Dr. just prescribed Clomid - irregular cycles

carolinakiwi · December 2009

I am still not sure what to make of this - but my OB/GYN (which I love) just prescribed me Clomid in 100 mg.

I made an appointment to talk about the excruciating cramps I had 18 days ago. And while I was there I also wanted to talk about TTC and let her know that I am charting, I am ovulating, however have been ovulating later and later (CD 22, 25, 28 and 40).

I'm only on cycle # 5 and only nearing 6 months, so I am not sure how I feel about her prescribing me Clomid with no hesitations. She wants me to ovulate more "normally".

She recommended taking it next cycle (#6) and that she would absolutely monitor me. But she prescribed 100 mg of it and in her opinion she thinks that by prescribing just 50 mg would be a "waste" of a cycle. (However, the medicine comes in 50 mg tablets, so the user can control how much she takes.)

What do you ladies think of this?

I will definitely be spending lots of time researching Clomid after the holidays. I probably won't O until mid January....so I should have time to learn about it and if I want to even take it.

renafaith · December 2009

...especially if you're ovulating

Temp356619000002780 · December 2009

GL hon make sure she monitors you. I am also thinking my 50mg cycle will be a waste! Best of luck, but I would suggest an RE for this!

LnR70707 · December 2009

I would never do it after only 5 cycles (unless you are over 35). I also wouldn't start any meds unless you've had thorough testing done to make sure there are no blockages or other issues.

Marielle0430 · December 2009

Hmmmm...I'd get a second opinion. Is there a reason she is rushing into Clomid, especially if you are ovulating? And skipping to 100mg? I don't know, just doesn't sound right.

carolinakiwi · December 2009

renafaith:
...especially if you're ovulating

From the brief research that I've had time to do since I got done at the doctor - Clomid is commonly prescribed (according to the websites I read) for those with irregular ovulation.

carolinakiwi · December 2009

mari2003:
GL hon make sure she monitors you. I am also thinking my 50mg cycle will be a waste! Best of luck, but I would suggest an RE for this!

Thanks, Mari for your input. So, I should probably see an RE prior to taking fertility meds?

Good thing that I just joined insurance through my work. It starts in January. The insurance that I'm currently on - through my husband - does not cover anything labeled "infertility", including Clomid, doctors visits, etc.

sail123 · December 2009

My RE's practice prescribes 100 mg off the bat because they did a significant amount of reserach and determined that many people don't respond to 50, or don't respond well enough to justify the risks of the medication. I was anxious about it as well but it was fine. I responded well (avg 2 follies per cycle).

As long as you are being monitored with ultrasounds you are fine. The only thing I would add is that you should have an HSG and your DH should have an SA before you take the clomid.

Good luck.

CMH25 · December 2009

L&R70707:
I would never do it after only 5 cycles (unless you are over 35). I also wouldn't start any meds unless you've had thorough testing done to make sure there are no blockages or other issues.

THIS - By primary care doctor, my ob/gyn, AND my RE would never prescribe Clomid without doing a full work up including and HSG (google if necessary). If there is a block the Clomid is not going to do anything. Also, I am starting on 50mg of Clomid for my first IUI cycle. He said that I am a normal weight (5'3" 126lbs) and he would rather start of light. You don't want to unnecessarily increase your odds of multiples as it is not safe for you or your baby.

ALSO, a normal healthy couple can take up to one year to conceive. Assuming you are under 35, you are certainly not in the window of concern at this point.

Lastly, some insurance companies will only cover so many cycles on Clomid/fertitlity treatments. I would look into your coverage before you "waste" your allowance on a cycle when you are still in the normal range and could have another underlying problem (if there is one) that the Clomid won't fix.

carolinakiwi · December 2009

Marielle0430:
Hmmmm...I'd get a second opinion. Is there a reason she is rushing into Clomid, especially if you are ovulating? And skipping to 100mg? I don't know, just doesn't sound right.

Good question......she said she prescribed it because I'm not ovulating regularly - that I'm ovulating later and later.

