get a trigger until this cycle (my third clomid cycle).

loveistpws · July 2009

now i am just wondering, why would my doctor not want to monitor me? and also, if its possible that i might not have even o'd on cd20, why would she ask me to do bloodwork so early? wouldn't she want me to wait a little longer? do you think she thinks that i will early like on cd14 or something and that's why?

jenick · July 2009

This is just what most OB's do. They dabble in the world of infertility but they don't monitor like they should. This is very common for OB's. They are not trained in infertility....mine was the first to admit it when she suggested I start clomid.

And the cd 20 thing...I'm not sure what she is thinking. I know she wants to check your progesterone levels and anything over a 5 usually indicates that you O'd. While on clomid, most doctors would like to see it over 15. But this is for 7dpo. On my non-trigger cycles, I do OPK and chart to determine when I O and when 7dpo is. For example last cycle I got a +OPK on cd 19, so I could narrow down my O date to a couple days. My NP always tells me to come 7 days after ovulation to check the levels. You can't totally depend on your CM because clomid can dry it up.

This is complicated stuff....I realize that. But the more educated you become, the more prepared you can be. Go through old posts on T-TTC and you will find a ton of info on clomid.

I really hope I didn't scare you...I'm just trying to help. Good Luck!

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