I know......I am disappointed that she was so fast to prescribe it to me. B/c other than that - I absolutely love her as a doctor. She's so bubbly and personable.

jteneback · December 2009

Did you come off BCP right before your cycle when you O'd on CD 22? If so, I would probably give it a few more months to see if you regulate on your own before hitting "the hard stuff." I also agree that you and DH should have other testing done so that you don't waste cycles.

CMH25 · December 2009

CMH25:

L&R70707:
I would never do it after only 5 cycles (unless you are over 35). I also wouldn't start any meds unless you've had thorough testing done to make sure there are no blockages or other issues.

THIS - By primary care doctor, my ob/gyn, AND my RE would never prescribe Clomid without doing a full work up including and HSG (google if necessary). If there is a block the Clomid is not going to do anything. Also, I am starting on 50mg of Clomid for my first IUI cycle. He said that I am a normal weight (5'3" 126lbs) and he would rather start of light. You don't want to unnecessarily increase your odds of multiples as it is not safe for you or your baby.

ALSO, a normal healthy couple can take up to one year to conceive. Assuming you are under 35, you are certainly not in the window of concern at this point.

Lastly, some insurance companies will only cover so many cycles on Clomid/fertitlity treatments. I would look into your coverage before you "waste" your allowance on a cycle when you are still in the normal range and could have another underlying problem (if there is one) that the Clomid won't fix.

Oops, one more thing. My insurance company does not cover anything until after 1 year of trying.

Good luck to you.

carolinakiwi · December 2009

sail123:
My RE's practice prescribes 100 mg off the bat because they did a significant amount of reserach and determined that many people don't respond to 50, or don't respond well enough to justify the risks of the medication. I was anxious about it as well but it was fine. I responded well (avg 2 follies per cycle).

As long as you are being monitored with ultrasounds you are fine. The only thing I would add is that you should have an HSG and your DH should have an SA before you take the clomid.

Good luck.

Thank you, Sail! I don't know much about an HSG - I will research it now. But is it something that the OB/GYN can do, or does the RE do it?

Also, should I just call my OB/GYN's office back and request that I have further testing first prior to starting Clomid?

sail123 · December 2009

carolinakiwi:
sail123:

My RE's practice prescribes 100 mg off the bat because they did a significant amount of reserach and determined that many people don't respond to 50, or don't respond well enough to justify the risks of the medication. I was anxious about it as well but it was fine. I responded well (avg 2 follies per cycle).

As long as you are being monitored with ultrasounds you are fine. The only thing I would add is that you should have an HSG and your DH should have an SA before you take the clomid.

Good luck.

Thank you, Sail! I don't know much about an HSG - I will research it now. But is it something that the OB/GYN can do, or does the RE do it?

Also, should I just call my OB/GYN's office back and request that I have further testing first prior to starting Clomid?

And HSG is performed by a radiologist. It is basically an x-ray of your uterus and fallopian tubes. They insert dye through the tubes to ensure that they are clear. If your tubes aren't clear than inducing ovulation with medication is pointless.

Mr. & Mrs. Woodtick · December 2009

carolinakiwi:

renafaith:
...especially if you're ovulating

From the brief research that I've had time to do since I got done at the doctor - Clomid is commonly prescribed (according to the websites I read) for those with irregular ovulation.

I have heard of this before with ladies on this board. I remember one GP gals (sp) Dr. did this so she could have better quality eggs. However, that lady had a history. With no known problems, I would be hesitent to take clomid.

carolinakiwi · December 2009

CMH25:
L&R70707:
I would never do it after only 5 cycles (unless you are over 35). I also wouldn't start any meds unless you've had thorough testing done to make sure there are no blockages or other issues.

THIS - By primary care doctor, my ob/gyn, AND my RE would never prescribe Clomid without doing a full work up including and HSG (google if necessary). If there is a block the Clomid is not going to do anything. Also, I am starting on 50mg of Clomid for my first IUI cycle. He said that I am a normal weight (5'3" 126lbs) and he would rather start of light. You don't want to unnecessarily increase your odds of multiples as it is not safe for you or your baby.

ALSO, a normal healthy couple can take up to one year to conceive. Assuming you are under 35, you are certainly not in the window of concern at this point.

Lastly, some insurance companies will only cover so many cycles on Clomid/fertitlity treatments. I would look into your coverage before you "waste" your allowance on a cycle when you are still in the normal range and could have another underlying problem (if there is one) that the Clomid won't fix.

That's why I am thinking "who am I to be prescribed Clomid b/c we're still early into TTC."

Thanks for the insurance tip!

carolinakiwi · December 2009

jteneback:
Did you come off BCP right before your cycle when you O'd on CD 22? If so, I would probably give it a few more months to see if you regulate on your own before hitting "the hard stuff." I also agree that you and DH should have other testing done so that you don't waste cycles.

Yes, the cycle where I O'd on CD 22, was the 1st cycle off BC. I know it takes up to a year to regulate cycles, however for me there will be no "regulating", because I was definitely not regular before BC. I had very long cycles, and then would randomly have a shorter more "normal" cycle.

Temp356619000002780 · December 2009

carolinakiwi:

mari2003:
GL hon make sure she monitors you. I am also thinking my 50mg cycle will be a waste! Best of luck, but I would suggest an RE for this!

Thanks, Mari for your input. So, I should probably see an RE prior to taking fertility meds?

Good thing that I just joined insurance through my work. It starts in January. The insurance that I'm currently on - through my husband - does not cover anything labeled "infertility", including Clomid, doctors visits, etc.

GL hon, I took the 50mg by choice. Just make sure you are taken care of. I am not being monitored and I have so many crazy concerns,,, GL

carolinakiwi · December 2009

CMH25:
CMH25:

L&R70707:
I would never do it after only 5 cycles (unless you are over 35). I also wouldn't start any meds unless you've had thorough testing done to make sure there are no blockages or other issues.

THIS - By primary care doctor, my ob/gyn, AND my RE would never prescribe Clomid without doing a full work up including and HSG (google if necessary). If there is a block the Clomid is not going to do anything. Also, I am starting on 50mg of Clomid for my first IUI cycle. He said that I am a normal weight (5'3" 126lbs) and he would rather start of light. You don't want to unnecessarily increase your odds of multiples as it is not safe for you or your baby.

ALSO, a normal healthy couple can take up to one year to conceive. Assuming you are under 35, you are certainly not in the window of concern at this point.

Lastly, some insurance companies will only cover so many cycles on Clomid/fertitlity treatments. I would look into your coverage before you "waste" your allowance on a cycle when you are still in the normal range and could have another underlying problem (if there is one) that the Clomid won't fix.

Oops, one more thing. My insurance company does not cover anything until after 1 year of trying.

Good luck to you.

CMH - very good point. I will definitely look that up (just so I know). I just joined insurance through my work which I think is similar to yours. My DH's insurance, that I have right now, doesn't cover anything "infertility" related, no matter how long its been.

carolinakiwi · December 2009

mari2003:
carolinakiwi:

mari2003:
GL hon make sure she monitors you. I am also thinking my 50mg cycle will be a waste! Best of luck, but I would suggest an RE for this!

Thanks, Mari for your input. So, I should probably see an RE prior to taking fertility meds?

Good thing that I just joined insurance through my work. It starts in January. The insurance that I'm currently on - through my husband - does not cover anything labeled "infertility", including Clomid, doctors visits, etc.

GL hon, I took the 50mg by choice. Just make sure you are taken care of. I am not being monitored and I have so many crazy concerns,,, GL

Thanks, Mari - you're so sweet! Good luck to you too!!!!

carolinakiwi · December 2009

Thanks ladies! I can't even say how invaluable you all have been. I wouldn't even know what charting was if it weren't for me lurking on this board a long time ago. Thanks!!!!

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Dr. just prescribed Clomid - irregular cycles

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